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Doctor insights on: What Happens At Neurologist Appt For Migraines

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What will happen at a neurologist appointment for migraines?

What will happen at a neurologist appointment for migraines?

Info gathering: Usually a doctor will have you fill out initial paperwork, talk to you about your history in general, as well as the history of your migraines, then do an exam and make some recommendations for next steps. For migraines, you can help by keeping a headache log including timing & description of ha, as well as possibly triggers (foods, activities, stress, etc) good luck! ...Read more

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Dr. Chirag Patel
1,283 doctors shared insights

Neurology (Definition)

Neurology is a field of study in which a person studies the brain, the spinal cord, the nerves, their functions, and their diseases. A doctor who specializes in brain, spinal cord, and nerve disorders ...Read more


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At what point should I go to an ER for migraine headaches?

Life Threatening: If you feel your life is in danger, that is when you go to the er. Otherwise, go see your regular physician. If you don't have a regular physician, find one who treats migraines and go there. You will only waste your time going to the er, where the staff is specifically trained to handle short-term emergencies, not long-term problems like migraines. ...Read more

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What can I expect at a neurologist appointment?

What can I expect at a neurologist appointment?

Let me help: The visit is similar to seeing your family doctor, in that there is an interview process to obtain a history, and an examination focusing on neurological systems. Subsequently, the doctor will discuss presumptive diagnosis, possible confirmatory testing, and recommendations for treatment. Hope outcome of your visit is beneficial. ...Read more

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What happens at a pain management appointment?

What happens at a pain management appointment?

Pain Eval: Like any medical encounter a full history and physical examination is performed to evaluate your complaints. The quality, intensity, relieving and exacerbating factors are important to elicit. Both successful and less successful treatments will be reviewed. Your functional status and goals will be assessed. Chronic pain is usually not fully eliminated, but any reduction can improve your life. ...Read more

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What happens at a doctor appointment for anorexia?

What happens at a doctor appointment for anorexia?

History, physical: Anorexia (loss of appetite), like any symptom, can have many causes. The first step by a doc is to take your history, and then do a physical exam, as always. Based on both, other tests may be ordered, like labwork or imaging tests. It is no worse than usual doctor's visits. Do ask the doc if something other than the usual exam will be done at the start so there will be no surprises. ...Read more

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Please what causes one to wake up sometime at night with a severe frontal headache. Thank you.?

Please what causes one to wake up sometime at night with a severe frontal headache. Thank you.?

Worrisome...: If a headache is bad enough to awaken you from your sleep, or is very severe, whether frontal or other part of scalp (there are no pain fibers in the brain!), you must see your physician. Most presume a headache is just a headache. But if never evaluated/worked up for causes, particularly if pattern changes, or become more severe, it needs to be. Must rule out brain tumor. If no cause found, rx. ...Read more

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I suffer from migraines and see a neurologist about it regularly. I take topomax for them and maxalt (rizatriptan) if needed. My MRI showed lesions on the brain ?

I suffer from migraines and see a neurologist about it regularly.  I take topomax for them and maxalt (rizatriptan) if needed.  My MRI showed lesions on the brain ?

What lesions?: What does your neurologist say re the mri, the changes may be incidental or unimportant otherwise he would have advised you about them and take action. ...Read more

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Should I go to my PCP or neurologist for the right medication for migraines?

Should I go to my PCP or neurologist for the right medication for migraines?

If you have: been treated solely by your PCM & have never been worked up by a neurologist for your migraine headaches, that would be a good next step. Discuss with your physician. Take care. ...Read more

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Will I get same level of testing/info at ER as at cardiologist office? PCP referred to cardiology for palps/hypotension, but appt is late next week.

Will I get same level of testing/info at ER as at cardiologist office? PCP referred to cardiology for palps/hypotension, but appt is late next week.

Different care : ER will provide you with point of care testing such as ECG and rapid blood tests. They will not perform a Stress ECG or echocardiography or holter monitoring to decide on the cause of your palpitations. I would recommend keeping your appointment with Cardiology but if you develop worsening of symptoms or associated chest pain, breathlessness or duzxibesss, you need to go to ER immediately ...Read more

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Next week i'm going to see my neurosurgeon for epilepsy for the first time. What should I ask?

Next week i'm going to see my neurosurgeon for epilepsy for the first time. What should I ask?

Depends: Meeting with the neurosurgeon likely suggests that you have already had a thorough work-up by an epilepsy neurologist who is likely recommending surgery either for intractable seizures or an identified lesion that is causing seizures. You should find out as much as you can as to the type of surgery and what they are trying to accomplish. You should also find out about the actual surgery specifics. ...Read more

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I have my first appointment with a neuro ophthalmologist tomorrow because of eye tracking issues. What will happen at this appointment?

I have my first appointment with a neuro ophthalmologist tomorrow because of eye tracking issues. What will happen at this appointment?

