Hello doc. I have headache since 14 years which comes very often weekly twice or thrice sometimes bearable sometimes severe feeling nauseous. Increases in light and sound whenever I have headache. Sometimes I have headache when I take head bath or cold wind. My eyes and ears also start paining. Whole head and neck region. I had recently consulted neurologist in nimhans he said it is migraine and put me on amitriptyline 10 mg tablet one tablet at night for a month followed by 2 tablet at night for two months. And was supposed to go for follow up this week but due to lighten am unable to visit. Since I cannot stop the tablet suddenly which can have side effects. I request you to follow up my further treatment whether I need to continue same dosage or increase the dosage.

Dr. Sayuj Krishnan SNeurosurgeonyrs exp

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Hi lybrate-user, I am a neuro doctor. Looks like the diagnosis of migraine is more likely. I would like to know how is your headache now. If the headache has stopped completely, it is better to taper off the medications. In case it is persisting still, it would be better to go for a scan before continuing on medications or increasing the dose. Thank you.  

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Dr. Mrinal AcharyaNeurologist12yrs exp

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Migraine is a serious disorder requiring long term treatment. And prophylaxis for migraine can't be suddenly stopped. Rather it needs a tailored approach. It would be helpful if you could share with me your details regarding the investigation reports. If you are interested you can contact me privately.  

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Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

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1. Take adequate night sleep 2. Eat at regular intervals. As starvation/gas can trigger migrain 3. Avoid things that can trigger migrain. Common triggers include alcohol, caffeine or poor sleep. Inculcate good sleep practices like having a regular bedtime schedule and avoiding naps, caffeine and TV before bedtime. 4. Don't take stress- Pursue an enjoyable activity or verbalising frustration to reduce stress and improve mental health. 5. Avoid foods that you know triggers your migrain. 6. Hot packs and heating pads can relax tense muscles. Warm showers or baths may have a similar effect 7. Drink water. “Dehydration can be a big cause of headaches,” For this homeopathic treatment is very effective For more details you can consult me. 

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