06/25/07 #2 - Migraines after lifting, orgasm, other activities?

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  • Full Question:
    I get migraines once a month around my menstrual time (which has now stopped, I’m 48). My question is about this new migraine? I'm getting and have been getting it now for 2 and 1/2 weeks. When I have an orgasm, lift something heavy or strain just a little having a BM I get this sensation running up the left side of my body up my neck proceeding into a sharp jabbing pain in my head to an intense throbbing pain. I can feel my whole head pulsating and the pain is unbearable. I then have a very bad migraine from that point on for a day or so even after taking 2 migraine pills along with pain meds (Lortab).....any ideas? Kim.

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    Dear Kim;

    Any time Migraine pattern changes, it’s time to check in with your doctor. There are a couple of things we suggest discussing with your doctor. These could simply Migraines triggered by exertion, and your doctor may be able to prescribe something to prevent them. The other thing to discuss is the possibility of increased cerebrospinal fluid pressure as this can add to this type of trigger. Fully ruling out CRS pressure would necessitate a lumbar puncture to measure the pressure. If it is high, your doctor can pull off enough fluid to put it in normal range and look at medications to keep it at an appropriate level.


    Good luck,
    John Claude Krusz and Teri Robert

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Published On: June 25, 2007