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The 20 year sufferer in IA (Read 3284 times)
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The 20 year sufferer in IA
Jun 15th, 2010 at 8:14am
 
Howdy

Names Perry and ive been dealing with these monstrosities since i was in jr high.  At first I thought they were really bad headaches, then I noticed they always happened at certin times of the day in my cycles...   almost to the point you could set your watch to it and even that young I knew a "Normal" headache never acted like that.  I was actually lucky enough to be properly diagnosed very eirly on but ignorant and had no clue what to do about it, not much on the money end either.   I was told there was no cure and not much of a treatment, so in my mind I was screwed.  My parents...   my dad new i was in pain and it bothered him, he also knew he didnt fully understand just how much pain, i know he didnt like seeing me like that.  My mom...  she knew...  she would watch me pace a circle in the kitchen for an hour or more, but she knew the only thing she could do it stay outta my way and leave me alone.  Dad, being the religious person he is, would always want to pray for me...   now dont get me wrong, Im a christian too.  Me and god did alot of talking during my cycles...  well..  mostly me begging and pleading thru tears for him to make it end.  but the last thing I wanted at that moment was for anyone to be touching me, let alone talking to me with bright lights on all over.  i know he wanted to help.

Learning to deal with these things has been an adventure, when I describe what I do to alieviate myself from even SOME of the pain and only for a few moments, they would look at me like, "are you insane?  or did you leave your brains behind on that wall you were smashing it against?"  I would then usually ask them what they think I should be doin to deal with it.  Most give me the standard migrane remedy or some other "headache" remedy...  I just shake my head and tell them as best I can, without gettin too pissed, what its like.  To me its similar to an ice cream headache amped up to sometimes what feels like 10 times that without the nice cold feel, shoved behind my eye and left there for up to an hour or two, and then it all ends like someone flippin a switch so you gotta run for the john or have a bucket handy cause your heads spinnin like it just got off the Tilt'a'Whirl.  I would sudgest a bucket, runnin while your heads spinnin can be dangerous.  Not to mention haveing to deal with them 8 or 9 times a day, with them lasting up to and sometimes over and hour long, at the PEAK of your cycle, which can last as long as 2 months or so at its worst...    at least I think thats its worst...  your exausted..  cause you dont sleep, cause they come for you when you sleep...  Now try your migrane remedy out on that and we'll see how long it takes for you to want to crawl outta your skin just to get away.  And its usually at that point I have to walk away or risk gettin angrier about it.  I know its not so much cause they dont understand, but because I cant make them understand.  And its frustrating cause all I wanted was for SOMEONE, ANYONE to understand.  God I felt so alone.

I thought about suicide quite a few times, tried a couple times...  well, i'm still here.  I've got various different methods of coping with them, and up till this point thats moslty what ive done...   cope.  No meds, other than the asprin or ibuprofen i would eat like candy, that did absolutly no flippin good.  I experimented with weed and found for the frist couple years it actually dulled the pain, but that kinda peeterd out and doesnt work quite like that anymore.  Other than that, its bang your head on a wall, a doorknob, hit it with a hammer, or your fists..   I read in someone elses post he locks his fingers behind his neck and squeese his head between his arms like a vice, I do that one too..  another one i do is to grab that nerve or whatever it was in my neck and squeese like hell, and as long as I held it, it was like pinching off a garden hose...   no pain behind my eye.  But as soon as I let go, BLAM.  I ended up doing somethin cause it changed the nature of my headaches since, now i feel them in my neck just as painfull sometimes.  The muscles in my back and neck tighten first, then comes the tingly across the top of my head at which point im lookin for a place to hide.  Then a dull muscle ache in my neck, and then the headache starts. 

So many things have changed over my 20 years of this off and on nightmare, my cycles have gone from 2 months on and 6 months off, Running that way for YEARS, to 2 months on 8 months off and then 10, then a year and a half, then two then 3 then 5...    I've been typing this post since 3 AM, its now 6:36.  Im in the middle of my newest nightly cycle, and they are the worst they have ever been dispite the fact its been so long I was about to celebrate their dissapearance for good...  My new wife, Tarijo, got a crash course on cluster headaches a few weeks ago, when I went from crushings cars, dissasembling engines and being a general pain in her butt, to pacing, rocking, punching myself in the head while crying, screaming, grunting.....  ect.. ect..  She is the ONLY one i have EVER allowed to touch me during my episodes.  I love her so much for being there for me.

