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Doctor insights on: Nocturnal Migraines

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Why is it that if I have a migraine at night and try to sleep it off, I always wake up with a migraine in the morning?

Why is it that if I have a migraine at night and try to sleep it off, I always wake up with a migraine in the morning?

Postdrome headache: The termination of the headache occurs gradually. It may last for hours or more than a day. Although a patient may feel better, some symptoms may persist. As the intensity of the headache wanes, the headache phase blends into the postdrome. ...Read more

Dr. Dariush Saghafi
1,879 Doctors shared insights

Migraine (Definition)

A type of headache that is associated with throbbing localized pain and usually causes light ...Read more


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I get headaches when I go to sleep at night the only thing that helps is taking two Excedine migraine tablets every night is that O K?

I get headaches when I go to sleep at night the only thing that helps is taking two Excedine migraine tablets every night is that O K?

Short term: Short term sure, long term you might want to consider suppressive therapy as opposed to just treating it. ...Read more

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Constant migraine for over a year. Beginning of the day a pain level of 2 to 3, goes up to 8 or 9 at night. Lyrica (pregabalin) and bc for prevent. Recommend?

Constant migraine for over a year. Beginning of the day a pain level of 2 to 3, goes up to 8 or 9 at night. Lyrica (pregabalin) and bc for prevent. Recommend?

Stop bc: Migraines should not occur every day, and so if they do, a different diagnosis or an exacerbating factor needs to be considered. In your case, the use of bc powder every day may be causing analgesic rebound headache. This can happen when otc pain meds are taken more than twice weekly. Try minimizing otc's if you can. If still not improved, there are many other options for effective prevention. ...Read more

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Been on 20mg citalopram 4weeks now just upped them to 40mg take at night but the following day am getting migraine and nausea can this b a side effect?

Been on 20mg citalopram 4weeks now just upped them to 40mg take at night but the following day am getting migraine and nausea can this b a side effect?

Doubtfully: Antidepressants like citalopram (SSRI) is used to treat chronic daily headache disorders such as migraine and chronic tension-type headache. See an Orofacial pain or headache specialist for headache diagnosis and treatment. ...Read more

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I'm at the end of a migraine. I usually feel better at night then horrible in the morning. Any suggestions to knock it out? Other than Advil (ibuprofen).

I'm at the end of a migraine. I usually feel better at night then horrible in the morning. Any suggestions to knock it out? Other than Advil (ibuprofen).

Postdrome: After the migraine symptoms subside, many patients feel exhausted, confused or fatigued. The postdrome symptoms are generally easier to manage than the other migraine stages. The headache is described as a dull, diffuse, annoying headache that may persist for one to two days, but is not disabling. Aspirin or ibuprofen is often used. ...Read more

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My migraine is like for everyday. From the time I open eyes from bed to till I close again at night. Its a throbbing/pulsating feeling and not pain.

My migraine is like for everyday. From the time I open eyes from bed to till I close again at night. Its a throbbing/pulsating feeling and not pain.

Needs attention: You seem to describe an emerging pattern of chronic daily migraine, and this will only get worse if pattern is NOT interrupted. Some OTC remedies might be chose, such as riboflavin, butterbur, feverfew, CoQ-10, magnesium. Might be useful to see a headache specialist. ...Read more

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B12 :145 ng/L Range 130-800ng/L Result Just in Range SymptomsShort term Memory. Pins Neddles hands on waking at night. Tinitus, Migraine. Is it low?

B12 :145 ng/L Range 130-800ng/L Result Just in Range SymptomsShort term Memory. Pins Neddles hands on waking at night. Tinitus, Migraine. Is it low?

Not B12: Glad you're concerned. Look for some other explanation for your symptoms, which don't suggest B12 deficiency anyway -- this is more about numbness and weakness reflected in abnormal gait, and slowing of mentation. Keep getting checked. BEst wishes. ...Read more

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Having my first migraine, and experiencing weird leg cramps at night, I'm supposed to start tomorrow but I don't feel like I'm going to start. Preggo?