Examination: A neuro-ophthalmologist is a specialist in the interaction between the nervous system and eye function. You will have a complete eye examination, an emphasis on eye motion, probably a field of vision test and if anything is positive you might have some radiological exams ordered. The testing is low stress, many consider fun, and you can have tracking dysfunction evaluated. Don't worry. ...Read more

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I have my 1st appointment with a neurologist next week for frequent H/As and migraines, what do I need to do to prepare for this appt? What to bring?

I have my 1st appointment with a neurologist next week for frequent H/As and migraines, what do I need to do to prepare for this appt? What to bring?

Good Question: It is so nice to see someone proactive about their care. If you can look up online for the MIDAS questionnaire and fill that out. Also bring any prior scans and lab reports available. If you can visit your doc's website you can frequently fill out the patient information forms before you arrive. If you kept track of your headaches on a headache calendar make sure to bring t ...Read more

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What happens at a cardiology consultation appointment?

What happens at a cardiology consultation appointment?

Consult: A cardiology consultation usually consists of a history and physical exam with the cardiologist. The Doc will review in detail any records and data available on the patient. Generally the Doc will discuss the findings and what the Doctor believes needs to be done for the patient. Additional testing or examinations may be recommended and specific treatments may be recommended. ...Read more

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Eye pain for the last 4 years. Symptoms are headache and coughing. My eye specialist wants me to consult a neurologist, is that normal?

Eye pain for the last 4 years. Symptoms are headache and coughing. My eye specialist wants me to consult a neurologist, is that normal?

Eye pain & coughing: Certainly worth seeing a neurologist for this for history and examination. I'd guess you'll probably need an MRI of your head if you haven't had one yet. ...Read more

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If a neurologist tells you to make a follow up visit for possible MS what is the first appt going to consist of?

If a neurologist tells you to make a follow up visit for possible MS what is the first appt going to consist of?

Possible MS: It sounds like this would be a visit to discuss test results, their implications, and teaching about the symptoms and treatment of MS. Sometimes the diagnosis is not obvious, and some decisions should be made about a monitoring plan, just in case. Sounds like a good plan. ...Read more

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What questions are good to ask a neurologist during the first vist in regards to migraines/muscle tension/tingling?

What questions are good to ask a neurologist during the first vist in regards to migraines/muscle tension/tingling?

History: Be prepared to answer questions. The pattern of your symptoms, any immediate relation with other events will help the neurologist pick the right tests and give input about your condition. ...Read more

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What typically happens at a rheumatology appointment?

What typically happens at a rheumatology appointment?

See details: The same thing that happens at any doctor appointment. A history, physical exam, explanation of diagnostic considerations and discussion of treatment options and what tests need to be done. ...Read more

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How would i tell my mom to take me to the PCP for evaluation for my neck pain and random headaches? She might be mad or yell at me?

How would i tell  my mom to take me to the PCP for evaluation for my neck pain and random headaches? She might be mad or yell at me?

To Yell Is Hell: Position yourself lying sprawled-out at the bottom of the stairs and yell "Mom!! Take me to the doctor!!" Or, tell her your problem while wearing ear plugs.Or, sit down and clearly explain your problem AND how it is affecting your life (sleep, school, ability to move, etc)and you've tried to cope with it but it's at the point that you need help. If that doesn't work, ask to see the nurse at school ...Read more

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My GYN ordered tilt table for dizziness. appointment with Neurologist for Migraine and possible IIH... Do I need the tilt table/is pt2 w/IV necessary?

My GYN ordered tilt table for dizziness. appointment with Neurologist for Migraine and possible IIH... Do I need the tilt table/is pt2 w/IV necessary?

How bout slowin down: I am a neurologist and headache specialist and would highly recommend that your OB/GYN slow the train down a bit and have you consult FIRST with the neurologist and let them choose the tests. I think that someone thinks there's a lot going on when it could be simpler than that..maybe not...but it usually is...and so as to save you from unnecessary testing I'd let the consultatnt make the call. ...Read more

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It's going on day 3 of my migraine and my neurologist couldn't get me in. Any suggestions on what I should do?

It's going on day 3 of my migraine and my neurologist couldn't get me in. Any suggestions on what I should do?

If severe, go to ER: You should have medication to abort the migraine and ideally a "plan b" med for if the first fails. If you have exhausted your meds and/or if pain is severe or just won't give you relief, should go to er for medication--otherwise, better to avoid. ...Read more

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Neurologists message me i need solutions to a migraine headache on one side of the head?

Neurologists message me i need solutions to a migraine headache on one side of the head?

Depends: In a 20-year-old woman, migraine (status migrainosus) is the most common cause of prolonged unilateral headache, but if you're not someone who gets migraines, other diagnoses such as hemicrania continua should be considered. Feel free to give me a call if you'd like to talk, www.healthtap.com/drnathanielschuster ...Read more

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I have been struggling with migraine headaches and was told to see a neurologist but don't have any health insurance how much does one cost?

I have been struggling with migraine headaches and was told to see a neurologist  but don't have any health insurance how much does one cost?

Neuro: This is very variable. Some will allow for payment plans, some require up. Front payments. Average consultation i would estimate $150-$200. ...Read more

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IGet daily migraine headaches from a concussion.I am getting help by neurologists.Tried many things to help it,no help.What can I do for quick relief?

