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after ten years, finally an answer (Read 1754 times)
SmallNStout
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after ten years, finally an answer
Apr 22nd, 2014 at 3:47pm
 
I've been looking for answer for my headaches for over a decade now, and I think I finally have it. Cluster headaches, the category, is new to me, but the symptoms are pretty exact.

When I was a kid, I had migraines - typical. Headache came on, I avoided light, people, sound. Laid still - got sick, slept for 15 minutes, and then it would be done. When I was 18, interestingly enough, they went away. For 5 years I had no headaches at all.

Then, in 2003 I started having a different kind of headache. One side of my head, the left side, around my eye (top and bottom) would erupt in pain like I had never felt before. Ripping my hair, kicking my legs, screaming at the top of my lungs, begging someone to shoot me. To my surprise, however, I never felt ill, only the unbelievable pain. My right nostril would clog up, completely and my right eye would tear up (opposite of the side where the pain was) and so I thought it was a sinus thing.

This would happen every once in a while - maybe every month or so. Then they would just vanish... over the last ten years, it has established this pattern, where, during the winter, I would have a mild headache, on that same side, every day for the entire season. The occasional Demon headache would jump in there too.

I went to Neurologists, ENT's, allergists, dentists, and eye doctors and and NONE of them said I had any problems. Well except, of course, the neurologist, who prescribed Imitrex and sent me home. The two times I tried that, It actually escalated the pain to new levels I didn't know existed.

Finally, just yesterday, after the second ENT told me my sinuses were fine, I stumbled across a list of Trigemenal (spelling?) pains disorders, and found Clusters... and it fit. The sleep disorder (I'm a massive insomniac), the tearing eye, the stuffy nose, the consistency of timing (always afternoon - evening time. NEVER in the morning. Always far worse in the winter). I'm a bit different in that they do not wake me up - usually occur an hour or so before bed.

I've only had painkillers to treat the big demons with - we're talking the big boys, loritabs, not advil. They can take the demon down, but not until I've wrestled with it for a good hour or so. I've also discovered that hyperventilating, usually caused by accident, actually helps for a minute or two. This makes me wonder if O2 might work for me.

On the side note, I am a natural bodybuilder who exercises 2-3 hours a day, 6 days a week without fail (until the demon visits). I have an impeccable diet and try to stay away from any meds except for my supplements. That being said, I'm looking into research for CH based around the hormones Melatonin and Testosterone. I've not had my levels tested, but some case studies report success in men with low test/melatonin and CH.

In any case, I wanted to find others who have this, so I can learn all I can, and well, find a/be a support system.

Thanks
D
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maz
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Re: after ten years, finally an answer
Reply #1 - Apr 22nd, 2014 at 6:46pm
 
Hi,
If your neuro prescribed imitrex then he must have thought it was clusters too as imitrex is the most widely used abort method. It's a pity it didn't have the desired effect as it's a lifesaver for most of us. Ask you doctor for preventative meds - varapamil seems to be most peoples fave.

Your painkillers may not be working as you think. A typical cluster will last from several minutes to several hours, so it's quite possible that after wrestling with it for an hour it goes by it's self, and the painkillers actually played no part in it. My own neuro told me that no painkillers will work for CH. Not even morphine.

It's interesting that you've discovered that hyperventilating works. Ask your doctor to prescribe oxygen for you. It's miracle juice. But, THIS IS IMPORTANT, you must use it correctly or it won't work. You need a flow rate of at least 15 litres per minute or more, with a non rebreather mask. The pain is caused by dilated blood vessels pressing on the trigeminal nerve, and high flow, pure 02 is a vasoconstrictor. I have only been using 02 for a few weeks myself, and I can't believe the difference it's made to my life.

Look for posts by Batch about a vitamin D3 regime. It has taken these boards by storm and is effective for 80% of those who use it. Some are completely pain free after years of being chronic sufferers. If you send him a PM and tell him about yourself I'm sure he'll help you as he's a great guy. He's almost God to most of us.

Many of us take melatonin too, to help with getting some sleep. You need to take 10 - 15 mg a short while before going to bed.

Read everything you can on these boards and you will find more knowledge about this condition than all the doctors put together. And there's always someone to listen if you need to rant, which we all do from time to time.

Get the 02 without delay. You won't regret it. Let us know how you get along.
Maz.
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SmallNStout
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Re: after ten years, finally an answer
Reply #2 - Apr 23rd, 2014 at 7:46am
 
Hi and Thank you Maz Smiley

When it comes to painkillers, I know they work. Every neurologist I have been to has told me "Painkillers don't work on <insert headache here>" and that is mostly because while they WILL work, they are easily addicting, and lose efficacy after small amounts of time.

