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Old 04-23-2016, 01:33 PM
 
3,780 posts, read 2,394,554 times
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Quote:
Originally Posted by nightlysparrow View Post
This made me think of a possible caffeine withdrawal headache, as the half-life of caffeine is 5-6 hours after ingestion (presuming morning coffee or tea). You could experiment by having a cup at 2 pm to see if there's any relief.
Actually, with caffeine you may be onto something. The day when I had the worst episode was the day when I had an extra cup around 2 pm. Maybe I need to go back to not drinking coffee at all as one of the changes from my trip was that, while I didn't drink much coffee there, I brought back some Nespresso capsules (which are a lot cheaper in Europe than in the U.S.) and have had a morning cup daily. Haven't had one today, though and have been generally better.
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Old 04-23-2016, 01:46 PM
 
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Quote:
Originally Posted by Senah View Post
- The glasses are a good idea if you do have a migraine disorder. The blue light does worsen migraines, and in studies this glasses treatment was very effective. It is a small investment if this is the issue. However, you do not present with classic migraine symptoms. That said, you could be causing chronic rebound headaches if you are taking headache medication more than 3 days a week (e.g. Excedrin, ibuprofen, Imitrex, etc.). If the sumatriptan medication didn't work, I would ignore all medications in that class and consider discussing with your provider a trial of a TCA (tricycic antidepressant, but at a very low dose at bedtime). It could help with the headaches and with the sleep disturbance/pain.
My entire prior history of migraines/headaches (discounting the "regular" headaches one gets randomly) amounts to a couple of double vision episodes from heading a soccer ball wrong (last one was six years ago), a week-long daily piercing headache for no reason in particular that went away just as swiftly as it appeared (also six years ago) and this one migraine episode last year that sort of led to flashes of various different kinds coming and going.
Quote:
- With the GI issues and the headache, you may well have a food allergy, especially as the symptoms are coming on mid-day. I would consider getting tested for celiac.
I underwent an allergy panel last year. I also believe they tested for celiac, but the preliminary test came back negative, so they never got the biopsy. However, given this very specific recommendation:
Quote:
There is a type of celiac called transglutaminase-6 that when positive/elevated affects the nervous system and can cause depression, insomnia, balance issues, headache, etc. Cyrex is the best lab in the country to get accurate testing done at.
I am going to ask the doc about it.
Quote:
Additionally, with the type of headaches and GI issues, you could have a dairy intolerance. You could go ahead and try a total dairy elimination diet x 1 month and see if it helps. With this, you should certainly print out a headache diary (or keep one in a notebook) and monitor how many headaches you get, description of where you get them, how long they last, possible triggers, what you treated them with, and how well it worked. This will be important both for diagnosis and for any consults with a neurologist (it will save you a visit when they say "Ok - now spend a month keeping a diary and come back then.").
I wouldn't rule it out - my father cannot drink milk and barely tolerates ice cream, although he's OK with cheese and kefir. I've had a lactose tolerance test, though (forget the exact circumstances), but a diary is a good idea in any case.
Quote:
- Stress releases hormones that cause the proton pumps in your stomach to secrete more acid than normal which could be causing the reflux/stomach pain. PPIs (proton pump inhibitors) like prilosec work well, however they deplete magnesium from you system which can cause problems. You should supplement while taking it. Also, don't take prilosec for more than 2 years as it can cause you to be at an increased risk of bone fractures. Note, it also puts you more at risk for infection with C. dificile diarrhea infection (very contagious and problematic). Zantac 75 twice a day or 150 in the morning may be a better substitute if it works or you. If not, be sure you are taking the prilosec at least 30 minutes before your first meal of the day or it doesn't work as effectively.
Prilosec has worked remarkably well for me, but I wasn't aware of these side effects, thank you. I am going to try going a week without (subbing in DGL instead - any thoughts on it?) and see what happens.
Quote:
- I doubt you have MS, but if they didn't do the head and spine MRI with contrast (and do both a head and spine study), you have not ruled it out. I discourage a series of spinal x-rays at this point because over 90% of people your age will have abnormalities, and it is unlikely that is the cause of your symptoms. Additionally, since it is unlikely to be helpful, it is exposing you to needless radiation at this point.
They didn't do the spine; they didn't do the head with contrast, either. I can definitely ask my doc to have it done, though.
Quote:
- What is your blood pressure normally? There are a few syndromes that could also be contributing depending on what your BP is.
Usually I'm between 90-100/60-70.
Quote:
- You live in Michigan. If you haven't gotten your Vitamin D level tested, you could have such a low number that you would need to be taking a prescription level dose x 12-24 weeks until it is high enough to go down to 5000 IUs daily. I like my patients between 50-75 when tested.
My D levels, as tested yesterday after taking at least 5000 IUs (mostly 10K, though) for a few months straight, were at 63.
Quote:
- Why did they test you for diabetes? Are you thirsty/hungry/peeing a lot? Did they test you for diabetes insipidus as well?
Peeing a bit more often than I care to be, yes (I'm not sure if it's the cause of or the effect of my poor sleep). I'm not sure they tested me for diabetes specifically, unless you're referring to the 5-hour glucose test.
Quote:
I am a board certified family nurse practitioner, but as you are not my patient and I have never met you, all my recommendations need to be taken in that light. It is always safer and better to take the counsel and advice of a real human being. Anyone on the internet could be...well, anyone. Best of luck.
Absolutely. That said, if you're up for poking holes in the testing that I've had done (and its results), I'm more than happy to PM them to you as it does sound like I may be missing a few that my doc should have ordered.
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Old 04-23-2016, 01:48 PM
 