I honestly have to say up to this point, I thought I was alone out here in hellsville.  She pointed this place out to me, but I wasnt interested at first...   I mean, what the hell could these people possable know about what I dealing with.  And then I read a few of the posts and get chills from the frist few I read.  As my heart starts doing loopty loops around my arse, it becomes pretty hard to contain myself, when I read posts that seem like they were taken from MY life.  Ive been dealin with this by myself for the last 20 some years...  Im tired.
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wimsey1
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Re: The 20 year sufferer in IA
Reply #1 - Jun 15th, 2010 at 8:25am
 
Wow! Great post man. Everyone here knows what you are going through, and there's a ton of great advice. Maybe the best news is there are abortives that work for so many of us, especially O2 (see the link on the left) and energy drinks. You don't mention if you've seen a headache specialist, or if you have tried preventatives like verapamil, lithium, or even one of 'triptalines. Another abortive that has worked for many is imitrex. Stay away from the aspirin route-that'll just give you an ulcer to boot. Keep reading and keep posting. God bless!
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Re: The 20 year sufferer in IA
Reply #2 - Jun 15th, 2010 at 9:42am
 
Present membership here is 7670 with about 1800 of that number outside the U.S.

You are very much NOT alone! And as you read more you will find a real depth of knowledge/skill which will help.
======




 
Cluster headache.
From: Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register (Orphanet Journal of Rare Diseases)
[Easy to read; one of the better overview articles I've seen. Suggest printing the full length article--link, line above--if you are serious about keeping a good medical library on the subject.]

Leroux E, Ducros A.

ABSTRACT: Cluster headache (CH) is a primary headache disease characterized by recurrent short-lasting attacks (15 to 180 minutes) of excruciating unilateral periorbital pain accompanied by ipsilateral autonomic signs (lacrimation, nasal congestion, ptosis, miosis, lid edema, redness of the eye). It affects young adults, predominantly males. Prevalence is estimated at 0.5-1.0/1,000. CH has a circannual and circadian periodicity, attacks being clustered (hence the name) in bouts that can occur during specific months of the year. ALCOHOL IS THE ONLY DIETARY TRIGGER OF CH, STRONG ODORS (MAINLY SOLVENTS AND CIGARETTE SMOKE) AND NAPPING MAY ALSO TRIGGER CH ATTACKS. During bouts, attacks may happen at precise hours, especially during the night. During the attacks, patients tend to be restless. CH may be episodic or chronic, depending on the presence of remission periods. CH IS ASSOCIATED WITH TRIGEMINOVASCULAR ACTIVATION AND NEUROENDOCRINE AND VEGETATIVE DISTURBANCES, HOWEVER, THE PRECISE CAUSATIVE MECHANISMS REMAIN UNKNOWN. Involvement of the hypothalamus (a structure regulating endocrine function and sleep-wake rhythms) has been confirmed, explaining, at least in part, the cyclic aspects of CH. The disease is familial in about 10% of cases. Genetic factors play a role in CH susceptibility, and a causative role has been suggested for the hypocretin receptor gene. Diagnosis is clinical. Differential diagnoses include other primary headache diseases such as migraine, paroxysmal hemicrania and SUNCT syndrome. At present, there is no curative treatment. There are efficient treatments to shorten the painful attacks (acute treatments) and to reduce the number of daily attacks (prophylactic treatments). Acute treatment is based on subcutaneous administration of sumatriptan and high-flow oxygen. Verapamil, lithium, methysergide, prednisone, greater occipital nerve blocks and topiramate may be used for prophylaxis. In refractory cases, deep-brain stimulation of the hypothalamus and greater occipital nerve stimulators have been tried in experimental settings.THE DISEASE COURSE OVER A LIFETIME IS UNPREDICTABLE. Some patients have only one period of attacks, while in others the disease evolves from episodic to chronic form.

PMID: 18651939 [PubMed]
=====
And see the PDF file, below.
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Re: The 20 year sufferer in IA
Reply #3 - Jun 15th, 2010 at 10:13am
 
Hey Perry,

Glad you made it here!  I still tear up reading posts like yours  Cry  CH is a horrible, horrible thing to have to deal with.  But help is at hand, ask questions, read the information on oxygen - it just might change your life!

