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Four weeks of pain and finally some answers... (Read 1071 times)
Emma_s
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Four weeks of pain and finally some answers...
Aug 14th, 2009 at 12:12pm
 
Hello. I am very new to all of this, so please bare with me! I am female and nearly 25 years old.

I was released from the hospital today and have been told I have developed Cluster headaches. The Neurologist gave me the OUCH website to look at, and I found this website from there - it is nice to see that there is a community with such a wealth of information.

My story so far - I have normally suffered from migraines about 1 to 2 every month. I could just about tolerate them without too much of a trouble (I found the aura to be the worst and that did not last too long) 4 weeks ago, I had a very nasty spout of flu (maybe Swine Flu) and was in bed for a week, with a bad tension headache/migraines and other symptoms. As the symptoms of flu went away, the headaches remained (I also had very painful ears and ringing with the headaches)

What was so different on the second week however, was when I was woken up in the night. My eyes were running, nose was stuffy and I have the most vile pain inside of my left eye and down the bridge of my nose, like someone was stabbing me violently. I got up and paced around the house as the excruciating stabbing pains continued. It didn’t last very long and then went. When I went to sleep the next night, nothing happened so I assumed it was a bad migraine (I knew it wasn’t anything like a migraine as it felt so very different). However I got it again the following night and it seemed worse and then every other night it returned for a week (as well as migraines inbetween and a constant sore tension headache). One attack left my eye so red/swollen it looked bruised after and looked like someone had punched me.

After the 4th week my partner insisted I went to hospital and I was terrified I had something wrong with my brain. The constant headache and migraines didn't scare me, it was going to sleep. I couldn't do anything with the pain but pace around mumbling loudly to myself - I felt very lost. I had been seeing my doctor, who was trying to be helpful but he just didn’t know what to do (any tablets he gave me were next to useless and I could only take them when I had an attack rather than prevention before sleep)

I went to A&E Monday and was admitted to the Neurological ward. I had loads of tests done, including CT and eye tests (my pupils change size quite a lot and sometimes both are different). I experienced one of these bad attacks in the night - I rocked on my hospital bed as the pain hit me again - two nurses didn't know what to do, they offered me codiene but what was the point, the pain would be gone before they had chance to do anything. I saw a Neurologist the next morning and we went through everything - he thinks as I had a bad case of flu and was very ill, I have developed Cluster Headaches and as the clusters are now less frequent (every 4 days now) he thinks I am coming off an episode. I have been given a medication to squirt up my nose to assist and will be going in on Monday for another drug which requires me to inject myself. I will also be discussing Oxygen at my first outpatient appointment which has been made for me by the Neurologist. I will also be doing a headache diary to try and see if there are triggers (apart from getting flu!)

I took the quiz and answered no to most of the first 8 and yes to all but the droppy eye (I have watery eyes instead)

Many thanks for your patience in reading my long post and I hope it makes sense!
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Callico
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Re: Four weeks of pain and finally some answers...
Reply #1 - Aug 14th, 2009 at 2:55pm
 
Hi Emma,

Sorry to say, Welcome to the family.  It sounds like you have found your new home. 

Let me suggest you read as much as you can.  You will find a lot of excellent info available here, and I would particularly direct you to the oxygen info button on the left.  It appears you already are somewhat familiar with it as you mentioned it in your post, but I want to be sure you have the info you need to get it prescribed correctly.  Used incorrectly it is less than satisfactory, but if you can get it prescribed for at least 25lpm you can use less if it works, but will have the greater amounts if needed.  Also, I would suggest you order the mask from the CH.com store.  It was developed for us by Linde, and makes a real difference.  I just got one at the convention last month, and with 25lpm I can knock out a hit in about 5 mins.  Much better than I was able to do at 145lpm with just a standard non-rebreather mask.

Finally, as you read you will come up with questions.  Ask them!  For the most part you will find a very caring group here who are here because of what we have learned from others and want to pay back.  You will get your turn on that end if you will stay around.  If your cycle is actually ending as it appears it might be I would suggest you still stay around and prepare yourself for when the beast comes calling again.

Jerry
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"Political correctness is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a piece of dung by the clean end." Texas A&M Student (unknown)
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Emma_s
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Re: Four weeks of pain and finally some answers...
Reply #2 - Aug 15th, 2009 at 5:04am
 
Thanks for your reply Callico.

I will certainly look into buying the oxygen mask that you suggested, I have had a read around the board and have seen that the mask itself makes a huge difference.

My Neurologist seemed to know quite a lot about Clusters, which seems to be lucky from what I have now read and I can see working with him to be easier than my GP who no doubt will palm it off (I have a few allergies that make my tongue and throat swell, and he never seemed bothered about giving me an epi pen to carry around just in case - so I insisted as the hospital wanted me to have one.) The Neurologist also strongly suggested I tell my work, family and GP about the OUCH website so they can all understand what it is.

I do indeed have some questions and in the future I do like the idea of helping others so I will try and get as clued up as I can over a period of time.

I wonder really what 'shadows' are. I do have a permenant tension type headache all day and sometimes it feels worse around my left eye/bridge of my nose and my pupil gets smaller or bigger, but the pain is throbbing rather than a stabbing typ pain.

Sometimes when I have an attack in the night my temp is high for some hours afterwards, even in the morning. The hospital took my blankets off of me because it was high, despite that fact I felt so cold. Do you think this be connected enough to put in a headache diary or do you think this is just me rather than the cluster?

I have had up to KIP7, is this something that remains constant with each cycle or does this really range differently with each new cycle?

Thanks again Smiley
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Callico
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Re: Four weeks of pain and finally some answers...
Reply #3 - Aug 15th, 2009 at 11:20pm
 
Shadows are what we call  low level hits, say up to a K3 or so that can hang around for a while, and or precede or follow an attack.  They are also a feeling almost of dread that I get for a while just before a hit.  Kind of like seeing the shadow of the school bully at the corner of the building.  You know he is just waiting to pounce, but you can't really see him.


The tension type of HA sounds to me more like allergy, but I'm certainly not a Dr.  The only thing I have in common with the medical field is my bad writing. Cheesy
Wht you are experienceing around your eye could be shadowing.  Not everyone experiences CH in the same way.  Mine will occasionally throb, especially the lower K hits, but always around the right eye and temple, which is where I get my attacks.

As to the variation of temps I have no opinion.  I've not experienced it other than the area around my temple will be hot to the touch for a while, but that is probably due to rubbing and pressing on it.  Are you trying to stay in bed during a hit?  I don't understand how you could.  Lying down exacerbates mine rapidly!  It could be you are elevating your ody temp through the exertion of fighting the pain, but I don't understand it remaining elevated.  It definitely sounds as if you have an underlying problem causing that.

Don't worry about how high numbers your attacks reach.  Each of us reacts differently, and each cycle is different in its presentations, and your treatments will vary, so consistancy is only reached by its inconsistancy.  Does that make sense?  If so, please splain it to me! Cheesy  The purpose of the Kip numbers was developed by Bob Kipple, one of the founders of OUCH and early participants on this board(recently deceased), in order to have a more definitive way to describe our pain level to our Drs and others rather than just a nebulous 1-10 scale of a frown face or a happy face.  You don't get brownie points for getting higher numbers! Grin

Here is a link to a letter for you to print out and give to collegues and friends.  You will also find it at the top of the index page here in the "Getting to Know YOu" section.  Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register; It is as comprehensive an explaination as I have seen, yet is understandable to those who don't have a medical background.  It has been very helpful to me over the last few years, and I'll be using it again next week as we start a new school year.

Hope all of this helps.

Jerry
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"Political correctness is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a piece of dung by the clean end." Texas A&M Student (unknown)
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Emma_s
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Re: Four weeks of pain and finally some answers...
Reply #4 - Aug 16th, 2009 at 5:46am
 
Thanks for you reply again - I am thankful to you for answering my questions.

I am writing everything down in a diary so I think until I have a decent amount of information to look at, I don't think I can say 'that is a shadow' if that makes sense? I don't want to lable something if it could be something else - I do have a few allergies, but I eat a very varied diet so I am not sure if I should have a constant headache as in the past they have come and gone depending on what I have eaten.

I do not lie down at all when I have had a CH at night, I can't bare it!  The only time I was not pacing around was in hospital but I was sat cross legged in the middle of the bed rocking and flexing my fingers. I didn't explain myself very well in my last post - sorry about that! I had a high temp the morning after a CH whilst in hospital and the nurses took my blankets off of me then.

The KP scale is a good idea too as when I was in hospital all I could describe a CH was off the scale of the 1-10 smiley face chart that hospitals have (I had already described bad migraine pain as 7, how could a CH just be 10? Grin) I think the doctor I am working with knows of OUCH well so I am sure he will appreciate the KP scale when I use this in a diary. I am thankful that I have not had higher than KP7 this cycle, but now realise that next time it could be very different.

Thank you very much for the letter from the OUCH website too - that is fantastic and I will certainly use it! A friend took me to my doctors appointment as I was having a migraine and couldn't see and as we were waiting she said 'oh dear now I have a headache' and she has not even had a migraine before and I thought to myself 'HA if only you knew!!' (not that I would wish any pain on anyone of course, but with this letter hopefully people can be a bit more sensitive)

Are you a teacher? How do you find your work collegues react to CH?
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« Last Edit: Aug 16th, 2009 at 5:48am by Emma_s »  
 
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BarbaraD
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Re: Four weeks of pain and finally some answers...
Reply #5 - Aug 18th, 2009 at 7:33am
 
Emma,

Welcome to Clusterville and your new family. We UNDERSTAND cause we're all in the same boat.

O2 has worked wonders for about 70% of us and most of us use it as our FIRST resort to abort the pain of CH. Used at a high flow rate (15-25 liters per minute with a non-rebreather mask or the one listed at the CH.com store - the Opt2tic mask) it usually aborts mine (without any drugs) in just a few minutes (and I'm chronic). The secret is getting to it as soon as the hit begins.

I take Melatonin at night (12-15mg) at bedtime to keep the night hits at bay. I've done this for years and very seldom get hit at night. It may take a week or so for this to get in your system, but getting some rest at night HELPS get thru the days. THe Melatonin gets you thru the REM sleep which is where the CH hits during rest (about 90 minutes after you go to sleep).

Again, welcome to Clusterville. Stick around and read all you can. We have 100s of years of "experience" on this board and a lot of good folks willing to share with you. Someone is here 24/7 to answer questions. Ask away.

Hugs BD Kiss
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