MIGRAINE HEADACHES

Pateint ID : 6589/ 45 Years/ Male

Address : Ahmedabad / Ahmedabad/ Gujarat/ India/ 380001

Occupation : School Principal

Patient Category : New

Patient Presentation : Patient consulted Dr. Sohan Lal Clinic using our online consultation facility. He wanted an effective treatment for his migraine pains.

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Chief Complaints : Headache- Acute periodic headache which is typically one sided (hemi-cranial). It is throbbing in character and associated with nausea and vomiting. Severe attacks were associated with photophobia and prostration. Attacks spontaneously terminates after few hours or sleep. These frequent attacks were disrupting his teaching work and social life.

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Family History : His father suffered from chronic migraine and was successfully treated by Dr. Sohan Lal 30 years ago.

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Treatment History : N/A

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Follow up 1- Headache is less throbbing and he had 2 episodes of vomiting. No severe attacks.

Follow up 2- He is appointed as an examiner plus he had to do his teaching work which made him stressed out. He suffered 2 severe attacks of acute headache associated with nausea and vomiting. He also had photophobia and extreme prostration. Dr. Anand Kumar advised him to take adequate sleep.

Follow up 3- Patient was very sad and hopeless as his routine work was badly affected. Dr. Anand Kumar explained him that “Anything under the sun, including sun” can precipitate an attack; but each person has his own triggering factors. Patient has a positive family history for migraine.

Follow up 4- Patient is responding well to his treatment. He did not have any acute attack, nor did he experience any nausea and vomiting.

Follow up 5- Patient informed that his periodic headaches are short in duration and less frequent. He was happy as his work and social life was not disrupted.

Follow up 6- Dr. Anand Kumar informed the patient that stress, bright light and tyramine containing foods like cheese, chocolate can precipitate an attack of migraine. He should avoid these triggering factors.

Follow up 7- Dr. Anand Kumar had to council the patient that migraine headache has no sinister prognosis (significance) and there can be variable degree of spontaneous remissions. Frequency, duration, and severity of attack vary in the same individual.

Follow up 8- Patient was asymptomatic. Dr. Anand kumar informed him that he may require drug prophylaxis if attacks occur frequently to disrupt work and social life.

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Result : Patient achieved outstanding relief. Our treatment can effectively control the acute attacks of migraine and help the patient in leading a normal life. ;

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Notes : In this case, patient’s father was treated by Dr. Sohan Lal and now the patient is under the care of Dr. Anand Kumar. We have the trust of our patients over generations.