See you round,

Kate
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Re: The 20 year sufferer in IA
Reply #4 - Jun 15th, 2010 at 10:42am
 
Like you, I have my lovely wife of 28 years to thank for finding this site. Sounds a little silly but this site justifies how much my head used to hurt! The idea of a group of people I can discuss CH with, without spending the first 10 minutes trying to explain my pain....awesome!!!

Yeah you're not alone. Now let's get you a treatment program, no offense sir, but yours sucks! Wink Smiley

A good prevent med you take while in cycle, most start with Verapamil, I use Lithium, Topomax also is a popular one.

A good abortive routine. Read the oxygen info link on the left...trust me in real life it's not at all complicated to use and the first time you abort a hit in 6-10 minutes you'll say "why the hell did i wait so long?"

So start reading like crazy, educate yourself....and then your doctor. This is NOT a condition you sit in front of a doc and say with a hopeful face, "fix me." They will tell you to not eat chocolate, not drink wine, stop smoking, lose weight, and stop being so stressed. NONE of which will help you with CH. Smiley

Welcome home.

Joe
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Re: The 20 year sufferer in IA
Reply #5 - Jun 15th, 2010 at 2:25pm
 
Just in case you're viewing the board in Index format, here's the oxygen info link:

Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register

I STRONGLY encourage you to look this over, carefully, since it can make an enormous difference in your life.  It won't decrease the number of attacks you get during a cycle, but if you're like more than 70 percent of us, you'll be able to knock one down to nothing in ten minutes or less, almost every time.

While I won't recommend that you go against a doctor's advice, it's possible to rig up your own oxygen setup, without a prescription.  Welder's oxygen comes from the same tank as medical oxygen.  You can purchase a regulator from e-bay, or from many other sources, and a high-quality mask (non-rebreather mask, or an O2ptimask set-up, specifically designed for CH, right here at the CH.com store). 

It works.  That's what I do, and so do many others here.

Joe (Guiseppi) and Bob gave you some great information as well.  The preventive medications they describe are inexpensive, and most people can certainly afford them without insurance.  You'll need a prescription, of course.

In the short term, you might want to try a couple of things.  This may sound nuts, but energy drinks with caffeine and at least 1000 mg. of taurine can stop a CH attack in its tracks for a significant number of people here.  Doesn't work all that well for me, but it will kill a shadow.

Taking melatonin an hour before bedtime (usually above the recommended amount--my magic number seems to be 9 mg.) can reduce the number of nighttime attacks in a good number of people.  It's not a hundred percent, but since nearly all my attacks come at night, it reduces the number of hits I have to deal with over the course of a cycle. 

Between melatonin and oxygen, and a few other tricks I've learned here, a CH cycle for me has ceased to be a six-week nightmare, and has become something that I can deal with.

I know all the stuff I've hit you with is a lot to process, and I won't dump anything else on you at the moment.   Wink

Look--your post really hit home with me.  Like you, I'm an episodic.  The first twenty years I had CH, I had six-week cycles, six months apart.  As I've gotten older, the cycles have gone to being 3 years apart.  It's still no picnic, as you know.   Wink

Also, like you, I had no effective treatment for these for many years.  Back in 1966, when I started with these, there was really nothing to be done about them.  Nothing that worked all that well, anyway.  After a time, I just gave up on the doctor route, learned to deal with them on my own, and went through the cycles hardcore.  At least I knew they were coming, could circle the wagons ahead of time, and prepare for them. 

I just want you to know that I don't have to do that anymore, and you don't have to either.  No matter whether you choose to see a doctor for them or not, there are things you can do to make life during a cycle livable again.

I wish you all the best.  Ask any questions you'd like--we'll be happy to answer them as best we can.

