It sounds like a migraine aura. I lose my central vision in my right eye as an aura; it flipped me out the first few times it happened (since it was a new change after 10 years of having migraines without it,) now I just expect it. If your vision loss starts lasting longer, or certainly if it persists beyond the end of your migraine, it would be more cause for worry.View Thread
Actually, yes, it is sneaky. Snooping is justified for a minor child, perhaps even a parent with dementia, but your sister? That said, anti-epileptic drugs are used in migraine therapy so having seen these drugs (some which are frequently abused drugs) does not rule out the possibility that she has migraines. It certainly is possible, and fairly common, to have more than one condition being treated simultaneously. Would the same doctor have prescribed them: probably not, but again, not necessarily a red flag. A little more concerning might be if she were filling them at different pharmacies, in an attempt to "stay under the radar" with multiple drugs. Since sleep will often break migraines, migraineurs who are getting insufficient relief from pain medications may re-direct their efforts from stopping the pain to getting to sleep. Since taking a variety of sedatives has obvious risks, you are right to be concerned, but taking a more direct approach with your concerns would be more effective.View Thread
Stopping the Lamictal, at least temporarily, seems like it was probably a reasonable step, given that Lamictal can cause severe headaches, so why add a known irritant. That may be enough, but he'll need followup to make sure that his bipolar disorder is not worsening when he is off of his medication. It's likely that his headaches are migraines since nothing else has really surfaced, and migraines are pretty much the like choice after everything else has been excluded. Has your son been seen in a pain management clinic? Their focus is managing the pain, usually after other physicians have diagnosed the problem, but it sounds like he needs some immediate relief. If he has commercial insurance, check to see if they have a participating clinic. Although he's tried Imitrex, it's worth remembering that it's necessary to try several other drugs in that class before you give up since everyone's different, and you can have absolutely no response to one triptan, and have another be the lifesaver that you hoped for.View Thread
Chiropractic may also help with this type of neck/shoulder pain. Aside from the manual adjustments, chiropracters use many of the same range of motion and isometric exercises that physical therapists use. Most major health plans also include this as a benefit so check out the possibility of reimbursement for your visits, or see if your plan has a preferred provider.View Thread
I also have 2 distinct headache patterns: one with aura, and one without, and the two headaches occur in different locations so it's unusual, but I know it can happen. Unfortunately, migraines often worsen in perimenopause, but (supposedly) they can improve afterwards. At least I hope so, too. It makes sense that they would, as they started with the beginning of my period years ago. One thing I have found, however, is that, while migraine medications have a limited effectiveness span, the preventatives that no longer work can be rotated so that one used years ago will work again. I'm now on my second go-round with several of them, but I'm hoping for a definitive cure, too.View Thread
Having a metallic taste is often a drug side effect (particularly common with Topomax,) but can also be a component of a pre-migraine aura. Since people's aura is usually pretty consistent over time, any significant change in your headache pattern like this is worth mentioning to your doctor.View Thread
Sorry you're having such a terrible time with your migraines now. Unfortunately, the nature of migraines is such that they won't show anything on the imaging studies; those are done so that the doctor can detect brain tumors, or other emergency conditions that might exist. Once those are ruled out, you get to work with finding out how to cope with the headaches, which boils down to how to minimize how often they happen, and how to survive when one hits. After 6 months, if your primary care doctor hasn't gotten far in selecting both a preventative treatment and an active headache treatment, it's time to consider seeing a neurologist.
Even with a neurologist, however, it can take a lot of trial and error in picking out drugs and having them either work (or not.) Keep a headache diary so that you can better identify your triggers (like the alcohol, but there are bound to be more.) The FMLA paperwork is a nuisance, but it's necessary to protect your job while you get things under control. Fortunately, most managers are pretty understanding, as long as you keep them informed of how you're doing, and conspicuously make a effort to minimize your headache-related absences on the team (making that effort can help you, too, so that you feel in control at work, and are less prone to stress-related headaches.) Sadly, there are some bad bosses out there, too...but that's what employment attorneys are there for.View Thread
Stress can definitely cause daily headaches, at least over a period of days to weeks (probably not so much of a factor over the long term.) This is also a time of peak allergies for fall/winter mold problems. Even though you have a new CPAP set up, it wouldn't hurt to clean it again to eliminate that as a possible cause.View Thread
It does sound like, whether or not it ended up as a migraine, it started as a sinus headache. The location, across your brow, the improvement with warmth, and the worsening with lying down all suggest sinuses. You could try a decongestant along with Tylenol or aspirin, and using a warm compress on your sinuses. If you have a thermometer, check your temperature when you feel hot next time. If you have a fever, and continue to have sinus pressure and pain, call your doctor.View Thread
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