My GP suffers from CH has well, and has focused her research career on CH, and is the leading expert in my area on Trigeminal pain disorders. It was her that prescribed them with an understanding that I don't have an addictive personality, and that I know better than to take them all the time (not for shadows, just for the beast). Neurologists also tell me things like "LSD doesn't do anything for headaches, don't listen to the research" blah blah, and well, we all know that isn't true.

I am a non-responder to a LOT of meds (including all anesthesia... I wonder how many other ClusterHeads are as well). For instance:

1. Verapamil (taken in highest doses possible with an EKG) - non-responder
2. Topamax (taken in 500mg) non-responder
3. Prednisone (took 1 time) non-responder and I won't ever take it again, seeing as its a catabolic steriod.
4. Lithium - I won't take this as its counteractive to my training
5. I drink 1-1.5 gallons of water a day, so water doesn't help me Sad
6. I take tons of vitamins and supplements daily (including D3) but I am not sure of the dosage of the D3. I will check into that.

I think O2 is my last real answer for rescue, but not prevention. Several studies that I have read focus on low test in men and CH. Given other symptoms, that MAY be the case with me - I am going to have my levels tested. Others have spoken of some psycho-active drugs (antidepressants, etc) that worked for them, but I really hesitate to go down that road until every other path for prevention has been attempted.

I'm glad I have found this board, so much information, and so many kind souls who are willing to be here to listen.
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Bob Johnson
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Re: after ten years, finally an answer
Reply #3 - Apr 24th, 2014 at 10:31pm
 
We have at least two options: You're a most unusual case where none of the more common meds don't work and pain meds do (contrary to the usual pattern with Cluster folks), OR,

You may not have Cluster.

Explore: 
Link to: cluster-LIKE headache:

IN: "Medications, Treatments, Therapies --> "Important Topics" --> "Cluster-LIKE headache"
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Bob Johnson
 
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shoot
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Re: after ten years, finally an answer
Reply #4 - Apr 25th, 2014 at 4:07am
 
My neuro told me that pain meds dont work with clusters because they block the nerves from receiving pain signals,with clusters it is the nerve itself that is in pain so there are no signals to block,or something along those lines. It has been my experience that Pez work just as well or better than Vicoden when Im trying to get the monster back in his cage.
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SmallNStout
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Re: after ten years, finally an answer
Reply #5 - Apr 25th, 2014 at 11:15am
 
Bob Johnson wrote on Apr 24th, 2014 at 10:31pm:
We have at least two options: You're a most unusual case where none of the more common meds don't work and pain meds do (contrary to the usual pattern with Cluster folks), OR,

You may not have Cluster.

Explore: 
Link to: cluster-LIKE headache:

IN: "Medications, Treatments, Therapies --> "Important Topics" --> "Cluster-LIKE headache"


Unfortunately there are no other headache conditions which come close to matching my symptoms other than CH. Now, after going back through my journal, there are some things I had no really thought of:

1. Pain meds (of any caliber) don't do anything for my small (k1-7) headaches. I just have to wait them out.

2. Pain meds only "worked" when the beast was out, but only after at least an hour (usually 1.5-2 hours). I always attributed this massive time lapse between taking a pill and getting release to slow digestion during an episode (just a guess on my part) but it could be that the beast had just decided to cease and without the pain I could actually feel the nasty dizziness from the pain med. I've not tried to take something to fight off the beast - it was just how I was raised. I'm lucky in that the beast only attacks me between the hours of 3PM and 9PM, never later and never earlier - so I am almost always at home, where I can scream and kick all I want and no one is offended.

The other thing that seems to be different with me than most CH folks is that when the beast strikes, it sends me prone. I have to lay down, but there is no way in hell I can lay down and be still. My legs kick, I rip at my hair and spastically run my hands over my forehead and scalp, and I yell and beg and cry.


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maz
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Re: after ten years, finally an answer
Reply #6 - Apr 25th, 2014 at 11:43am
 
Not every one paces all the time. Sometimes in the middle of the night I try to stay in bed so as not to wake the rest of my family, and sometimes I try to force myself to stay still - something to concentrate on while I wait for it to pass. Besides, it's not easy to pace while you are hooked up to an 02 tank.. But all the other actions you mention - the thrashing, kicking, begging and crying I think are pretty common to all of us.

I take each headache as it comes and just keep telling myself I've survived it before and I'll survive this one too. It will go away eventually. It always does.
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