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Migraine Misery – Part Two

In my recent post, Migraine Misery, I was complaining about my frequent and painful migraines. I finally got around to going back to my GP and asking for some help. On the day of the appointment I was on the fifth day of a migraine and my left eye was pulsating with pain and felt very nauseous. Although it is never good to be ill, I think my GP could tell simply from looking at me that this wasn’t just an ordinary headache. During the past year I have had migraine pain on more days than not and has really been getting me down. My migraine attacks became much more frequent during my peri-menopause but improved after my periods stopped but, once I started taking HRT, they were back with a vengeance. I stopped taking HRT months ago but there has been no improvement. I am keen to restart HRT for some of the long-term benefits that it offers.

I don’t have time to go and lay down in a darkened room and, even if I could, it wouldn’t make me feel any better. Sometimes I sleep with an ice-pack wrapped in a tea towel balanced precariously on my temple. Paracetamol won’t make any difference and I don’t like to take Co-Codamol unless nothing else has worked, it will usually relax the knotty, tight feeling in my temple but don’t take it if you are hoping to go to the toilet in he next week! There is a roll on menthol medication called 4-Head that may work with a mild headache but, if my migraine pain is at 100 it will maybe bring it down to 99.9.

I was hoping my GP would agree to send me for a MRI but, as the pain has not changed the way it presents, she said it is not necessary. I have been taking a drug called Sumitriptan for about fifteen years but lately it has not been very effective. My Doctor has prescribed Zolmitriptan instead. Triptans don’t prevent migraine but, if taken at the onset of an attack, they can be very effective in treating it. As a preventative measure my GP prescribed a beta-blocker called Propranolol. I have to take 40mg, twice a day, every day. There was some delay with the pharmacy having the medication in stock and I have to admit I was very reluctant to start taking the tablets, a daily medication feels like a significant step. I have friends who take Propranolol for anxiety and my dad takes beta-blockers since suffering a heart attack. The pharmacist telephoned me twice within the first fortnight of me starting the beta-blocker to check I wasn’t experiencing any unpleasant side effects such as “vivid dreams”. Well, three weeks in and I have never had such strange dreams in my life! I dreamed about my childhood bedroom and the detail was incredible right down to feel of the anaglypta wallpaper that I thought I had forgotten ever existed. It is amazing what our sub-conscious can dredge up.

A month into my new treatment plan and I have only had one migraine and that was on a day when I was dehydrated, always a trigger. The Zolmitriptan was extremely effective and I only needed one dose as opposed to three or dour doses of the Sumatriptan. Usually in this time period I would expect to suffer from as many as five migraine attacks so, so far, the results have been excellent. Other than the weird dreams, I haven’t had any side-effects other than feeling much better.

Thanks for reading,

Samantha


Cover Photo by Myriam Zilles on Unsplash

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Migraine Misery

What does a migraine feel like? Well I suppose it is different for every sufferer. I am on the fourth day of a migraine that feels like somebody is power drilling into my left eyeball. It usually starts with a pulsating pain in my eye and radiates out to my temple, ear and neck. Sometimes my gums start throbbing as well and I feel nauseous. The pain usually lasts around four days. My prescription medication, Sumitriptan, is generally very effective but sometimes it just doesn’t work and this seems to be happening more often as of late. I rang my GP surgery a month ago for a “non-urgent” appointment and am finally booked to see a doctor next week.

I had my first migraine while having lunch with my mum in the restaurant in Debenhams department store, Romford in 1986. I was eating an egg mayonnaise sandwich and the pain just hit me out of nowhere. I can eat eggs, a couple a week, but more than that and I can expect to have a pounding head. Other triggers include processed cheese, grinding my teeth, stress, being dehydrated, being overtired, perfume and repetitive noise. Since my first attack I have seen my GP a few times but they never refer me on for a brain scan simply telling me it isn’t necessary as long as the pain doesn’t change its pattern. My GP surgery isn’t big on sending people for tests.

I sit at my computer for at least three days every week for my job, I am a Personal Assistant to a private hospital consultant, not a neurologist sadly. Like the rest of the world I also spend too much of every day pointlessly scrolling through my phone and then I will often watch an hour of something on Netflix before I go to bed. So much screen time! I have just had my eyes tested though and that doesn’t appear to be the cause.

I stopped taking HRT in the summer after I had a migraine for almost every day during July. I saw my GP who hardly even glanced in my direction and said, again, that I don’t need further investigation as the pain is the same as it has always been. He told me to come off HRT for a fortnight and see if it made a difference. Surely it would take more than a fortnight for the effects to be noticeable? Anyway I have not resumed taking it but that is another thing I want to discuss during my ten minute appointment next week. I initially started taking HRT after two five minute telephone consultations. I had read that it could be helpful in warding off dementia. There were no blood tests involved so I don’t understand how the GP knew which hormones I needed if they didn’t know which I was deficient in. I have now started waking up in the night feeling hotter than the surface of the sun so perhaps I need to restart.

During the five years proceeding my menopause I had weekly horrible migraines. My family got fed up with hearing about it. People think it is a “just a headache”. I was working in an office and I am sure the colleague I sat next to thought I was addicted to pain killers. I actually try to take as few painkillers as I can get away with but you try looking at a screen all day and making chirpy phone calls when it feels like you have a pick-axe embedded in your brain. It is different if you are at home and can go and lie in a quiet dark room but who has time to do that?

So, a rather moany post from me but I will report back after my visit to the GP. Wish me luck.

Thanks for reading,

Samantha


Cover Photo by Myriam Zilles on Unsplash