IGet daily migraine headaches from a concussion.I am getting help by neurologists.Tried many things to help it,no help.What can I do for quick relief?

Talk with your: neurologist about your options. I treat migraine patients with acupuncture. However, I always desire to be in dialog with the patient's neurologist before treating. Scalp and auricular acupuncture can be particularly beneficial. ...Read more

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Is it recommended to see a neurologist for an ocular migraine?

Is it recommended to see a neurologist for an ocular migraine?

No: Your eye md and / or primary care physician should be able to diagnose and make recommendations on the best way to control. If there is atypical presentation or other symptoms, a consult with neurologist may be relevant. ...Read more

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Pressure on top of head for 2 weeks. Started as migraine. No other pains or aches. Won't see neurologist until next month. What is it?

Pressure on top of head for 2 weeks. Started as migraine. No other pains or aches. Won't see neurologist until next month. What is it?

Keep a headache log: Your migraine doesn't appear to be under control. OTC remedies might include magnesium oxide, riboflavin, or butterbur. You should keep a log of the location, timing, duration, associated symptoms, and intensity of these episodes and take the log with you to a neurologist as soon as possible. http://www.migrainetrust.org/factsheet-supplements-and-herbs-for-migraine-the-evidence-10897 ...Read more

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Headache for 1+ weeks symptoms of migraine, cluster, tension. Dr says may be a migraine variant referred to neurologist what is a migraine variant?

Headache for 1+ weeks  symptoms of migraine, cluster, tension. Dr says may be a migraine variant referred to neurologist  what is a migraine variant?

Variety of headaches: Migraine headaches can manifest in many ways. Variant simply means one version of headache. Your neurologist can tell you which one(s), e.g., muscular, vascular, tension, sinus, etc. Try to be patient if you are put through a lot of tests. That can rule out more serious things. You can also look into the impact of possible food sensitivities, lifestyle, and hormonal influences. ...Read more

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My doctor has precribed a few migraine meds and basically said don't know what to do if these don't work,. Will neurologist know more.

My doctor has precribed a few migraine meds and basically said don't know what to do if these don't work,. Will neurologist know more.

Yes: If you do not get relief from the medications you have been given by your family doctor for headaches, then yes, you should see a neurologist for a second opinion and further evaluation. ...Read more

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Was advised by neurologist to take hydrocodone if Imitrex (sumatriptan) didn't work. Can that help w migraine pain?  after 100 mg Imitrex (sumatriptan) how long till nxt pill?

Yes, it can, but...: Hydrocodones is a codeine/narcotic derivatives which can relieve any pain for several hours. If used too frequently in some people who are addictive-prone, that is major problem. Presuming neurologist worked up for causes of migraine, the treatment depends on the severity and the frequency. If they occur every month, rx should try a med to prevent them entirely. Max dose over 24 hrs = 100 mg more. ...Read more

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Can botox injections help people suffering from chronic migraines? Hello. I'm a female in my mid-twenties and have suffered from migraine headaches for as long as i can remember. I've been to several neurologist and undergone several test to determine the

Can botox injections help people suffering from chronic migraines? Hello. I'm a female in my mid-twenties and have suffered from migraine headaches for as long as i can remember. I've been to several neurologist and undergone several test to determine the

Yes, if you qualify: Botox has been fda approved for chronic migraine, and I have seen it work very well for a number of patients. That being said, the criteria for getting the treatment are quite stringent- i would follow up with a neurologist who offers the treatment to see if you meet those criteria and, if not, what other options are available to you. ...Read more

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I have had a migraine headache for the past two weeks. My neurologist has ordered a lumbar puncture. Why would he order it? How is it done?

I have had a migraine headache for the past two weeks. My neurologist has ordered a lumbar puncture.  Why would he order it? How is it done?

Analysis: Low yield on lumbar punctures, but he's looking to analyze your spinal fluid. 99% sure it will come back as normal. The analysis can indicate infection, cancer, other medical conditions. ...Read more

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I am being treated for migraine headaches with Topiramate. But I really think it is something wrong with my sinuses. My Neurologist said "if it was?

What clues?: What are the reasons for your theory? What is the neurologist's response? Note that it is common for migraine to be mistaken for sinus pain resulting in ineffective therapy. ...Read more

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I get bad headaches sometimes like a migraine then I worry something is wrong with my vp shunt my neurologist doesn't even do check ups on it?

I get bad headaches sometimes like a migraine then I worry something is wrong with my vp shunt my neurologist doesn't even do check ups on it?

Headache specialist: Bad headache always represents a particular diagnostic challenge. See orofacial pain practitioner or a headache specialist for evaluation, diagnosis and proper abortive treatment. Take care. ...Read more

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I keep losing vision in one eye. Between 5 and 30 min. I don't get a migraine after. Opthamologist says my eyes are fine. Must I see a neurologist?

Be seen: You should be seen promptly. This could be a variety of things which need assessment. I would urge you to see a neurologist as soon as you can. ...Read more

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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