George
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« Last Edit: Jun 15th, 2010 at 2:46pm by George »  

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Re: The 20 year sufferer in IA
Reply #6 - Jun 15th, 2010 at 6:51pm
 
So last Monday we took a trip to the local hospital.  They gave Perry an i.v., oxygen (they brought in the wrong mask at first-I told the nurse it had to be a non rebreather mask!-glad she listened-we now have it at home), and a shot of imitrex.  He slept. We waited for the doc to come back in. She came with a script for cafergot.  Seemed to get rid of the tingles.  Monday night and Tuesday nights he slept soundly. Woke up all bright eyed the next morning.  All was right with the world again Smiley  Then came Wednesday night.  Not so great.  Then they got worse.  And worse.  And the cafergot wasn't helping at all.    Angry
I called the doctor back on Monday to get another appt.  I thought-the same routine as last Monday and a new script to try something else.  Instead she called back with an appointment for a good neurologist in S.F. who had dealt with these before and would have samples of some of the other meds available for CH.  In the meantime (the appt was 4 days away-that's 3 NIGHTS!) a new script was called in for Prednisone.  8 to 1 per 3 days at a dose.  Got it too late to take them Monday-according to the pharmacist who said it would keep him up all night.  He could've just as well taken them-he was up all night anyway.  He's been taking the welding torch to the side of the house and sucking the O2 out of that without a regulator or mask.  It seems to help.  Just got to get that regulator.  We run a salvage yard so we have O2.  I did try for a script for the oxygen through the doc, they haven't called me back yet.  I'm thinking that the neurodoc will give us one on Thursday if nothing else.

Thank you, babe, for finally checking this out.  I'm so very glad you did! Kiss
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Re: The 20 year sufferer in IA
Reply #7 - Jun 15th, 2010 at 8:46pm
 
Hopefully Bob Johnson will jump in here but as I understand it, one should not take Imitrex and Cafragot in the same instance.

It appears to me you have good tools to abort a headache. The prednisone will block for now but generally you can't stay on that more than 7-10 days and it's a taper off during that time. Generally people take something else as a preventative at the same time - such as verapamil or lithium so that one (or both) of those are building up as you taper off the prednisone.

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Re: The 20 year sufferer in IA
Reply #8 - Jun 15th, 2010 at 9:13pm
 
Quote:
I honestly have to say up to this point, I thought I was alone out here in hellsville.  She pointed this place out to me, but I wasnt interested at first...   I mean, what the hell could these people possable know about what I dealing with.


Quite a lot as you have found out my friend.

   Please keep reading and please thank whomever directed you to here.  I loved your description of your Mom.  She was doing the exact right thing.  Most Moms do.  Your Dad...well praying is fine but he really needs to be educated a little on this condition.

  People here...we all understand.  We have all been through it personally or have a husband/wife who goes through it.  No one here will ever dimisnish your pain as we have all been through hell and back.  I've been chronic for 23 yrs. now.

   You are no longer alone in this.  We are all family here and you are our newest member, so welcome.

    One of the abortives we always push here is pure oxygen.  A non- rebreather mask with a regulator that goes to at LEAST  15lpm.  (I have one that goes to 25, and I can abort a HA sometimes in less than 10 mins.)  Have you looked into this?  There is an 02 link to the left of here in yellow.  Please read it and feel free to ask any questions of us.  We are here to help.  That is why DJ started this site 12 yrs. ago. 

   Linda
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Re: The 20 year sufferer in IA
Reply #9 - Jun 15th, 2010 at 9:56pm
 
Great first post Perry. I can't add anything to what already has been said. Just wanted to welcome you to the nut house. Smiley
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Re: The 20 year sufferer in IA
Reply #10 - Jun 15th, 2010 at 10:16pm
 
Perry, glad to have you here. Kudos to your wife for finding us and bringing you here.

Christy
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Re: The 20 year sufferer in IA
Reply #11 - Jun 15th, 2010 at 10:20pm
 
You don't know how lucky you are that  you have a wife and supporter that looked up this web site and how smart you were for following her lead.  I consider myself one of the lucky ones as I only go through this "hell" for 30 days every 4 years.  It was 20 yrs until I was diagnosed.  I can't give much advice but to listen to what what is being said here.  Good luck my friend. 

Brett C.
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Re: The 20 year sufferer in IA
Reply #12 - Jun 15th, 2010 at 10:50pm
 
Wow....

That was a great post and great description Perry.

I'm glad you found us and know that you are in good company. It's great to meet you but I'm sorry it has to do with this horror.

Stick around. Pay attention to Bob Johnson and some others They know what they're doing.

Good luck.

Charlie
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Re: The 20 year sufferer in IA
Reply #13 - Jun 15th, 2010 at 11:41pm
 
I went thru most of yesterday dealing with the tingle torture over the right side of my head.  Its the feeling i usually get just before, and for a while after an attack, but this cycle I seem to have that feelin all day and then get hammered on all night.  Its unerving because this used to be my "eirly warnin detection system" and now this cycle its more like, "Maayybe I will....   Maaayyybe I wont...   I guess you'll just have to see."