Having my first migraine, and experiencing weird leg cramps at night, I'm supposed to start tomorrow but I don't feel like I'm going to start. Preggo?

Unprotected sex?: Only if you had unprotected sex near the time of your ovulation, miss a period and then test positive are you preggo. Headaches and leg cramps are not early indications of pregnancy. A pregnant woman can suffer them, but they are not the way to tell. If by next week you have not started, do a test and/or have an exam. Severity doesn't mean migraine and Potassium may help legs. Ask Dr for info! ...Read more

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In the back of my head, at night I always have this pain like a headache that makes me sick lightheaded, and dizzy what could this be? Had migraine b4

NEEDS EVAL: It is difficult to say if this is a variation of your migraines or something more concerning- the symptoms you mention mae this pain something that needs further eval- we must make sure there is no tumor or aneurysm or other cause- ha should not wake you from sleep- and any new, changing or worsening headache- should have greater eval. ...Read more

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Had visual migraine 6 days later developed eye floaters after, seeing halos and comets and starbursts around lights at night rainbow ring around light?

Had visual migraine 6 days later developed eye floaters after, seeing halos and comets and starbursts around lights at night rainbow ring around light?

Examination time: You need to make an appointment with an ophthalmologist for a dilated examination. You may have had a classic migraine, but the onset of spots/floaters could mean something different, like a retinal tear, vitreous detachment, or some other ocular issue. The starbursts & halos could be a refractive error, cataract, dry eyes or other. Bottom line is an examination to diagnose your symptoms. ...Read more

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I am a 41 year old female with asthma and migraine. I havea temperature of 95.3, runny nose, stuffy nose at night and a hard dry cough with a sore throat. What should I do?

I am a 41 year old female with asthma and migraine. I havea temperature of 95.3, runny nose, stuffy nose at night and a hard dry cough with a sore throat. What should I do?

Doctor can evaluate: A primary care doctor can evaluate to see if there is a cold (viral infection), a strep throat (bacterial and would need antibiotics), a sinus infection, allergies in the nose and sinuses, wheezing in the lungs (would need more asthma treatment), sinus symptoms related to migraines, etc... Since one can have one or more of these issues at the same time, a doctor's visit (s) is recommended. ...Read more

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35 yr-old started with paresthesias 4 yrs ago, that generalized to include autonomic symptoms and gastroparesis, looking for effective treatment.....?

35 yr-old started with paresthesias 4 yrs ago, that generalized to include autonomic symptoms and gastroparesis, looking for effective treatment.....?

Neuro exam?: Interesting case, but I'd like to know about her neuro exam. By the history, her symptoms haven't progressed in a length-dependent manner (especially given the facial sensory involvement) and this points me toward a sensory neuronopathy aka sensory ganglionopathy. These patients would be expected to have proprioceptive impairment-- if she is still a dance instructor, I doubt her proprioception is impaired. If her neuro exam and nerve conduction study are truly normal, I suspect any additional testing will be normal as well. ...Read more

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What is migraine?

What is migraine?

Migraines: A migraine is a vasospasm of a blood vessel in the brain. There are many symptoms. The common migraine's hallmark is a severe headache. The headache may be accompanied by nausea and vomiting, sensitivity to light and sound. Sometimes, migraines are signaled by an "aura, " which may be a visual symptom such as flashing lights or wavy lines followed by a headache. Common triggers - caffeine, stress. ...Read more

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What causes migraine?

What causes migraine?

Migraine cause: Over the years, many theories on the pathophysiology of migraine have been postulated but the exact cause of migraine is still controversial. Migraine pathogenesis involves an interrelationship between neuronal and vascular components. ...Read more

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Why am I having migraine?

Migraines: Migraines can happen spontaneously without cause. Although there can be triggers, the most common are stress, caffeine, chocolate, red wine, food with sulfates, some medications, alcohol, reflections of light. ...Read more

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What causes of Migraine?

What causes of Migraine?

