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newbie from New mexico (Read 1812 times)
roughneckjdb
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newbie from New mexico
Sep 22nd, 2010 at 4:51am
 
Hi, I have been having these monsters now for two weeks  every evening after work they have all been 8 on the kip scale untill finally a 10 and off to the ER i go.  I laid on the bench with the corner of the seat cushion wedged in my eye socket for two hours and FINALLY the called me to the back and hooked a iv in the pain started to subside but still had alot of pressure the doctor didnt have a answer and the ct was negative he sent me home with loratabs,ibuprofin,and a weeks worth of methylprednisolone. I was free of the monster for 3 days and then last night it hit me again. I can feel it when it starts creeping up on me I have been trying the energy shots and drinks everynite after work I try and not think about it but the pain....well you know..Ive been thinking about what triggers it and it seems that my favorite drink might be one of the demons BEER. after just two I have a attack WHY???? Im 40 years old and have drank for years and years. In the days ahead im going to put it test NO ALCOHOL because as you all must know im willing to do anything to make  it stop but why did it start in the first place
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Kevin_M
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Re: newbie from New mexico
Reply #1 - Sep 22nd, 2010 at 5:39am
 
Too often the adventures with the in and out soup-line ER accommodations are ill-suited for CH.  The pred may have been the short-extending helper.  A good start is a diagnosis and oxygen. 

Welcome.     Smiley
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Re: newbie from New mexico
Reply #2 - Sep 22nd, 2010 at 6:32am
 
Hi roughneckjdb and welcome to the board.  Kevin gave you some excellent advice.  You'll need to see a neuro or a headache specialist to get a diagnosis and get on a proper prevent and abortive if you have CH. 

FYI Alcohol is a known trigger for CH'ers.  Stay clear of it at least until you get a proper diagnosis.  If it is CH you may have to kiss your beer drinking days goodbye.   Embarrassed

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roughneckjdb
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Re: newbie from New mexico
Reply #3 - Sep 22nd, 2010 at 6:59am
 
i have every symptom from my eye weeping like crazy the redness in the face the "dance" as u call it stuffy nose on the same side i even get nauseated and light hurts i thrash on the floor in my bathroom sweating like mad and looking for the spot to press on my head and face to make the pain go away  why now what causes ch i mean ive read on how its caused but WHY?????????
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roughneckjdb
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Re: newbie from New mexico
Reply #4 - Sep 22nd, 2010 at 8:28am
 
calling for apt to see a neru what can i expect?
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Bob Johnson
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Re: newbie from New mexico
Reply #5 - Sep 22nd, 2010 at 8:34am
 
First, your treatment at the ER was not adequate--a common problem with a disorder which is so infrequently seen that staff often know almost nothing about it. Get to a headache specialist, if at all possible.
----
LOCATING HEADACHE SPECIALIST

1. Search the OUCH site (button on left) for a list of recommended M.D.s.

2. Yellow Pages phone book: look for "Headache Clinics" in the M.D. section and look under "neurologist" where some docs will list speciality areas of practice.

3.  Call your hospital/medical center. They often have an office to assist in finding a physician. You may have to ask for the social worker/patient advocate.

4. Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register; On-line screen to find a physician.

5. Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register Look for "Physician Finder" search box. They will send a list of M.D.s for your state.I suggest using this source for several reasons: first, we have read several messages from people who, even seeing neurologists, are unhappy with the quality of care and ATTITUDES they have encountered; second, the clinical director of the Jefferson (Philadelphia) Headache Clinic said, in late 1999, that upwards of 40%+ of U.S. doctors have poor training in treating headache and/or hold attitudes about headache ("hysterical female disorder") which block them from sympathetic and effective work with the patient; third, it's necessary to find a doctor who has experience, skill, and a set of attitudes which give hope of success. This is the best method I know of to find such a physician.

6. Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register NEW certification program for "Headache Medicine" by the United Council for Neurologic Subspecialties, an independent, non-profit, professional medical organization.
        Since this is a new program, the initial listing is limited and so it should be checked each time you have an interest in locating a headache doctor.
======
And start learning about CH.  see PDF file, below.
======



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]
====
Explore the buttons, left, starting with the OUCH site.
====
Alcohol does not cause Cluster but, if you have the disorder, it will trigger an attack when you are in an active period/cycle.
====
Stay away from pain meds, OTC or Rx.






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Bob Johnson
 
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Guiseppi
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Re: newbie from New mexico
Reply #6 - Sep 22nd, 2010 at 8:36am
 
Welcome to the club, the beer didn't cause your CH.....that's a slightly messed up hypothalamous you've had since birth....the beast just woke up! Now that the beast is awake, while you are on cycle, the beer WILL cause you to have attacks.

A couple of reasons to get to a headache neuro. First off, you want to eliminate the rare but sinister causes of severe head pain. You don't wanna be masking the pain while something ugly grows! Rare, but you want to get it checked.

More importantly, most GP's get wigged out over the stuff we use, Lithium, Verapamil at really really high doses, Topomax, Oxygen........you'll have a better shot at getting what you need with a neuro....but make sure he's a headache neuro as this is a unique specialty.

