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Chronic Abdominal Migraine Patient, Conventional Meds No Effect

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My name is Matthew, Around two years ago I was diagnosed with Chronic Abdominal Migraines, and has proven to be progressive to this day. I wake up everyday and throw up Bile and acid All day up to 10 hrs a day. I've had regular migraines since I was 4 was put on Topamax at 10 but was taken off a few months later due to it giving me speech issues. Currently I was put back on Topamax 3 months now, two weeks(or so) at 50 Mg, Then was up'd to 100 Mg. I've Lost 20 pounds due to me being unable to eat or drink in the span of 2-3 weeks. I've been Prescribed Phenergan(PN), Zofran(PN), Meclizine(2 daily night and morning),Klonopin 1mg(@night) And the Topamax(100MG at night, and other PN and regimen prescriptions that haven't been helpful. The Topamax at one point reduced the amount of vomiting slightly at the cost of increasing nausea immensely. There has been no medication that has been prescribed to me from a physician that has worked in a conventional way. I've noticed an increase of upper-body and diaphragm spasms.I'm Currently home bound for my senior year of high school. Any constructive input you would have would be greatly appreciated............
...........Meds ( in a clear list)
~~~All oral pills~~~
Omeprazole 40MG (1 a day)
Topamax 100MG (at night)
Klonopin 1MG (At night)
Meclizine 25MG (1 morning 1 night)
Tramadol 50MG (PN)
Ketorolac 10Mg (PN)
Phenergan 25MG (PN)
Zofran 8MG (PN)2 4MG dissolvable
Baclofen 10MG (PN)
~~~~Diagnosis I've been give~~~~
Dysautonomia
Cyclic Vomiting
Chronic Abdominal Migraines
Migraines
+Lyme disease
~~~~~surgeries~~~~~
Tonsils Age 2
Adnoids Age 4
Sinus Surgery Age 16
Gall Blader removal Age 16
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replied October 15th, 2014
Thank you for consulting e-health forum. I have serious doubts about the diagnosis of abdominal migraine. First of all it is a prevelege of children. Second, there is a lack of periodicity. You can not have a daily abdominal migraine. Some GI disorder has to be consideted. Some type of food intolerance is also an option. You do not mention any other symptoms, but I would get a brain MRI with a contrast, targeting area postrema in the brainstem.


Providing Top Neurology Services in the New York area. Excellence in treating headaches, dizziness, and head pain.
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Users who thank Andre Strizhak for this post: WarofDestiny 

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replied October 17th, 2014
We have had Different specialists, some saying yes(I do have this), and some saying no(I don't), to GI issues, including IBS, delayed gastric emptying, acid reflux, internal hemorrhoids. A well regarded GI specialist suggested we look into Abdominal migraines combined with cyclic vomiting. During the time of the Gall Bladder removal when they tested it, the tests came back showing it only emptied around 8-20% and when removed the surgeon told us it looked very diseased. To date these are the only test results that have came back with abnormalities.Thank you for the Advice for the MRI I will get that done as soon as possible and update.
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