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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Migraines

I get frequent migraines. The other day I woke with what I thought was a migraine, but the pain felt almost liquid. Like waves pulsing in the left side of head. It felt like a migraine but it left after taking some otc meds and getting up. My vision has gotten consistently blurrier over the last year or two. I am 41. Not sure if it could just be age, but it happened so quickly. A week or so ago, I got sick and dizzy and weak at football practice. Coach said I was dehydrated but I know I was not. The next day my muscles were too weak to even do a push-up. I am still like that. I feel constantly weak and tired. The night I felt so weak I had very sharp pains go through my neck and jaw. It lasted for a few minutes. That night I woke up with extreme nausea. The entire next day I was exhausted and had pain in my jaw. I always feel tired, and the same pulsing, liquid wave of pain in my head will course through my head for just a few seconds and I will get dizzy whenever I stand up from sitting for awhile. Am I being a hypochondriac or should I be concerned? I always feel weak and pathetic at football. Working out actually scares me b/c I know it will be painful and I will feel pathetic and weak and tired.
Tue, 3 Nov 2015
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  User's Response
Hello!

Welcome and thank you for asking on HCM!

I read your question carefully and understand your concern.

Regarding the episodes of dizziness and tiredness they seem to be related to orthostatic hypotension.

A head up tilt tests is needed to rule in/out this possible diagnosis. It is not related to migraine, but could be exacerbated by other factors like chronic anemia, dehydration, thyroid gland dysfunction, electrolytes imbalance, etc.

Regarding the episodes of headache they seem to be caused by migraine, but the sharp pains in your neck and jaw could also be related to trigeminal neuralgia or inflammation.

I recommend consulting with the neurologist for a careful physical examination, and some blood lab tests ( complete blood count, PCR, sedimentation rate, blood electrolytes).

A head CT scan or MRI is necessary to exclude a possible intracranial lesion which could mimic this clinical scenario.

I would also advise performing an X ray study of your cervical column, to exclude possible chronic cervical spondylarthrosis or possible disk displacements which could explain the neck pain.

Hope to have been helpful!

Best wishes!
Dr. Aida
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Suggest Treatment For Migraines

Hello! Welcome and thank you for asking on HCM! I read your question carefully and understand your concern. Regarding the episodes of dizziness and tiredness they seem to be related to orthostatic hypotension. A head up tilt tests is needed to rule in/out this possible diagnosis. It is not related to migraine, but could be exacerbated by other factors like chronic anemia, dehydration, thyroid gland dysfunction, electrolytes imbalance, etc. Regarding the episodes of headache they seem to be caused by migraine, but the sharp pains in your neck and jaw could also be related to trigeminal neuralgia or inflammation. I recommend consulting with the neurologist for a careful physical examination, and some blood lab tests ( complete blood count, PCR, sedimentation rate, blood electrolytes). A head CT scan or MRI is necessary to exclude a possible intracranial lesion which could mimic this clinical scenario. I would also advise performing an X ray study of your cervical column, to exclude possible chronic cervical spondylarthrosis or possible disk displacements which could explain the neck pain. Hope to have been helpful! Best wishes! Dr. Aida