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Quote:
Originally Posted by historyfan View Post
A standing work station, preferably an adjustable height one, would help.
I'm looking into that. A coworker has back issues and has managed to get one, although with the way our company is structured, it could be months before I get mine. Still, worth it to ask.
Quote:
Prescription glasses might be needed. More task light added to your work area to prevent eyestrain. See your doctor about the TMJ.
Yeah, I'm going to need to see an ophthalmologist (assuming that's the eye doc I need?); did see the doc about TMJ.
Quote:
Celiac or food allergies can cause headaches... try a celiac diet. Do not drink soda pop instead drink sparkling water.
Haven't drunk pop in ages.
Quote:
Internally you might benefit from land of lakes collagen stirred into your morning coffee or orange juice.
What does that do?
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Old 04-23-2016, 01:53 PM
 
3,780 posts, read 2,394,554 times
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Quote:
Originally Posted by BusyMeAK View Post
Looks like you are under a severe stress all the time.
I'm not sure what leads you to that conclusion. Yes, I'd been under excessive stress before, but most of those factors have subsided. That said, my life isn't completely worry-free, but nowhere near as bad as it was.
Quote:
Except for the shoulder, everything else lines up perfectly, creating a circle of problems that produce one another. You will need to break it, and it's not very difficult. Try to fix your shoulder (chiropractors won't help if you tore your muscles, go see a good sport medicine surgeon) - it's a real problem.
The MRI showed no tear, though, that's the problem and that's what's so frustrating. The only thing that makes it better is to leave it alone completely, but I don't want to do that for the rest of my life.
Quote:
2. Don't eat crap, reduce salt intake, don't eat late, don't overeat. 150 for 5.7 is a bit too much.
I watch my calorie intake pretty rigorously because I'd like to drop those last five pounds. That said, 150 for 5 ft. 7 is perfectly normal regardless of whom you ask (BMI well within range, body fat of 15-17% may not be up to my own fairly high aesthetic standards, but nowhere near overweight), given my body type. If I tried to go down to 130 or so, it would probably be pretty scary-looking and I'd lose any and all muscle mass.
Quote:
5. Think more, worry less.
6. Live, don't struggle thru life.
Wonderful advice, trouble is, it's much easier said than done.
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Old 04-23-2016, 02:05 PM
 
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B3 and Migraines

Niacin for Migraines...Vitamin B-3..

I've never had a migraine but I hear from plenty who do. I don't even get headaches
anymore since on grape seed extract. Mine were sinus headaches in the past.
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Old 04-23-2016, 02:07 PM
 
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I am an elder and have decades of experience. Please listen. You ARE over-stressed.

Diagnosis: unmitigated work place stress, constant fight or flight status
Treatment: relieve level of stress
I had huge problems from work stress for a long time until I tried the following.

Stress/tension : sore muscles, grinding, dry mouth, hyperventilation or shallow breathing
- take really deep breathes once in a while during your work day
- get some fresh air every chance you can get
- move around, walk the stairs (going nowhere in particular) or walk the halls for a few minutes

Dehydration: headaches, dizzy, nausea, blurred vision, diabetes, edema
Hydration is #1 important!
You need at least 8 glasses of liquid/day preferable filtered water but you can substitute diet soda or clear tea. But try to drink at least a quart of water a day along with other fluids of your choice.


Desk-posture: slouch, crunched spine, neck pain, shoulder/arm pain crooked neck
- get a wedge cushion posture corrector.
- get up and stretch periodically during the work day
- get up and stretch your arms up and wide and take deep breaths in and out. your stomach should move up and down.
- turn your head as far as you can to the right, gently, and then to the left
- pivot your head gently in circles, up and down too


Height of desk to keyboard: arm pain, neck tension, pinched nerves
- raise the height of your office chair until you feel your arms are more comfortable raised to use keyboard.

Blurred vision: eye strain, dehydration.
- use OTC eye drops
- hydrate and close your eyes for 5 minutes intervals throughout your work day

Heart burn (acid reflux)
- hydrate
- relieve your level of stress
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Old 04-23-2016, 02:16 PM
 
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Stress is killing people, the drive to make more money and consume more stuff. It was bad in my 40 yrs of work and it's worse today. I was hooked up to my boss via pager and now it's hooked up 24/7 with all the high test stressors.. actually very sad.
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Old 04-23-2016, 02:34 PM
 
3,780 posts, read 2,394,554 times
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Quote:
Originally Posted by kitty61 View Post
- take really deep breathes once in a while during your work day
- get some fresh air every chance you can get
- move around, walk the stairs (going nowhere in particular) or walk the halls for a few minutes
I do all these things.
Quote:
You need at least 8 glasses of liquid/day preferable filtered water but you can substitute diet soda or clear tea. But try to drink at least a quart of water a day along with other fluids of your choice.
All correct except the highlighted. Diet soda has so much crap in it that it's likely counter-productive to your water intake (especially things like Coke Zero, which, admittedly I like and do drink sometimes, but has caffeine and will dehydrate you). I used to drink diet soda frequently, but no longer do because of that.
Quote:
Desk-posture: slouch, crunched spine, neck pain, shoulder/arm pain crooked neck
- get a wedge cushion posture corrector.
- get up and stretch periodically during the work day
- get up and stretch your arms up and wide and take deep breaths in and out. your stomach should move up and down.
- turn your head as far as you can to the right, gently, and then to the left
- pivot your head gently in circles, up and down too
Again, apart from maybe the wedge cushion, I do all these things. They help...let's just say very marginally.
Quote:
relieve your level of stress
This is the most generic and, frankly, unhelpful phrase of them all. "Your biggest issue is stress, so to relieve your level of stress you need to relieve your level of stress." Would be wonderful, except in today's real world, the only way to do that is to go live in a cabin in the woods away from all possible sources of tension. It's just not possible. Relieving the symptoms and alleviating some of the causes is doable, certainly (and if I hadn't done so in the past six months or so, I would be significantly worse off), but your "diagnosis" of stress is backwards - you're taking symptoms and fitting them under the general umbrella of "stress" which, again, I'm sorry to sound ungrateful, but isn't super helpful.
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Old 04-24-2016, 09:05 AM
mm4
 
5,712 posts, read 2,954,911 times
Reputation: 1941
Gum chewing can induce TMJ, which goes away when stopping.

Too many citrus beverages can cause acid reflex, which goes away when reducing intake.

Shoulder damage takes several years to heal.

Quote:
Originally Posted by kitty61 View Post
You need at least 8 glasses of liquid/day preferable filtered water....
http://www.nytimes.com/2015/08/25/upshot/no-you-do-not-have-to-drink-8-glasses-of-water-a-day.html

Last edited by mm4; 04-24-2016 at 09:31 AM..
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Old 04-24-2016, 11:38 AM
 
18,775 posts, read 6,138,018 times
Reputation: 12663
Get into and DO meditation daily. It can add so much positive to your life.
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