Migraine causes: The exact cause of migraines are not known but the research suggest that migraines are caused by hyperactive nerve cells that cause that cause blood vessels to constrict and expand. This in turn causes release of inflammatory chemicals and the pain. Now there are several triggers that can cause migraines to occur. You should find out the triggers and discuss it with your doctor. ...Read more

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What are the first aide for migraine?

What are the first aide for migraine?

Migraine seems to be: The result of imbalance in brain chemicals, especially serotonin, affecting the trigeminal nerve and brain covering/meninges. There are a number of triggers including hormones, food, stress, etc. Self-management includes muscle relaxation exercises including yoga, adequate restorative sleep. Simple analgesics can be tried (aspirin/ibuprofen); rest in dark room, accupressure helps some. To Doc if? 's ...Read more

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What kind of 'shot' is used for migraine?

Local anethetic: Depends but an la can be used to make sure it isn't originating from muscles. ...Read more

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I m so stressed that I m having migraine?

I m so stressed that I m having migraine?

Agree with Dr. Caplin: ; dr. Pappas. Talking therapy ranks really high. Cognitive behavioral therapy can be quite effective. Aim for daily exercise, 8 hours of sleep per night ; good nutrition with 5 servings of veggies ; 4 of fruit per day. Try tai chi, yoga, qi gong, progressive muscle relaxation, deep breathing exercises ; meditation. Don't isolate - spend time with friends and stay active. ...Read more

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What are the preventative measures for migraine?

What are the preventative measures for migraine?

Prevent migraines: There are many things one can do to help decrease their headaches. Good sleep, good nutrition, stress management, and exercise are a few. Also, avoiding know triggers such as alcohol, aged cheeses, etc can help. Its important to work with your doctor to find the best approach for you. ...Read more

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What is a migraine?

Recurrent headache: Migraine is a chronic disoeder in which you get recurrent headaches which are moderate to severe in nature
in typical headache it is on one sided headache and pulsating in nature and last anywhere from 2 to 72 hours
it may have other associated symptoms like
nausea&vomiting
inreased sensitivity ti light
about one in third patients feel an aura.
It can be triggered by several different factors. ...Read more

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What is a migraine?

Headache: Hi ChantelleH,
A migraine is a type of headache. Usually it is on one side of the head, moderate to severe, throbbing and sometimes associated with sensitivity to light and sound. ...Read more

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How to cure migraine?

How to cure migraine?

See a neurologist: There is no cure but a great treatment management exists, which can alleviate your symptoms big time, but your have to see a neurologist to rule out any other possibilities of your headache. ...Read more

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Is migraine a disease?

Is migraine a disease?

Neurological disorde: Migraine is chronic neurological disorder associated with focal neurologic deficit, alterations in cerebral blood flow and headache. ...Read more

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How to reduce migraine?

How to reduce migraine?

Prevent migraines: There are many things one can do to help decrease their headaches. Good sleep, good nutrition, stress management, and exercise are a few. Also, daily preventive medications can help reduce the intensity and frequency of attacks. Its important to work with your doctor to find the best approach for you. ...Read more

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How do I avoid a migraine?

How do I avoid a migraine?

Migrain avoidance: Migrain headache avoidance has some thing to do with avoiding triggers....
You should have done a diary for your headache what exactly bring your headache is it stress...Is it food and what type of food is it noise
light, what ever it is you have to avoid it and in case of light u need to say in dark quiet room. ..And also some medications can be given to avoid headache consider as prophylactic. ...Read more

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How do I treat a migraine?

How do I treat a migraine?

Many ways: There are many therapies to migraines. If acute otc meds like Excedrin helps. Prescriptions such as triptans have been used to abate the migraine if severe enough. If this a chronic condition, reduce stressors, exercise, meditation, food triggers, acupuncture/yoga can all help. There is of course medications for chronic migraine as well. Keeping a log of your migraines may be helpful. ...Read more

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How do I treat a migraine?

How do I treat a migraine?