Then you develop a treatment plan....here's mine, just as an example...there are as many variations as there are cluster heads!!! Smiley

A cycle starts, I go on a 10 day prednisone taper to keep the beast at bay while I start up on my prevent, 1200 mg of lithium a day. (Don't let the Hollywood stereotype fool you if I didn't tell you I was taking it you'd never know!!) After I've been on Lithium about 10-14 days it'll block 60-70% of my attacks. Verapamil, at high doses, up to 960mg a day, is a very common first line prevent, Topomax has a pretty loyal following.

An attack starts....now comes the abortives. Read the link Marc gave you, 32 years and 02 is still my first line abort. It's simple....a little green tank, a regulator and a mask. Huff 02 for 10 minutes and I am pain free. Imitrex injectables work as fast or faster then oxygen...BUT....they are expensive and there is growing opinion on the board that these and similar triptans actually extend cycles. Imitrex nasal sprays are popular, less expensive then the injectables. DO NOT let them give you the imitrex pills, they take too long to get into your system and don't work for most.

Learn your triggers, mine are alcohol..a very common trigger, sleep disruptions, and sustained stress. Stress is a funny one. For many, when they relax from stress they get killed. Sounds like you may be one of those with the end of your work day hits. I'm the opposite, sustained stress gets me. And letting myself get really hungry. Batch explained once why that is but it can be a common trigger.

That's a lot for now. You have much reading to do. You can't cure CH, but with a little bit of work and planning, you can sure reduce the negative impact it has on your life.

Joe

Edited to add: I see Bob jumped in while I was typing, great template for finding your neuro.
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« Last Edit: Sep 22nd, 2010 at 8:37am by Guiseppi »  

"Somebody had to say it" is usually a piss poor excuse to be mean.
 
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Re: newbie from New mexico
Reply #7 - Sep 22nd, 2010 at 8:46am
 
roughneckjdb wrote on Sep 22nd, 2010 at 8:28am:
calling for apt to see a neru what can i expect?


Ask about starting a headache log, or getting a template for one from them.
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roughneckjdb
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Re: newbie from New mexico
Reply #8 - Sep 22nd, 2010 at 3:24pm
 
first of all thank you all of you for getting back to me i have told the guys what i have and get the oh its just a migraine but its not i have never felt anything like it.  I find myself not wanting to go home after work cause im sitting there wondering with each min if the beast is going to fire up again. I took my referral and tried to set an appointment with the neuro they have nothing open untill december Undecided  so now im heading to a family doc and hope to god he will know about ch and help... a heat pack and ibuprofin just aint gonna cut it  im already on a mission to get o2  and have been taking energy drinks as soon as i get off work  once again thank you all for helping
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Guiseppi
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Re: newbie from New mexico
Reply #9 - Sep 22nd, 2010 at 4:16pm
 
You can print out a great deal of info on oxygen from the oxygen info link on the left. Might make your GP less nervous about prescribing it when he sees this is not some crack pot idea you just cooked up! Wink

Also, call the neuro's office every other day or so and check for cancellations.....might be able to sneak in a little quicker.

Marc mentioned welding 02, same stuff as they put in med tanks and a lot of people here use it successfully.

Joe
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Re: newbie from New mexico
Reply #10 - Sep 22nd, 2010 at 5:32pm
 
Whilest you're waiting to get into the Neuro or your regular doc here are a few over the counter helpers:

4-Way Nasal spray or Dristan 12 Hour Nasal Spray helps with the annoying congestion.  ** Note ** Do not use this more than 3 days in a row!!  It can cause severe sinus problems.

Taurine and Caffeine drinks (RedBull if you like it) to help prevent a hit when you feel one starting.

Melatonin or an Allergy pill at night before bed to help avoid night time hits.

The herb Kudzu has helped a few as a prevent.   

Deep breathing through the milder hits can help too.

Hot/Cold Compresses Depending on your preference can help as well.


Make sure you start a headache journal, you can make your own, here's what you will need to note on it.

Date:      
Time of Day of CH hit:    
On pain Scale 1-10 10 being highest what is your pain at?
Duration of Headache:
Symptoms that come with your Headache:
What, if anything you tried to get rid of HA:

You can make up your own HA Journal and if you get more than one in a day use 1 piece of paper/page per day, or you can use MS Excel for this.
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Re: newbie from New mexico
Reply #11 - Sep 23rd, 2010 at 8:25am
 
I cannot touch a beer while in cycle,out of cycle no problems. One beer, boom a headache. Now that I think my cycle is over (20 days PF) i have had a couple beers and no issues. It was easy not having that beer when I seen it was triggering a headache.
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IT'S JUST A HEADACHE,TAKE TWO ASPRIN AND GO TO BED!!!
 
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Re: newbie from New mexico
Reply #12 - Sep 23rd, 2010 at 12:20pm
 
Kevin_M wrote on Sep 22nd, 2010 at 5:39am:
Too often the adventures with the in and out soup-line ER accommodations are ill-suited for CH.  The pred may have been the short-extending helper.  A good start is a diagnosis and oxygen. 

Welcome.     Smiley



The above advise is sound... Please get diagnosis by a neuro or headache specialist...
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