Nightly headaches

[miza_b]

So, it has been a long couple of weeks, but I think I'm over my spinal headache.  I have done everything they have told me and I no longer have a headache during the day.  I do, however, get a headache at night.  It seems to hit me around 8:00pm.  Nothing seems to help the pressure and pain in my head.  I've tried Fioricet and TraMadol, not at the same time, and it still bothers me.  I don't know what to do.  Is it possible to get a reoccurring headache every night at the same time?  The pain and pressure is only on my right side, in my temple, above the roof of my mouth, and behind my eye.  The only thing that I have found that makes me feel better is going to sleep.

Thanks for your help,

[Dr. A. Srivastava]

Thank you for your question. In addition, migraine headache frequency increases with the depression & anxiety. Counseling or psychotherapy, physiotherapy, treating related stress and avoidance of triggering factors by doing meditations/yoga can be helpful in recovering from the condition. Hope this helps.

[miza_b]

Thank you for your reply.  My headache has not gone away even though I am now eating a much more balance diet, trying to exercise as much as I can, and I have cut out any alcohol.  I have seen my PCP who thinks that they are atypical migraines and prescribed me treximet and relpax to try.  I have tried both with neither one having any affect on my headaches.  I am convinced that this is still the spinal headache even though I was told by a nurse in my neurologist's office that it would be impossible to still have a leak.  I'm waiting on my neurologist to get back from vacation to speak with her about it.  I am completely miserable.  I have never felt pain like this.  I have been to the ER several times and my CT and MRI are clear.  Nothing I have taken has any affect on this.  It is now on both sides of my head.  When it gets really bad, I get this feeling like I'm falling/passing out and is followed by high anxiety.  I just don't know what to do anymore.

[Dr. A. Srivastava]

Thank you for your question. Although without being able to examine you I can not offer you the specific advice on diagnosis and treatment that you need, but I would try to provide you some relevant information about your health concern.

Generally, one sided headache & orbital pain (eye pain) with nausea symptoms could be suggestive of migraine and headache resolves when someone takes rest or sleeps. The mainstay of the migraine treatment is always to identify the triggering factors and to avoid them. Triggering factors could be different foods such as cheese, chocolate, alcohol and even few fruits. Other factors that may induce your migraine attack may be few pills, stress or depression, bright lights, loud noise and traveling. I would suggest careful record of events that have proceeded with the attack and avoid those factors. In addition, try to rest in a dark & quiet room, meditate, have a balanced diet and avoid taking unnecessary drugs. Even then if you suffer continuous headache, please arrange an appointment with a neurologist right away who will evaluate the further underlying disorders here that may be the main reasons of your migraine attacks and can provide you an appropriate treatment here. Hope this information proves helpful to you.

Take Care & Regards!!!