How to manage if migraines get worse over time?

Question

Hi doctor,

I have been dealing with severe migraines for the past six months, and they are progressively getting worse. I am 34 years old, work in information technology, and spend more than 12 hours a day in front of screens.

The pain typically begins behind my right eye and then spreads, accompanied by intense throbbing that renders me completely non-functional. Light sensitivity feels unbearable, almost like sharp daggers, and I have experienced vomiting during three episodes just last month.

Over-the-counter medications barely provide any relief anymore. My sister suggested Botox injections, but that seems rather extreme to me. These migraine attacks are significantly affecting my work performance. I had to leave two client meetings last week in the middle of presentations because of them.

I have started dreading mornings, constantly wondering if another episode will strike that day. Interestingly, coffee used to help in the past, but now it seems to trigger the attacks instead.

Is this still just a migraine, or could it be something more serious?
What treatment options do I have besides isolating myself in a dark room and waiting for the pain to subside?

Please help me.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

It sounds like you are experiencing chronic migraines, which means they occur frequently and are quite severe. The pain behind your eye, the throbbing in your head, nausea, and sensitivity to light are all classic symptoms. These migraines may be triggered by excessive screen time, stress, inadequate sleep, missed meals, or even coffee, which may have once helped but now seems to worsen the condition.

What you can do:

See a neurologist: a specialist can confirm whether these are migraines and rule out any serious underlying conditions.
Medications can help: there are specific migraine medications taken during an episode and others taken daily to reduce how often the migraines occur.
Botox is a valid treatment: it is safe and approved for people with frequent migraines. It is not just a cosmetic procedure; doctors use it to help prevent headaches.
New injections are available: CGRP (Calcitonin Gene-Related Peptide) blockers are a newer class of drugs that have been effective for many people with chronic migraines.
Make lifestyle changes: take regular breaks from screens, stay hydrated, maintain a consistent sleep schedule, and avoid skipping meals.

Feel free to ask if you need any more clarification or help with your questions.

Thank you.