How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask KarayanMD Your Own Question

KarayanMD
KarayanMD, Neurologist (MD)
Category: Neurology
Satisfied Customers: 750
Experience:  Board Certified Neurologist with Subspecialty in Clinical Neurophysiology. Private Practice.
Type Your Neurology Question Here...
KarayanMD is online now
A new question is answered every 9 seconds

I am 38 years old and I am a female and have migraine headaches.

Resolved Question:

I am 38 years old and I am a female and have migraine headaches. I have had migraines for about 10 years. I have about 4 to 5 per month, and they are very severe. I have nausea and occasional vomiting. I have the sensation of flashing lights in my eyes before I get the headache. The headaches are more often on the right than left. They seem to come most frequently on weekends and when I am due for my period. They last about 6 to 8 hours, and they are umproved by going into a dark room and lying down with a cllo cloth on my forehead. I havent sought treatment before because I hate doctors and Ive just been too bysy. I finally decided that I neede to do something now because Ive been missing work, and they seem to be getting more frequent. I have tried acetaminophen 1000 mg every 4 hours when I get a headache, but it has minima; effect. I have not noticed particular foods or activities that casue my headaches. I have not history of head trauma. What do you suggest? What would help me?
Submitted: 1 year ago.
Category: Neurology
Expert:  KarayanMD replied 1 year ago.

KarayanMD :

Hi. Thanks for your question.

KarayanMD :

I will be happy to help.

KarayanMD :

I am a board certified neurologist in the U.S.

KarayanMD :

Have you ever had brain imaging?

KarayanMD :

Like an MRI or CT scan?

Customer:

no

KarayanMD :

That would often be a good start if they have been getting more frequent, but most likely will not show any major problems if these are indeed migraines.

Customer:

ok

KarayanMD :

In terms of treatment, there are many different medications available that will be stronger and usually more effective than tylenol for migraine.

Customer:

than what meds would they give me if the mri is negative

KarayanMD :

The most commonly used class of medications are the triptans, which include imitrex (sumatriptan) and maxalt (rizatriptan).

KarayanMD :

These are a couple good starting medications which are fairly specific for migraine.

Customer:

what that take care of all my problems like the nausea and vomiting?

KarayanMD :

It certainly can.

KarayanMD :

If you treat the migraine early with triptans, it can often get rid of the headache and associated symptoms like nausea/vomiting.

Customer:

Would that take care of the pain also or would they prescribe something else for the pain

KarayanMD :

It often can take care of the pain also, all in one medication.

KarayanMD :

There are also daily preventive medications such as topamax (topiramate) which can prevent the migraines from coming on in the first place, in patients with frequent migraines.

Customer:

so if it is migraines thats the only medicine they would prescribe?

KarayanMD :

Initially, for abortive treatment (when the headache occurs), one triptan can often do the trick.

Customer:

Would you say that 4 to 5 times a month is frequent?

KarayanMD :

Yes, that is starting to get frequent, so preventive medication would be an option.

KarayanMD :

But if the migraine goes away very quickly with the triptan, a preventive would not be mandatory.

Customer:

ok so how much would they give of both medicines and how often would I get it?

KarayanMD :

Imitrex comes with 9 pills monthly in most cases.

Customer:

So your saying it also depends on how I react from the medicine to if they would give the one that is preventitive right?

KarayanMD :

That is correct.

KarayanMD :

It just requires an evaluation and a discussion, as every patient is different.

Customer:

What was the name of the medicine that can prevent the migraine how often would I take that?

KarayanMD :

Topamax (topiramate).

KarayanMD :

50mg twice daily at the FDA approved dosage.

KarayanMD :

It takes a few weeks to titrate up to that dosage.

Customer:

ok but a neurologist would be the one to see right?

KarayanMD :

That is correct, although a primary doctor in some cases will feel comfortable prescribing triptans.

KarayanMD :

If you have a choice, see a neurologist.

Customer:

ok

Customer:

thanks

Customer:

does it sound to you that it might be a migraine?

KarayanMD :

Please let me know if there are more questions. You are welcome and best of luck. Please click on happy faces (positive response) if this has been helpful. Bonuses appreciated.

KarayanMD :

Very likely, if you take the odds.

Customer:

Yes, you were very helpful.

KarayanMD, Neurologist (MD)
Category: Neurology
Satisfied Customers: 750
Experience: Board Certified Neurologist with Subspecialty in Clinical Neurophysiology. Private Practice.
KarayanMD and other Neurology Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Mark

    Neurologist (MD)

    Satisfied Customers:

    1985
    Neurosurgeon - Brain, spine, and peripheral nerve surgery
< Last | Next >
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Neurologist (MD)

    Satisfied Customers:

    1985
    Neurosurgeon - Brain, spine, and peripheral nerve surgery
  • http://ww2.justanswer.com/uploads/NE/neuromd2012/2012-6-6_171449_frank.64x64.jpg Dr. Frank's Avatar

    Dr. Frank

    Board Certified Physician

    Satisfied Customers:

    6629
    Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
  • http://ww2.justanswer.com/uploads/jesbrain2015/2010-5-21_162329_jack.jpg Jack Scariano Jr's Avatar

    Jack Scariano Jr

    Neurologist (MD)

    Satisfied Customers:

    1056
    Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine
  • http://ww2.justanswer.com/uploads/PR/pradocs/2012-7-23_23649_201272323220JApicture105x113.64x64.jpg Dr. Bob's Avatar

    Dr. Bob

    Neurologist (MD)

    Satisfied Customers:

    2846
    Neurology & Int Medicine (US Trained): 20 yrs experience
  • http://ww2.justanswer.com/uploads/HE/healthydoc/2011-7-22_193154_LevGrinman2.64x64.jpg healthydoc's Avatar

    healthydoc

    Board Certified Physician

    Satisfied Customers:

    1848
    Board Certified U.S. Neurologist
  • http://ww2.justanswer.com/uploads/BrainLifeDoc/2010-10-04_004701_AMF_2008_2_pix.jpg Dr. F's Avatar

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
  • http://ww2.justanswer.com/uploads/Phytube/2010-9-7_192331_PicVB1a_164by64.jpg Phytube.com's Avatar

    Phytube.com

    Neurologist (MD)

    Satisfied Customers:

    86
    Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications