How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask DrRussMD Your Own Question
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 65289
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
Type Your Medical Question Here...
DrRussMD is online now

I've had a migraine days. I went to a and e yesterday

Resolved Question:

I've had a migraine for three days.
I went to a and e yesterday as I had weakness on one side. They ruled out a stroke via an Mri scan.
I've also had this before once.
I've been on agony since with no letting up even after taking codeine and paracetamol. I feel sick and have been sick and I've tried the usual migraine advice. Nothings working. What do I do.
Submitted: 1 year ago.
Category: Medical
Expert:  DrRussMD replied 1 year ago.
HelloYou are taking the wrong medications.You need a tryptanThis can be given in increasing dose under supervision.You should go back to a &e OK, so you might have more questions or want to give me more information: Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent—that’s how we are paid, per rating]. If you forgot something, come back. I am here daily.
Customer: replied 1 year ago.
The Dr gave me the codeine :(Should I go back then seems as it's not wearing off at all. I don't want to waste their time but I'm in agony.
Expert:  DrRussMD replied 1 year ago.
Wrong drug.Yes , go back.Get a tryptan medication. please click a positive rating [hopefully excellent—that’s how we are paid, per rating]. If you forgot something, come back. I am here daily.
DrRussMD and 2 other Medical Specialists are ready to help you
Customer: replied 1 year ago.
Thought I'd update you. Went back and saw the triage nurse who basically said nothing can be done. All migraines give stroke symptoms and I need to stay hydrated (even though I'm throwing up) and it will go away some time.
Expert:  DrRussMD replied 1 year ago.
I did not say to see a nurse.Thankfully, in the US for one example, the triage nurse does not make such decisions. Everyone sees a doctor after the nurse.Let's go over some facts here.Codeine is not an appropriate migraine med, nor is it very effective.Acute migraine is best topped with a tryptan drug, at the same time that a chronic and effective migraine drug is prescribed. You have neither. You are not receiving a good standard of care, and the nurse was incorrect.If you know of a good acupuncturist, they stop migraine very quickly. It is said that you have to go private in this sense, but it would be more effective than the care you are currently getting.
Customer: replied 1 year ago.
Thank you for all your help. I appreciate it.In the UK we see triage then the Dr but for some reason she ended it their as she felt it was just a migraine and needed no more help.
Expert:  DrRussMD replied 1 year ago.
That is just wrong.I would write a letter to the hospital administrator and the nursing and medical directors. See that they all get that.The nurse was out of her line.