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Question
Posted by: Morongoa Moshakga | 2010/12/09

Migrane

Good day

Im a 24 year old young lady that surfes from Migrane. Ive had the migranes from a young age and my Gp put me on 300mg Epilim. Ive been drinking it for over 10 years but i recently stopped using and when i get a headache i take Adco dol. I also went to a Neurologist and he said i must continue with what the Gp prescribed.The neorologist diagonsed vascular migrane after he did a EEG and othet testes. What would you recomend i take for the headaches? I normally get them when it very hot and im going to the Limpopo province for xmas, the area is very hot. I just think im immune to Eplim now and i should change to something or a high dose. Please advice

Regards
Mo

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Our expert says:
Expert ImageHeadache expert

Dear Morongoa,

First of all, when a doctor suspects migraine, an EEG is a waste of time as it doesn’t give one any diagnostic information. Second, medication is not the best route – Adcodol causes what is called Medication Overuse Headache – this happens when the medication you take gradually causes the headache to become worse and worse.

If you are going to a hot place, you may find that drinking a lot of water helps - just so that you don't get dehydrated.

The correct way though to approach the problem, when you return from Limpopo, is to have a proper diagnosis as to where the pain is coming from - to get to the root of the problem, you need what is called a “multidisciplinary assessment”, which should include a neurological examination to rule out any serious underlying condition. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the expertise of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables the different members of the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed.

This assessment must include a thorough examination of the head and neck muscles to determine the presence of abnormal tension, and of the external carotid vasculature to determine whether there is an arterial element to the pain.

Headache sufferers often have a poor Quality of Life due to the constant pain and associated symptoms. For a free assessment of how your headaches are affecting your Quality of Life, click on http://www.headacheclinic.co.za/

This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic (Cape Town, Durban, Johannesburg) on 0861 678 911.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: Headache expert | 2010/12/09

Dear Morongoa,

First of all, when a doctor suspects migraine, an EEG is a waste of time as it doesn’t give one any diagnostic information. Second, medication is not the best route – Adcodol causes what is called Medication Overuse Headache – this happens when the medication you take gradually causes the headache to become worse and worse.

If you are going to a hot place, you may find that drinking a lot of water helps - just so that you don't get dehydrated.

The correct way though to approach the problem, when you return from Limpopo, is to have a proper diagnosis as to where the pain is coming from - to get to the root of the problem, you need what is called a “multidisciplinary assessment”, which should include a neurological examination to rule out any serious underlying condition. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the expertise of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables the different members of the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed.

This assessment must include a thorough examination of the head and neck muscles to determine the presence of abnormal tension, and of the external carotid vasculature to determine whether there is an arterial element to the pain.

Headache sufferers often have a poor Quality of Life due to the constant pain and associated symptoms. For a free assessment of how your headaches are affecting your Quality of Life, click on http://www.headacheclinic.co.za/

This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic (Cape Town, Durban, Johannesburg) on 0861 678 911.

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