Migraine

A severe, recurring, and throbbing headache, usually accompanied by nausea, vomiting, and extreme sensitivity to light and sound, is called a migraine. It generally affects only one side of the head. Hormonal changes, stress, depression, anxiety, insufficient sleep, dehydration, and strong smells can trigger a migraine.

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Does opiate withdrawal cause nausea, low BP, muscle pain and urea smell?

Query: Hello doctor, I am a 40-year-old female recovering from eating disorder. My BMI is 16. I am suffering from clinical depression and GAD. I was diagnosed by a neurologist with migraines approximately two years ago, and have been on Lyrica 75 mg twice daily. Recently, I started having trouble swallowi...  Read Full »


Dr. Aida Abaz Quka

Answer: Hi, Welcome to icliniq.com. It is fine to stop Lyrica (Pregabalin). In my opinion, your symptoms could be related to a panic attack, probably caused by Topiramate adverse effects. Besides, as Topiramate can also cause kidney dysfunction. So, I strongly agree with your doctor on stopping it. On the o...  Read Full »

My boyfriend has hyperthyroidism and is on Thyroxine; but they do not help. Are there any OTC products that can help?

Query: Hi doctor, My boyfriend has hyperthyroidism and is on Thyroxine. He is a twice-over-testicular cancer survivor and has suffered from thyroid issues for the last six years. It has gotten so bad that he can barely get out of bed. His blood pressure skyrocketed, and his GP put him on BP medicines for t...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I read your question carefully and would explain that his symptoms could be related to chemotherapy and thyroxine treatment. Unfortunately, there is no OTC (over-the-counter) drug that can help improve his situation. The most important thing is to find the cause of ...  Read Full »

Can I take Ibuprofen when already on Flunarizine drug for my migraines?

Query: Hello doctor,I have currently been prescribed to take tablet Flunarizine 5 mg. I just started taking this medicine three weeks ago (after two years of not taking it, I do not have headache problems), so the full effects may not be fully here yet. The doctor suggested taking it for five days then two...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern. It is too early for tablet Flunarizine to completely prevent headaches, so it is pretty common to have headaches at a lower frequency and intensity. I would suggest that it is fine to take tablet Acetaminophen or tablet Ibuprofen during heada...  Read Full »

Why am I having intense throbbing pain in the temple?

Query: Hello doctor, I am a sufferer of hemiplegic migraine. However, I had unusual collapses three months back. The first one was 40 minutes; I could not recall the whole of that period. I came back with an injured knee and felt dazed. I was fine after around two hours. The next day, I felt pressure in my...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I agree with you on the fact that when dealing with hemiplegic migraine, it is necessary excluding a brain aneurysm or any arterio-venous malformation, which may mimic this clinical situation. That is why it is necessary performing a brain MRI, which would detect any...  Read Full »

I woke with numbness on one side and weakness. Is it a stroke?

Query: Hello doctor, I am looking for a second opinion on a possible stroke. Can anyone look at MRI scans online? I had symptoms of "wake up" stroke. I woke up with complete numbness on the right side, unable to make a fist, weakness when trying to stand, dizziness and confusion around dates (I did not kno...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I read carefully your question and would explain that your symptoms could be related to migraine or a possible seizure. A stroke cannot be excluded, but it is really less likely with a normal MRI (magnetic resonance imaging). I would like to directly review your MRI ...  Read Full »

What causes vertigo and sudden loss in speech?

Query: Hello doctor,My wife is 32-years-old with no medical illness. She suddenly experienced vertigo six days before, followed by aphasia and right-sided weakness. She was immediately taken to the emergency department for a stroke workup and stroke code. They did a head and neck CT and a brain MRI. The re...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I carefully read your questions and would agree with your doctor on the conclusion of migraine. Let me explain as follows: The brain MRI (magnetic resonance imaging) has excluded any possible stroke, which would cause a permanent disability (attachments removed t...  Read Full »

Why am I having migraine, loss of memory and hesitation in speech?

Query: Hello doctor,I have a previous history of stroke, and recently also I had a stroke. Hypoplasia of p1 and s1 along with PAVM. I have migraines and now a loss of memory, hesitation in speech, vision changes.  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern and recommend performing a brain MRI to exclude a new possible stroke. In the meantime, I recommend taking Piracetam and Donepezil to help improve your vision and memory problems and speech. It is also necessary to continue taking blood th...  Read Full »

Why do I feel dizzy while sitting or standing?

Query: Hello doctor, Seven months ago, I started having dizzy spells and frequent headaches. I then discovered I had BPPV, so I treated it with the Epley. The spinning is now gone, but I still feel dizzy all the time. I also get ear fullness in my left ear, tinnitus and when I get a migraine, it feels lik...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I passed carefully through your question and would explain that your symptoms could be related to migraine with vertigo area, which is a common type of migraine. It would be exceptional to have MS with a normal brain MRI. The strange feeling in your occipital can be...  Read Full »

What to do for consistent left-sided headache?

Query: Hi doctor, I am suffering from pain in my head on the left side for the past six months. I went to the hospital and consulted the doctor. He told me that I have migraines. I feel to have a sore head and I feel like something is pushing on the top of my head against the left side. I have numbness an...  Read Full »


Dr. Aida Abaz Quka

Answer: Hi, Welcome to icliniq.com. I understand your concern and your symptoms are due to migraines. Another issue can be due to a sinus problem and I suggest it based on the description of your complaints. For this reason, I would recommend you to do a sinus X-ray to exclude a possible sinus infection and...  Read Full »

What can cause random, sharp, one-sided headaches lasting for a second?

Query: Hi doctor,I am a 28-year-old female suffering from a sharp one-sided headache and it lasts for a second. Please suggest.   Read Full »


Dr. Aida Abaz Quka

Answer: Hi, Welcome to icliniq.com. I understand your concern. It seems to be an ice pick headache and it is a benign type of headache. So, there is no need for doing brain imaging. I recommend taking Indomethacin 50 mg twice a day for a week. You can also take Melatonin 5 mg at bedtime for a month for re...  Read Full »

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