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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Which Specialist Should I Consult For Severe Migraine?

I get severe migraines, to the point that I can t even open my eyes without throwing up, sometimes I just have the clear fluid-not sure the name just kind of pour out of my mouth without actually vomiting. When I get them I also feel like I have a fever, and if I lay down and remain completely still for about 5 minutes the pain goes away and I can sleep, but if I even twitch a muscle the pain comes back instantly(I laugh when I see commercials about migraine meds that show people still doing things like making dinner, I wish mine were that mild). The last few times I ve gotten them it felt like my skin had split open above my eyes at the hairline, which is where the pain is every time, I actually felt around for blood and the area was completely numb. None of the meds Doctors have prescribed have helped, the only thing I can do is try to sleep through it. I ve been seeing doctors at the VA, but I don t trust them as the care we vets receive there isn t as good as people think. My question is could there be something else going on besides migraines, and is there any meds I can ask my doctor for that could work but aren t mainly for migraines, and is a Neurologist the best choice to see? Thank you for any and all info. I also get a lot of smaller headaches where I can still do what I need to.
posted on Wed, 29 Nov 2017
Twitter Sun, 3 Jun 2018 Answered on
Twitter Thu, 7 Jun 2018 Last reviewed on
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Neurologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

There are many different types of headaches, migraine is the most commonly known, but not all headaches are migraines. In order to understand whether your headache is in the setting of migraine there are several criteria which need to be fulfilled and a lot of questions to be answered. From what you mention migraine is certainly possible, but other info such as duration, age when the headaches started must be taken into account and a neurological exam must be done as well, before making a diagnosis. If the headaches have been going on for years though it's unlikely they represent something threatening such as tumors, infections, stroke etc. The specialist to see is definitely a neurologist, headaches are one of the most common presentation in our patients and we are the best trained and most experienced specialists to deal with them.

Hope I have answered your query. Let me know if I can assist you further.
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Which Specialist Should I Consult For Severe Migraine?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There are many different types of headaches, migraine is the most commonly known, but not all headaches are migraines. In order to understand whether your headache is in the setting of migraine there are several criteria which need to be fulfilled and a lot of questions to be answered. From what you mention migraine is certainly possible, but other info such as duration, age when the headaches started must be taken into account and a neurological exam must be done as well, before making a diagnosis. If the headaches have been going on for years though it s unlikely they represent something threatening such as tumors, infections, stroke etc. The specialist to see is definitely a neurologist, headaches are one of the most common presentation in our patients and we are the best trained and most experienced specialists to deal with them. Hope I have answered your query. Let me know if I can assist you further.