Well i also spent most of the day reading the O2 link and watchin some of the video links.  The whole day me and the wife were discussing options and after reading that the O2 i use the the Medical O2 were still the same aside from a good tank scrubbing.  About 10 that night I started feeling that pinch in my neck, so out the door I went and to the torch,  I disasembled the wand and took the tip off so I ended up with a tube with two manual valves.  (I made sure to leave the Acceteline off just in case I accidently hork down some of that, God only knows what that would do to em.  Dont wanna find out.)  At the start I could tell this one wasnt gonna stop till about K7 or so, but after about 10 mins of pacing and suckin down the O2, (I literally clamped my lips to the tube, modulating air flow manually with my breathing.  On, off, on, off...  I find the reppettiveness of many things helpfully distracting.)  SUPRISE!!  POOF, headache gone...  even the tingleing usually left behind was gone.  WOW, It actually worked!!  I grabbed the torch cart and ran it to the back of the house, Giggleing my butt off the whole time.  Yeah thats a site in itself, me gigglin like a lil kid.  But what can I say, its the first thing thats ever kicked THEIR butts for a change.  Well, I cracked the window and shoved the wand and hose inside, ran back in and set up the disasembled wand by my chair at the AC unit for the night.

Yeah I didnt do the follow up breathing so I got another in a couple hours, killed it off like the last one plus the follow up breathin.  I was PF for the rest of the night till about 10 this mornin, had another.   This one was stubborn and didnt wanna go right away but a brief break and back to the O2 and put that one in its place as well.

I've known for along time that booze makes these worse, back when I was still a kid and drinkin alot, it helped me visit the 10th level of hell many many times.  I even got a 30 mile ride home from a highway patrolman who lived in my town, after explaning to him what was goin on, THRU a K9 that was heading for a 10.  He knew about them, had a relitive that had them...  small world.  He asked if I wanted an ambulance so I could get O2 but in my ignorance I said no and begged him to just take me home.  I shoulda took it, oh well.

I have literally learned more in the last TWO nights about these ugly things, hanging out here than i have any other time.  You all are the most courageous, helpfull and understanding lot I have ever met.  You guys shouldnt have done that...    YER STUCK WITH ME NOW.


Seriously.   Thank you all very much.  Im still readin
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For some conditions that people have, sleep is a refuge from pain, and a relief.  For us, it's Russian Roulette. - George
 
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Re: The 20 year sufferer in IA
Reply #14 - Jun 16th, 2010 at 12:47am
 
That's excellent!!!

Vigorous (sp?) exercise, caffeine and energy drinks such as Redbull can help with that tingly feeling you describe (shadows).

Wishin you all the very best!

Kate
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Re: The 20 year sufferer in IA
Reply #15 - Jun 16th, 2010 at 1:01am
 
Heavy Metal wrote on Jun 15th, 2010 at 11:41pm:
YER STUCK WITH ME NOW.


Smiley

Couldn't be happier about that, Perry. 

Welcome home.

Best,

George
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Re: The 20 year sufferer in IA
Reply #16 - Jun 16th, 2010 at 2:28am
 
Thank you Kate for pointing this place out to my wife, and thank you to my Wife for being stubborn as usual until I checked this place out.   Grin
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For some conditions that people have, sleep is a refuge from pain, and a relief.  For us, it's Russian Roulette. - George
 
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Re: The 20 year sufferer in IA
Reply #17 - Jun 16th, 2010 at 6:48am
 
Heavy Metal & Tarijo

I am soooooo Glad you found this place!!  Nothing beats the info and support you get here. 

I went for 2 years before being diagnosed, dealing with these monsters, I can hardly imagine going through 20 years.  I am a chronic CH survivor (prefer the term survivor rather than sufferer because that is what we do we survive each CH attack)and I don't get cycles, my CH just keeps going like the friggin energizer bunny.  I am glad you survived those long 20 years dealing with CH alone to finally end up here. 

Heavy Metal give your wife a huge hug and treat her like a goddess because she is truly a Good wife to bring you here, even if you were kicking and screaming the hole way.

Wishing you many more pain free days and nights!
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