Migraine Tx: You may want to consider having your doctor/headache specialist see if Botox can be approved for your migraine headaches. If it works you could have significantly less migraines for at least 3-4 months at a time. Many times people's migraines are cut in half if not more. The use of your oral migraine prevention medications and abortives are much more helpful and reduce occurrences even better. ...Read more

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How to stop migraine pain?

Migraine: Migraine pain if happens about 8-10 times a month you can ask a preventive medicine to be prescribed by your doctor.
To stop one episode medical authorities suggested to take a high dose regular pain killers such as Ibuprofen 800 mg at the first moment of pain.
There are also specific anti migraine medications such as sumatriptan that could be taken at each episode of pain. ...Read more

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What is a cluster migraine?

What is a cluster migraine?

See below: Cluster migraine is a severe variant of migraine which can awaken an individual from sleep, may be triggered by alcohol. It is described by tearing and nasal congestion on the side of head pain, often with facial sweating on this same side, severe throbbing/stabbing pain, and a sense of restlessness. They tend to occur in clusters of repeat headaches followed by remission. ...Read more

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How do you stop a migraine?

How do you stop a migraine?

Sleep: The most common way to stop a migraine is to go in a quiet, dark room, and sleep. Some people find Excedrin migraine helpful, or you can see your doctor for a prescription for a drug called a triptan, if you don't have any contraindications. ...Read more

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How can I overcme migraine?

How can I overcme migraine?

Help: I try to help you with explanation that migraine is lifelong condition. At different period of live it cold be often and then -rare. Your goal : to avoid full strength of headache with modern medicine, using them as soon as you have aura or feeling it's coming. Good luck. ...Read more

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I have Migraine what to do?

I have Migraine what to do?

Confirm with MD 1st: 16 year old female has migraine, wants to know what to do. Migraine Headache is a very common ailment Pain usually localized in specific areas on the head can be excruciating, pounding; tender to touch in affected area, many times associated with light and sound sensitivity, nausea or even vomiting. Shutting lights & sounds off plus many OTC analgesics could help. Be sure with MD/ Headache spec ...Read more

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What to take for a migraine?

What to take for a migraine?

Get checked: If your headaches do not respond to pain medicines like tylenol (acetaminophen) or motrin, then it would be good to get checked out by a doctor. You may also want to maintain a headache diary when you have a headache. In this you should write down anything you ate in the hours before the headache started, or how much sleep you got the night before or anything else that stands out and look for patterns. ...Read more

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Iv had a migraine for 8 days?

Chronic: Migraines can last for several days at a time. This is not uncommon. I am sorry you are going through this ; hope you get migraine relief soon! ...Read more

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How can I relieve a migraine?

How can I relieve a migraine?

Act quickly. ..: Migraine headaches are usually one sided severe headaches associated with nausea, vomiting, visual disturbance and sensitivity to stimuli. The diagnosis is made in conjunction with your Dr. A simple, effective treatment is anti-inflammatory medication such as Aspirin, Ibuprofen in reasonably high doses with a Prokinetic anti-nausea tablet such as Domperidone or Metoclopramide to assist absorption ...Read more

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Can the sun cause a migraine?

Can the sun cause a migraine?

Yes: Any strong stimulus can cause a migraine in a predisposed individual. Bright sunlight is not an unusual trigger for a migraine. Many migraine suffers wear dark sunglasses to prevent migraines. For more info see: <a href="http://understandingmigraine. Blogspot. Com/" rel="nofollow" target="_blank">http://understandingmigraine. Blogspot. Com/</a> ...Read more

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What is the cause of migraine?

What is the cause of migraine?

What we know: Migraine is inherited due to family genetics. We also are aware that sufferers are sensitive to external and internal triggers which set off glutamate receptors in the brain. The process results in electrical/chemical reactions in brainstem and ultimately parts of brain with release of a series of chemicals that cause pain and to a lesser extent blood vessel changes. ...Read more

Nocturnal (Definition)

This term is used to note that something ...Read more