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My daughter has been suffering day and night with a migraine…

Customer Question
My daughter has been...

My daughter has been suffering day and night with a migraine headache for nearly 6 months. (no previous history of headaches) She has been referred by her family physician to a neurologist but so far no word. It is really hard as a mother to watch her suffer. Is there any way to speed this process up?

Doctor's Assistant: Is the headache episodic or daily? And what about nausea?

Daily, constant, never ending. Sometimes nausea but not vomiting.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Allergic to yeast. Has had stomach issues in the past. Has raynauds.

Submitted: 4 months ago.Category: Neurology
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Answered in 19 minutes by:
3/14/2018
Neurologist: Dr. Phil, MD, Medical Doctor replied 4 months ago
Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Neurology
Satisfied Customers: 59,643
Experience: Medical Doctor Trained at a Top Academic Institution
Verified

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

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Neurologist: Dr. Phil, MD, Medical Doctor replied 4 months ago

How old is she?

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Customer reply replied 4 months ago
She is 24
Neurologist: Dr. Phil, MD, Medical Doctor replied 4 months ago

what meds is she on?

does she take OTC meds?

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Customer reply replied 4 months ago
Escitalopram 10 mg, Candesartan Cilexetil 4 mg, Topiramate 75 mg, Diclofenac Potassium 50 mg... she also takes Centrum Women's multivitamin and Magnesium Citrate 150 mg
Customer reply replied 4 months ago
She doesn't take any OTC meds for pain as nothing helps.
Neurologist: Dr. Phil, MD, Medical Doctor replied 4 months ago

Is it possibly a med side effect?

escitalopram or diclofenac is possible

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Customer reply replied 4 months ago
I don't believe its a meds headache as her symptoms started a good 2-3 months before she started taking any of these.
Neurologist: Dr. Phil, MD, Medical Doctor replied 4 months ago

Yes, but these meds especially diclofenac can cause a rebound headache

If you have more headache days than not in a month, 99% of the time it is medication overuse headache

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Customer reply replied 4 months ago
She takes the diclofenac about once a week, and it gives her about 30% relief from the pain so she is able to get out and do something with other people. It lasts about 2 hours for her.
Customer reply replied 4 months ago
She doesn't have headache days and non headache days. The headache is constant and has been for 6 months now.
Neurologist: Dr. Phil, MD, Medical Doctor replied 4 months ago

then it is med related

I'm quite sure

botox injections might help

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Neurologist: Dr. Phil, MD, Medical Doctor replied 4 months ago

just click send to reply

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