My spouse has a headache after every effort?

28-year-old woman2 years ago
Hello, as soon as my spouse forces himself or has a pressure that goes to his head, whether it is when he has a bowel movement or during sexual relations, he starts to have an intense headache and then 3 times in less than 2 weeks, it was a big migraine to the point of hiding in total darkness and literally wanting to tear his head off. What could be causing this? Is this an urgent situation to see a doctor? Other than extra strength Tylenol, is there anything else he could take that would help him more? Thank you for your help!
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Naji-tom Samaha · 2 years ago
Hello ma'am, thank you for your question!
In order to get a better handle on the situation, would it be possible to get the following information:
Is he taking any other medications?
Does he have any allergies?
It's been the past 2 weeks, every time he forces, or just sometimes?
Thank you!
28-year-old woman · 2 years ago
Hello,
Other his asthma pumps (which have not changed) no he does not take them.
Then it is as soon as a pressure rises in the head. Whether it's straining to lift or go to the bathroom or if he's angry and the pressure builds up he gets a headache and sometimes it goes right to the big headache or he can't endure any noise/light
Naji-tom Samaha · 2 years ago
Thanks for the feedback!
It's good enough that some factors can be identified such as forcing (to go to the bathroom), or a change in mood. These will need to be avoided, if possible.
In relation to straining to have a bowel movement, this can be avoided by increasing his fiber intake as in fruits & vegetables, whole grains (oatmeal, brown bread, brown rice, etc.) and drinking plenty of fluids. If needed, a product can be suggested at the pharmacy to help relieve constipation.
If the pain occurs while lifting or exercising, the first thing to check for is whether he is 'holding his breath' when he exerts himself. This can greatly increase sinus pressure, even if only for a short time, and is definitely to be avoided (ditto when he has a bowel movement).
As for the migraine itself, if your spouse's asthma is well controlled, ibuprofen (Advil, Motrin, and other brands) may be more effective than Tylenol for the migraine. Keep in mind that in some people, using anti-inflammatory drugs like Advil can worsen asthma or trigger an asthma attack, although this remains rare.
If these measures don't work, a doctor should be consulted for a thorough evaluation of one's condition as a precautionary measure.
Cordially
Tom Samaha, pharmacist

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