Comment on Am I ruining my liver?

• dysprosium@lemmy.dbzer0.com ⁨5⁩ ⁨months⁩ ago

  I did many times but most of the time I was just advised to “try eating and sleeping better” which I kind of already did, but improving those did not make a difference whatsoever. I also went to many physiotherapists and one manual orthopedic doctor. