Ovarian Cysts - trip to ER

This post is a little scattered because I have a really bad headache (surprise), so I apologize in advance if I jump around or don't make sense!

I went to the ER about 2 1/2 weeks ago because I thought I had appendicitis. Five hours and a CT scan later, I found out it was actually ovarian cysts.

It had all started the night before when I woke up with such bad cramps that I got out of bed and onto the floor and pretty much just rolled around in agony. Then I went to the bathroom and dry heaved because the pain was so bad. It was miserable. I took meds to knock me out, felt a little better the next day but had another "attack" that afternoon so I had my husband take me to the hospital.

The nurse gave me Toradol for the pain, which I used to take for migraine but it hasn't helped the last few times. It didn't help my cyst pain either. The CT scan was interesting. Because it was an abdominal one, I had to drink two bottles of nasty stuff not-so-disguised with lemonade flavor; it was gross but I didn't mind it much. Part of the scan was done with contrast and when they inserted the dye, it TOTALLY felt like I was peeing my pants. The tech warned me that would happen, and he said that he's only had one patient actually pee her pants, but then he added that "she was just crazy." LOL.

The pain was so bad that I missed classes and work (luckily I could work from home and spring break started at the end of that week) and even taking my dog out took a lot of effort because walking hurt and I had to hunch over a little. Luckily I could use my condo building's elevator. I couldn't even make it to see my gyno until three days later. She did an ultrasound and told me she would hate to be me and that I must be in a lot of pain. I wanted to hug her because she had real sympathy and compassion. She told me I couldn't exercise for at least two weeks and I'd need to see her in a month for another ultrasound. One of the cysts on my right ovary looks pretty bad and may need to be surgically removed, but I'll find out for sure at the followup.

I know this post doesn't have much to do with headaches, but it's medical related and it's definitely impacted my head. No exercise + lots of pain + lots of Aleve and Motrin + hormones acting up = migraine/headache increase. I'm ready to get past this cyst issue so I can focus on healing my head!

No Botox (yet)

Injection image by TschiAe; modified by War on Headaches

Well, I assumed correctly. I called my insurance and they do cover Botox, only after I meet my deductible, and only 80% of the cost. I have a $1,000 deductible, so needless to say I will not be getting Botox injections anytime soon. I was really looking forward to trying it...at least as much as you can look forward to multiple shots in the head.

Now I'm only doing the following for my headaches:

• 5-HTP (no change yet)
• Mouth guard at night for TMJ (might as well not be on the list since it hasn't helped my head)
• Exercise
• Gatorade once a day - update: I'm down to the bottom of my Costco-size container of powder, so I don't think my electrolyte levels have an impact on my headaches
• Therapy about once a month 
• Drugs as needed: Aleve, Butalbital, Ketorolac
• Ice pack as needed

The list looks long, but basically I feel like I'm doing nothing, and I'm running out of ideas (that I can afford or attain legally). It's so frustrating. At the same time though, I'm still optimistic that things will get better, and I'm thankful that I've been able to drag myself to class, work and church even with the pain. Surely this headache thing will end some day, right?

Hello Again, Neuro

It had been a while since my last neuro appointment, so it was nice to go back last week. My migraines have been bad lately and since my Ketorolac expired and a previous neuro had prescribed it, I figured it was a good time to pay her a visit. And boy, do I mean pay...the specialist copay for my new insurance is $50. That adds up when you see a lot of specialists!

The appointment went pretty well. My neuro mainly listened to the headache/migraine update I gave her, plus some ideas I have. She's going to see if my new insurance will cover Botox (not getting my hopes up). Another idea I had was doing a spinal tap aka lumbar puncture because I've never had one and it's my hobby (more like second job) to rule things out. She was able to schedule it right away, but when I called my insurance I found out I'd have to meet my $1,000 deductible before they'd cover it (well, 80% of it). So far I've paid $0 toward my deductible. I left a message with the neuro billing person asking how much a spinal tap costs, but this lady is chronically unresponsive. My online research shows it's about $300-$400, so I canceled my appointment and moved spinal tap back on my "One Day When I'm Rich" list.

The other week after doing a big run (big for me being 20 minutes without stopping, and the other 10 minutes walking), I started having sciatic nerve pain, and I talked to my neuro about that. We agreed that I need to keep exercising since it may help my headaches, so she referred me to a physical therapist and now I'm doing that once a week. Luckily the pain hasn't been bad, but it's good to play it safe. And that copay is only $25.

Other than that my neuro appointment was fairly uneventful, but it was still good to check in with her. I still really like this one and hope to keep going there for a while.

By the way, my thyroid test (which was ordered by my gyno) came back normal. No surprise there.

I was talking with someone today and she recommended 5-HTP for my migraines. Have any of you heard of it or tried it? WebMD makes it sound scary, but if it works for migraines I'd give it a try!

Headache vs. Migraine

My migraines have been bad lately. Migraines, not headaches (although headaches have been bad too). I had to switch my work days last week and today I didn't make it into work until 11 a.m. Luckily I only work 20 hours a week. If you have migraines, you know what they're like. They get in the way of life. But for those of you who read or stumbled upon this blog who have never had one, I thought I'd share a taste of how they differ from typical headaches, in timeline format based on my current migraine.

 Photo credits: Tibo (headache car); Icarus Kuwait (migraine car)

My nearly every-day headache: I start to feel head pain. I begin to assess the pain and decide whether or not I should take drugs.
My current migraine: Yesterday I have general headache pain and take GelStat earlier in the evening (I ordered a bunch of this online to give it another try). Last night I'm watching TV. I get up from the couch and my head goes BOOM BOOM. I say, "oh SHIT." I've been good about cursing lately, so this is a bad sign. I make some ginger tea to help my nausea, put an ice bag on my head, and then decide to try and sleep it off. I wonder what could have triggered it - storms, running, yoga, chewing tough steak, hormone issues from the cramping I've been having, a combination...

Headache: I sleep like a log.
Migraine: I wake up on and off due to the pain, sometimes moaning. The pain pulses with my heartbeat. Every time my husband moves in bed, even slightly, my head throbs. My soft pillow hurts.

Headache: I take 2 Aleve and go about my day.
Migraine: I wake up early and get some applesauce so I can take meds. It's an unopened jar and normally I'm a machine when it comes to opening jars, but when I strain my head throbs so I wait for my husband to get out of the shower so he can open it for me. I try eating a rice cake in the meantime but the chewing motion hurts my head too bad. I take 2 Butalbital, wait for it to kick in (which means the dizziness begins), take a a quick nap, and start getting ready for work. I make appointments for next week with my gyno and neuro (shocking that she could get me in so soon) because this is getting ridiculous. Then I tell my boss I'll be late. I'm lucky - he's always been understanding about my health.

Headache: Generally the Aleve works. If not I'll suffer through work and nap when I get home.
Migraine: My head starts to throb again every time I get up at work so I have to take 2 more Butalbital and drink a cup of caffeinated coffee. I have a meeting with my boss and stumble through the agenda, pausing and using the wrong words a lot - gotta love migraine brain. I work until the dizziness wears off so I can drive home. I'm still a little dizzy though.

Headache: I take a short nap and usually it eliminates the pain.
Migraine: I nap about 4 hours and wake up with a throbbing head again. I take two more Butalbital with dinner, along with ginger tea and my ice bag. This the the first time I've taken the maximum daily dose, and that makes me nervous.

Right now, I'm at the dizzy stage again. It's pretty much a guarantee that the head pain will start again soon, but by that time I plan to be in bed asleep for the night. I'm praying that the migraine doesn't last long and I wake up with a pain-free head, but my migraines usually last at least two days.

I'm hoping my doctors can help next week. My Ketolorac has expired (and I'm supposed to limit it to twice a month anyway), so for now my Butalbital is my strongest med and it's failing me. I'm starting to feel desperate, and that's never a good feeling. But I know a lot of you can relate, sadly.

Note: I'm not trying to belittle headaches in any way. They suck, too; especially the chronic ones, which wear you down over time.

Summer Blogcation

I

Image by Storm Crypt on Flickr

I've decided to take a break from blogging this summer - let's call it a summer blogcation. My therapist told me to take a break long ago, but I didn't feel the need to. However, the other day my husband asked me to; not in a mean, demanding way, but in a "I care about you and think you should give yourself a break" kind of way. I finally caved and agreed. Here are my reasons:

• I need to reduce stress. Not that blogging is stressful - it's not; but it's one more thing I "have" to do. Plus my day job is more than 50% writing and I get tired of it.
• Headaches are ruling my life. I had two days in a row of no head pain last week, and it's the first time that's happened in months. All I think about is the pain, and I'm constantly trying to find ways to stop the pain. I spend a few hours a week doing research, reading other headache/migraine bloggers' posts and writing my own, and while it's not that much time, it is time I'm thinking about headaches and migraines. I need to take a break and focus on anything but that. Which brings me to my next reason...
• I'm going to replace the time I spend blogging and reading blogs with something stress-free and non-head-related. This could be painting, biking, cooking new recipes, shopping with friends, and spending more time with my husband. The options are endless!

Please know that I WILL be back, probably in August unless something drastic happens that I can't wait to blog about. I'll try to respond to comments to my blog, but I'm not anticipating many. Thank you for not only being a reader of my blog but for being a FRIEND. I hope you all have an amazing summer and improved health!

P.S. I hate to make this a long post, but I want to close some loops before I take my blogcation.

• Elimination Diet: It wasn't too helpful for me, but that doesn't mean it wouldn't help others; in fact, I know it's helped others. I have a few questionable foods that I'm going to test again later, but in general I've added back most foods and am no longer restricting my diet, at least not as it relates to migraine triggers. I just finished "Animal, Vegetable, Miracle" by Barbara Kingsolver and it has inspired me even more to stick to organic foods (as much as possible) and maybe even grow my own someday when I get out of this condo. I cannot recommend this book enough!!
• Occipital Nerve Block: Didn't work. At all. AND, apparently 5% of women have spotting and cramping from the steroids for about a month. Yes, I would fall into that category. I didn't see anything online about it and was getting concerned, but the doc filled me in during the follow up. So now it's online. Be warned.
• Drugs. I stopped the Zonisamide because of the daily stomach issues, and I decided to give up on preventatives (I've tried almost all of them, seriously). But my doc recommended Gabapentin (Neurontin) so I figured I'd try ONE more. So far the dizziness and drowsiness are killing me but I'm trying to stick with it. My stupid insurance denied coverage of Treximet so my doc said I could try Imitrex (generic; apparently my insurance doesn't even cover Imitrex; and it only covers four generic pills a month - jerks) along with 500 mg Naproxen. I just tried it today and it was so not the same. I still have Aleve, Butalbital and Toradol if I have migraines, but they're hit or miss. Other than that, I'm free of meds except for topical acne medicine.
• TMJ mouth guard: no luck for headaches yet although my jaw pain, which I only get when I grind my teeth at night, is better. I'm still wearing it 24/7 except for eating.

And no, I will not be on the sailboat in the picture during my time off from blogging. Sadness!

When Medications Fail

My biggest fear came true last week when my "strong" medications, Butalbital (Fioricet) - for painful headaches/migraines and Ketorolac (Toradol) - for the super kill-me-now migraines, no longer worked for me. After managing to avoid these drugs for a month, sticking to Aleve instead, I couldn't stand the constant headaches anymore and finally gave in. No relief.

Last weekend, I had a horrible migraine that lasted three days. It may have been from the chocolate I added back to my diet (although I started adding it a week before I got the migraine) or just a bad sleep schedule or let-down migraine following a week of work stress. Either way, I had plans to attend the Azalea Festival in Wilmington, NC with friends Saturday, and I was not going to miss it. I took four Butalbitals (as two doses - I normally take only one or two pills), which made me dizzy and brought the migraine down a few notches. I was nauseous and in pain, and had to hold my husband's hand so I wouldn't lose my balance - particularly on the section of cobblestone streets - but I managed to survive it and have an amazing time!

My next neuro appt. wasn't until April 29, so her physician's assistant saw me today. I've been having stomach issues that have now become daily, as well as general dizziness and random rapid heart beats - flu symptoms I guess, but they've been going on for weeks if not months. The only thing I can think of that would be causing it is the Zonisamide (Zonegran generic), and since it obviously wasn't helping my headaches a bit, I'm weaning off it. My blood pressure was really high today, which could be from the Zonisamide and maybe would explain why I'm feeling so crappy. Also, the fact that it suppresses your appetite combined with my migraine diet contributed to me losing 11 pounds since Feb. 9, which is cool for most people but not good for me when there's not much to me as it is!

I asked for an "emergency" medication and the PA gave me Treximet samples. I've taken Imitrex and several other triptans with no luck and in fact bad side effects (go figure), and I shared this with the PA, but she said Treximet, which is combined with naproxen, might be different.

The next thing I'm going to try is an occipital nerve block, which I don't have any links for because I haven't had time to research it yet. I have a consultation Monday and will find out more details then. Also, I have a TMJ checkup Friday. Doctors, doctors, doctors...

MRI and other fun things

My MRI last week was interesting. Upon arriving to a top-notch hospital, I was completely thrown off when I discovered that the MRI was going to take place in the PARKING LOT in mobile units connected by wooden covered walkways. I went in one trailer for check-in, another to get the IV thing put in (so they could easily add the contrast) and another for the actual MRI. I thought it would take hours to do the neck and brain scan, with and without contrast, but it only took a little more than an hour. I also thought I'd have trouble holding still, but it wasn't bad at all. The hardest part was not falling asleep, because I tend to jerk when I wake up and didn't think that would work out to well.

I called Monday about my results and found out I had to fax an authorization form, which I did right away, so I'm still in waiting mode right now. Of course I'll write about my results, good or bad, as soon as I find out anything.

Since I haven't mentioned things I'm trying other than the elimination diet in a while, I thought I'd do a quick recap.

Meds: The only med I'm taking is Ropinirole for restless leg syndrome (which I don't think I have, but my neuro wanted me to try it due to my sleep study results). I hate it because it wakes me up at night and makes me feel like I'm going to throw up. I haven't yet, but every time I'm sure I'm going to. I take iron every so often, but other than that and some topical acne creams I'm not on anything else, which is nice. When I have headaches, I take 2 Aleves and pray that they work (they generally don't). If they're bad enough, I have Butalbital/Fioricet, and if they're unbearable I have Toradol, but I'm trying to stop relying on those.

Therapy: I'm also still seeing a therapist for stress and pain management. It's not expensive with my insurance, and it's awesome to have someone to talk to because I feel like I overburden my husband and mom with my problems.

Diet: The elimination diet is getting discouraging, not because it's hard to do (although it is) but because I'm having no relief in my headaches. I'm convinced they're hormone-related, but my hope is that I can still have fewer headaches by doing the diet, but I'm slowly losing that hope. Also, I've gotten sick three times this month, and the symptoms have been similar to my MSG symptoms (trust me, you don't want me to elaborate) but I, of course, didn't eat MSG. This diet might be making me aware of foods my stomach is sensitive to, so I've been writing them down.

Exercise: I'm still working out; maybe not four times a week but at least three most weeks.

I wish I had better results to share, but all my efforts don't seem to be getting me anywhere. I'm considering making some (additional) life changes to cut down my stress levels, but I'd rather not get into that now. Next month I meet with my neuro again and a TMJ specialist. Always something to look forward to. :\

New Game Plan!!!

My headaches are worse than ever. 20+ days a month now. AND I still have migraines! I can deal with the headaches, but the migraines will be the end of me. So, it's time for a new game plan. Enter Neuro #6. I've outline our plan of attack below:

• Sleep. My sleep study results showed I woke up 10 times an hour, and Neuro #6 read the results and said it was from leg movements (which I didn't notice at all). To fix this I'm taking a med that can help with Restless Legs Syndrome called Ropinirole HCL, or Requip. It may take multiple things to help my headaches, and getting a good night's sleep is definitely one of them! 

• Jaw. Related to sleep, I frequently grind and clench my teeth in my sleep. Sometimes my husband tells me or sometimes I know when I take that first bite of breakfast because my jaw is killing me. I tried a drugstore mouth guard but didn't notice a difference, so Neuro #6 referred me to a TMJ specialist. My dad has TMJ (it can be hereditary due to bone structure similarities), and it can be related to headaches, so this is a good move. My appointment is early next year.
  

• Migraine diet. This is one I asked about because I've been wanting to do it for a while. Sometime in January I'm planning to eliminate everything but rice from my diet. The new neuro said to do it two weeks and see if I notice a difference in my headaches; if not, I can go back to eating like normal. We agreed that if I did the gluten-free diet, I can do anything. It's only two weeks! 

• Biofeedback and meditation. The clinic I visited offers biofeedback; however, when I tried to schedule an appointment, they said they are "out of network" for my health insurance, so I need to do some research to find out how much it will cost. The Web site's undergoing maintenance but I'll look into it this week. Neuro #6 also recommended trying a mindfulness meditation class to learn stress reduction, but the ones she recommended are in the $300 range, so I'm going to hold off on that.
  

• MRI. And speaking of expensive, I almost forgot the most exciting part of the appointment! I FINALLY found a neuro who wants me to get an MRI! After nine years of headaches and migraines, someone wants to look at my head, the source of my pain. What a concept! :) I'm getting a brain and cervical spine MRI next month and it's ridiculous how much I'm looking forward to it. My husband doesn't understand why I want them to find something because he said it probably wouldn't be good, but I'm sure most of you who are reading this understand. If it's something fixable, I'll do whatever it takes. 

I'm thrilled that this new game plan isn't a long list of drugs. I made it clear that I've tried most of them and wasn't interesting in trying more. I'm still taking Butalbital and Toradol for migraines, and Aleve for headaches, but I try my best to avoid them when I can. 

P.S. - Love me some Philip Rivers! :) 

Image by Jed Jacobsohn/Getty Images.

Ulcer?

I mentioned in my last post that I think I have a stomach ulcer or ulcers. Every morning I wake up with a burning stomach which mostly goes away once I eat, and before dinnertime I start to get sharp, stabbing stomach pains. I tried a 14-day pack of Prilosec OTC and it didn't work, so I went to my internal medicine doctor. He said that I wasn't taking too much Aleve (I try to limit it to twice a week to prevent rebound headaches; plus if I take it too much it doesn't touch the headache), but he said it still might have caused an ulcer. My rescue med is Ketorolac (Toradol), and that's an NSAID as well but I have to limit it to twice a month. In my opinion it's probably stress, because I have a lot of non-headache things stressing me out, in addition to the daily headaches. The doctor didn't do an X-ray or anything but did listen to and feel my stomach and said there was inflammation.

He put me on 40 mg of Pantoprazole Sodium which I assume is the generic for Protonix, a gastroesophageal reflux med. It was only $10 (with my insurance) for a month's supply, which is awesome because I'm supposed to take it for 2-3 months. Then if my stomach isn't better, I'll have to go back to the doc.

A side effect is headaches, so does that mean it'll cancel out my current headaches? Let's go with that.

Allergy test

I met with an allergist last week to see if allergies were giving me headaches. I had awful allergies - ragweed, dogs, cats - as a kid, but I grew out of them (either that or they went away when I moved to the city). But I thought maybe they transformed into headaches instead. Crazy thought, but I at least wanted to rule it out.

So I got a scratch test (see image below). This is not me - I wanted to take a picture, but I wasn't allowed to move my arms so that would have been difficult.

(Phanie/Photo Researchers/NY Times)

The results were expected - allergic to ragweed and molds. Certainly not bad enough to cause headaches or even bother me much. I even had the doctor check for foods - tomatoes, chocolate and something else I forgot. No reaction, but I could still have intolerances. So my next plan is to do a food elimination diet to see if common migraine triggers affect me. I've checked out a ton of books from the library and hope to do some book reviews soon. I probably won't start the diet for a few weeks though because I just finished the gluten-free diet and I need a break from restricting my diet. That's a headache in and of itself!

A few more brief updates: acupuncture's going well. I've switched to private sessions with deep neck massage and they seem to be helping. I'm off all prescription medications (so no more Lyrica or Lexapro, woohoo!) except for when I have headaches; if they're bad enough I'll do rotations of Toradol (for REALLY bad migraines), Butalbital, 800 mg Ibuprofen and Aleve.

I'm also taking the following supplements:

• fish oil
• magnesium potassium
• B complex
• Iron (not for headaches but because I have low levels)

On a more personal note, my husband and I were talking the other night and I told him I was mad at God because he has the ability to heal my pain but he won't. I took it back right away and said that Christians shouldn't be exempt from pain. This is earth after all; the pain-free time is yet to come (heaven). But I still felt bad, and I feel like I settled it with God at church this morning - I had a feeling of peace and joy throughout the entire service and I asked God to forgive me...and yes, to heal me. It doesn't hurt to ask. God might want me to use my pain to witness to others. So if you're not religious and this paragraph is gibberish to you, know that God's helped me through the pain and really does provide strength and peace. I'm not saying he'll take it away, but there's always hope. :)

Migraine with Aura

Try this: hold your hands in front of your face and spread your fingers. Move your hands in a circular motion. Now pretend each fingertip is a bright flashing light. Welcome to the world of auras.

I'd never been the "migraine with aura" type person until now. I had my second ever aura the other day. The first time it happened I talked myself into thinking I had looked at the light too long and it was my imagination. That was months ago, but the exact same thing happened again. If you're not familiar with aura, read this. I wanted to see if I'd get a migraine afterward so I didn't take any meds, and sure enough, the migraine came.

I still have slight doubts. The lights only lasted maybe 10 seconds. I get migraines or headaches all the time, so who's to say I wouldn't have had one anyway? Plus why don't I get an aura with every migraine? I'm a little freaked out and I kinda want to get an MRI, but I'm going to tell my neuro about it and see what she says. It sucks that I can't get an appointment until the new clinic opens in June.

Meanwhile, I'm tempted to stop all my meds and take out my Nuva Ring. I know that you shouldn't do that without a doctor, but I've been on Lyrica and Lexapro and birth control before and I know to go off them gradually (well not the birth control). My headaches are worse than ever, and I need to do something.

My current migraine is an 8 out of 10 and is heading toward 11, so I'm going to take my emergency concoction (Seroquel, Phenergan and Toradol) and go to bed.

*Update* The medicine combo knocked me out all day, and I slept until 4:30 in the afternoon. I didn't even call in to tell work I'd be out (they called me around 10 to make sure I was ok). I still have a slight headache, and I'm so fed up that I took out my Nuva Ring a few hours ago. No more hormonal birth control for me...my migraines are always worse with it. My neuro's going to be pissed...

Migraine of the Year, other updates

I wanted to post a few updates. Last weekend, I had what I'm calling the Migraine of the Year. Wow, it was awful. It started last week - I had a headache just about every day, but it went away on Friday. So that night, I went out with some friends for drinks while my husband was chaperoning a church youth group lock-in. My hubby doesn't know this, but I drank and tall glass of beer. I normally don't drink and don't approve of drinking, and neither does my hubby, for various reasons that would take too long to get into, but over the past few years I've had maybe 4 drinks a year. I don't know if that triggered it, but on Saturday I woke up with a migraine...not a headache...a migraine - pounding, throbbing head with every movement, light sensitivity, etc. I took Butalbital (which my neuro wants me to try and stop taking because it can cause rebound headaches) because it's my go-to migraine drug. (Side note - I didn't try Imitrex (the generic version) because I took that a week before and it didn't help and I hate how it makes my throat all tight.) It worked for a few hours but later that afternoon, it came back full force. I took another Butalbital, and it brought my migraine down just a notch. So after a few hours I decided to take my backup: supposedly emergency-room-equivalent drugs that my new neuro gave me - the ones so strong I can't take them more than twice a month: Ketorolac (Toradol), Promethazine (Phenergan), and Seroquel. That knocked me out for the night, and I was too dizzy the next morning to get up for church, so I slept most of the morning. My migraine was gone when I woke up, but then it returned after taking a nap that I couldn't avoid later that evening. Then I had a slight migraine Monday and I felt like I had been in a car accident or been beaten up. I've heard the post-migraine feeling referred to as the migraine hangover. Now I only have a slight headache. It was SO awful, and I am terrified I'll have another migraine and won't have anything to take to get rid of it. I'd rather have headaches every day than migraines like that. I'm never drinking more than a few sips of alcohol from now on, in case that was the trigger.

Of course, I've been spotting more than a month, ever since I started the Nuva Ring, which I'm taking 12 weeks straight with no breaks for periods, so that might have something to do with it also. Could be hormonal.

Needless to say, I'm dying to see my neurologist next week. I'll get my sleep test and blood test results back. And speaking of test results, my previous blood tests to check for Factor V Leiden and hormonal problems came back normal.

Two quick news updates:

Check out this article on migraines - it actually mentions some things I haven't heard of that I might need to look into further.

