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Question
Posted by: worried mum | 2008/01/14

14 yr with migrane

My son just turned 14 and has been suffering recently with acute migranes. He is dizzy, vomitting, blurred vision and screams with pains towards the centre of his head. I have taken him to a gp but he is given a drip for pain. I have had a blood clot before and am scared. I have given him syndols, and other strong pain killers but it takes over 6 hours before he feels better. Any recommendations on a doctor to help as my GP is just sedating him, please.....

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Our expert says:
Expert ImageHeadache expert

Dear Worried Mum,

Anyone suffering from a headache like your son has must have a proper medical assessment, which should include a neurological examination. The reason for this is to make absolutely certain that there is not some serious or life threatening underlying medical condition causing the headaches. Although this is uncommon, it is essential to exclude this possibility before doing anything else.

Once this has been done, then the next part of the investigation is started. The correct way to deal with the problem is to have a proper diagnosis of the underlying causes of the headache. If these are treated, the headaches no longer occur, and it is no longer necessary to rely on potentially harmful “rescue” medication.

Your GP does not have the necessary expertise to deal with the problem. To get to the root of the problem, you need what is called a “multidisciplinary” assessment. There are many different structures in the head and neck, all of which can be involved in the headache process, and no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For this reason, the combined the expertise of different specialists who would normally treat headache patients in isolation, are co-ordinated into a single more comprehensive body of knowledge. This enables a more comprehensive treatment plan, in which all the contributing factors are addressed. This assessment must include examination to determine the presence of tension in the head and neck muscles.

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 on 0861 678 911 (Johannesburg, Cape Town, Durban).

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: Jean | 2008/04/05

My husband suffers from constant migranes. He shows symptoms of nausea & a upset stomach when he has this headaches. None of the pain killers that the GP prescribes seems to work and if they do it only eases the pain, but he can still feel it. What troubles me is that the GP prescribed epilim. Is epilim not for people who is epeleptic? There haven't been any tests done to indicate that he has epelepci. Should he take it? He went trough a head scan once, but the doctors told him he is emagining things. What to do?

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