Pregnant Patient Struggles with Recent Onset Migraines
A 31-year-old woman who is four months pregnant comes to your office complaining about recent onset headaches. These have started to occur over the past few weeks with the patient attributing them to her pregnancy.
The patient reports becoming extremely nauseous once the headaches start and often dizzy. When sitting at her desk at work, the patient noticed that staring at her computer screen made her headache worse. Sometimes she experiences ringing in her ears and bright spots while she is having these headaches.
There are often times when the patient must go home because she is unable to work due to the pain. After sleeping for a couple of hours, she experiences a reduction in her headache pain.
Does this patient meet the criteria for having a migraine? Why or why not? Which medication treatment plan would you recommend and why?