Also, if you live in Michigan, I received a news release announcing neurologist and headache specialist Dr. Henry Hooker has joined the team of experts at the Michigan Head•Pain & Neurological Institute in Ann Arbor. Dr. Hooker will have a special focus on one of the most challenging head pain conditions – New Daily Persistent Headache. According to the release, New Daily Persistent Headache is unique in that the headache occurs daily from onset, typically in a patient with no prior history. It can continue for years without any sign of alleviation despite aggressive treatment. Various causes are suspected, including viral, metabolic, and neurotransmitter (brain chemical) disturbances.

I think that's it for now...I'll keep an eye out for the Today Show segment (see post below) and will post a link if it's online.

Have a wonderful, headache-free day and remember to take things one day at a time!

New Headache Clinic Visit Part 2

So, back to my kitchen table, full of medications. My new neurologist at the Headache Clinic gave me so many medications that I had to organize them on my table and write when I take each on sticky notes.

First of all, she had me stop taking the natural progesterone. She said that the progesterone wouldn't help my headaches and wouldn't help me get a regular menstrual cycle either. So I took that for a total of 4 nights before stopping. She also wants me to eventually stop the Butalbital (Fioricet), even though I don't take it much. That has been my "emergency" drug for the especially awful migraines.

So here's what she put me on:

* Zolpidem Tartrate (generic Ambien) - I had to try it for five nights to see if I woke up refreshed. If I did, I could cancel my sleep study. I didn't even notice any difference. Sleep study is Monday night. No more Ambien.

* Frova - this is a typical migraine med that you take as needed. I've taken it in the past and it made my migraines worse. I told my neuro this and she said to try it again. She had me take it about 1 1/2 weeks straight to knock out my headache cycle; however, my insurance only covered four pills, so I wasn't able to do that. The whole time I did take it though, I had a headache, but I was also on my first real period in two years (since I got the IUD out) so that could have been it. Anyway, no more Frova.

* Lexapro - An antidepressant. I've been on this before also (see the Lexapro tag in my blog if you want to know more), and I also told my neuro that, but she wanted to try it on me again. Interestingly enough, I just read my old blog posts and realized a side effect was crazy break-your-jaw-type yawning. So that's why I've started yawning like that again!

* Sumatriptan (generic Imitrex) - I've tried Imitrex before, same effects as Frova. My insurance also only covered four pills of this. I haven't taken it yet, but this is what I'm supposed to take when I have a migraine.

* Nuva Ring - A synthetic hormone birth control. After all my posts on natural hormones, I'm obviously not thrilled about this. However, my neuro wants me to be on this 12 weeks straight and then take a week break and use estrogen patches that week. I've tried taking The Pill with no breaks before and had a lot of spotting and still had headaches, but my neuro said the Nuva Ring will be different.

* Emergency concoction: Ketorolac (Toradol), Promethazine (Phenergan), and Seroquel - I combine these three pills if I have an unbearable migraine. My neuro said this is like going to the emergency room and getting a shot. It will knock me out, and I can't do it more than twice a month. These scare me so I haven't done this yet.

* Magnesium Potassium Aspartate - I found this at a vitamin store. I'm to take 400-500mg, but the bottle I found is 600 mg for a 2-pill dose, so I take one pill and figure 300mg is enough. I stopped it for a while because I was having stomach issues, but then I realized it was a stomach bug (I had a fever and it's going around) so I've started it again.

I don't take my neurologist's recommendations lightly. That's why I'm agreeing to take these meds. I don't want to sound like I think I'm smarter than her, because I don't. And I was happy with the appointment. However, I think after trying some of these meds before and seeing so many neuros, I'm having negative thoughts about the whole thing. I'm trying my best to push them aside, and I hope this post doesn't come across as negative.

I've had a lot of headaches lately. I have a dilemma where I try to see if it will pass, and then it gets bad and by that time it's too late to take the Imitrex; I can take Aleve but that doesn't always work either. My neuro said not to take more than 2 Imitrexs a week or more than 2 Aleves a week. So I've been suffering through a lot of headaches. But I was doing that before as well, to avoid rebound headaches.

My next post should be cool, and helpful. I'm going to write about my sleep study experience (and results if I get them that soon). Also, I'm going to post some good sleep habit tips from my neurologist. Speaking of results, tomorrow I'm going to call my old/other neuro about the blood tests I had, so if I find out anything interesting, I'll post that as well.

Have an awesome, headache-free weekend!