Top 75 Migraine and Headache Questions, #19

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  • Full Question:
    I work outside in the heat of the day, but am in the shade the majority of the time. I drink plenty of water with added electrolytes during the course of the day since I sweat so much. I feel fine and never get a headache while outside. The problem is when I go back to my office after being outside for 6 hours; I get an excruciating headache that always starts at the base of my skull on the right side. It slowly continues to get worse and spreads around the top of my head to my eye. It stays on the right side and does not go away unless I take a nap. The only thing I can figure out is it is the change in temperature from the air conditioning, but it is not set at a low temperature. Any tips to keep this from happening? Thanks, Pamela.
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    Dear Pamela;

    Well, that's an interesting story. Changes in temperature, if sudden, can allow a headache to happen or trigger a Migraine. Have you successfully treated these with Migraine-specific medication after they began? (i.e., triptans). I guess it would be easy to say something like: don't let the temperature changes occur too fast. I have had a patient who had a similar pattern who put a cold towel (or ice bag, etc) around the neck prior to the change in temperature and this maneuver helped. But that's only one person. Keep us posted on whether this works.

    Good luck,
    John Claude Krusz and Teri Robert

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    Dr. Krusz is a recognized expert in the fields of headache and migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert. If you have a question for this section of our site, please click HERE. Accepted questions will be answered by publishing the answers here. No questions will be answered privately.

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Published On: April 10, 2007