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Ask the Clinician: Answers to Readers' Questions
November 2, 2004

From John Claude Krusz, MD, PhD, and Teri Robert, for About.com

Created: November 2, 2004

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. To read more about Dr. Krusz, click HERE.

If you have a question for this section of our site, please click HERE. Questions will be answered by publishing the answers here. Please note: We cannot handle emergencies or diagnose via the Internet. For those questions, please see your physician.

1) What in your head makes you get a headache or a migraine? I get Migraines. Thank you very much. Anthony
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2) My son is now 15-years-old and has suffered from migraine headaches since he is 5-years-old. He has seen numerous pediatric neurologists and over the years had 2 CAT scans. He took Depakote which helped for awhile but then stopped. Last year he saw another headache specialist he prescribed Vitamin B2 (Riboflavin) but that too did not lessen the frequency of his headaches. He usually has one to two major headaches a week and misses so much school and his life!... Is there any hope for finding a way to lessen these terrible outbreaks?... Mimi.
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3) I am a 34-year-old woman. I have been getting Migraines since I was five-years-old. I have recently been told that passing out from Migraine pain is not normal. I get violently nauseous when I have a migraine and the pain from throwing up is what usually makes me pass out, usually right beside the toilet. I am wondering if anyone else out there has ever experienced this. cheers, HJG/Canada.
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4) I have suffered from migraine with aura since being 17... My question is more to do with the aura which I get. It usually lasts for 20-45 minutes - during which time I cannot function because I feel clumsy and cannot see. I get very tearful. I then start to feel sick as the aura clears and I get a mild headache over one eye which lasts all day...
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5) I was diagnosed with migraines several years ago. Occasionally, when I have a bad one if I eat chocolate or sugar the headache does not go away, it seem to ease up. Sometimes drinking a Dr. Pepper will also help. I have also been diagnosed with tinnitus. I have not been diagnosed with diabetes although one of my grandparents had it. My question has multiple parts...
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6) I've had migraines for many years. Within the past few years I've been experiencing a lot of pain in my face (which appears to be in the sinus area) along with the usual pain in my left temple. The ENT specialist seems to think that it isn't sinus related and is just part of a severe migraine. Is this possible? The pain in my face is so severe that I put ice packs on it to numb it and take pain medication. This barely takes the pain away. Please tell me what you think. Thank you!
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7) For the past 4 or 5 months I have noticed that a headache lasting for 4 to 5 days develops either a few days before or during my period. The ache is concentrated mainly around my eyes and temple and last for days. I also seem to develop "dark circles" around my eyes at this time as well. I have tried taking pain killers but nothing seems to ease the discomfort. I know that I suffer from low blood pressure and I am slightly anemic, can these headaches be related to my low blood pressure and anemia? Can you please advise me on how to proceed? LB.
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8) I just saw a new doctor regarding my migraines. He insist that I have sinusitis and wants to put me on two different antibiotics for this. He thinks it will cure my migraines. The problem is is that I do not have any symptoms of a sinus infection so I do not feel comfortable taking two antibiotics at the same time for two weeks. No other doctor has ever said anything to me about sinuses. I just wanted to see what you thought and if you have heard of other physicians doing this treatment for migraines. Thank you for your time. Clifford.
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9) My partner has suffered from chronic migraine for 15 years now since her early 30s. After discontinuing HRT for menopause as it gave her even more migraines she is wanting to take magnesium and 5-HTP. She is looking to take 250mg of magnesium on a morning and 50mg of 5-HTP on an evening before going to bed. She will keep Naramig (Amerge) for acute relief only. Is this a good regime as I would not want to see her suffer any more or have any side effects. Thank you, Mr. N. Faulkner
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10) I've been told about using Topamax for treating migraines, is this a good/effective treatment? Is it something prescribed often? Is it a first line of treatment, or only after other treatments have failed? Amy.
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