Migraine and fissures. Should i do now?

I can guide you and help you in curing your problem...you need both medicine and lifestyle changes to fully cure both the problem..you can directly consult me on nine nine three four eight three one six zero six or through practo..

Migraine-GERD connection. Need dual approach. Your Pattern: - Migraine triggers stomach pain - Stomach pain triggers headache - Vicious cycle for 1.5 years - Homeopathy insufficient Treatment Plan: 1. Migraine Prevention: - Propranolol 40mg twice daily OR - Topiramate 25mg daily (start low) - Flunarizine 10mg at night 2. Acute Migraine: - Sumatriptan 50mg when attack starts - Naproxen 500mg with migraine 3. GERD/Stomach: - Pantoprazole 40mg before breakfast - Domperidone 10mg before meals - Ranitidine 150mg at night 4. For Fissures: - High fiber diet - Isabgol (Psyllium) 2 tsp daily - Sitz bath warm water - Lignocaine ointment 5. Lifestyle: - Regular meals - don't skip - Avoid triggers: chocolate, cheese, MSG - Sleep 7-8 hours - Stress management - Avoid spicy/oily foods Key: Treat both conditions together.

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Hello, I am Dr. Romain Rajan, General Physician. Your case has been allotted to me. I understand your concern. The pattern you described, where migraine and gastric issues occur in cycles, is quite common. Many people with migraine have associated gastric sensitivity known as migraine-gut axis dysfunction. During migraine phases, stomach motility slows down, leading to acidity, nausea, and even fissures due to constipation, and when the gut flares up, it can in turn trigger headaches again. ✅ Advices Eat small frequent light meals every 3 to 4 hours, never stay completely empty. Avoid coffee, citrus, deep fried food, chocolates and late night meals. Keep regular sleep and hydration. Stress and irregular meals worsen both migraine and acidity. What to Monitor Any particular food or time pattern triggering both stomach pain and headache. Frequency of nausea and vomiting sensation. Management You can start with • Tablet Pan D once daily before breakfast for 10 days to settle gastric irritation. • Tablet Naproxen 250 mg as needed at the start of a migraine attack (if no acidity at that time). • Vitamin B complex once daily to improve nerve function and appetite. Continue your homeopathic medicines only if they are not increasing acidity. If pain persists, a gastroenterology consultation is advised to rule out functional dyspepsia or reflux related gastritis. When to Consult a Doctor Immediately If vomiting becomes persistent or contains blood. If headache becomes daily or associated with blurred vision. If weight loss or severe abdominal pain occurs after meals. Every patient’s migraine and gastric pattern differ. For long term control, it is important to coordinate both conditions together with one doctor so that the medicines for migraine do not worsen acidity. 👉 You can reach out to me directly for this case and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation where you will receive A combined migraine and gastric management plan Safe medicine and diet guidance Quick follow ups to track your recovery Take care and wishing you complete relief soon. Best regards, Dr. Romain Rajan General Physician

Hey, these medical issues need more of prevention, then treatment. Kindly consult with me on 94 two six 86 seven eight 96.

Hlo ma'am,,if you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion

plz tell which medication u use for migraine ? and do endoscopy done by gastrosurgeon beacuse may be NSAIDS induce gastritis Or ulcer in stomach. consult me for more info...

Migraine  is not  completely  treated,  no any such  relation  as u mentioned. They r frequet attacks.   No exact  pathology yet describe. U can try Tab headset three times a day after food for five days or as required. Nexpro RD40 ONE IN EMPTY STOMACH FOR 5 days.

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management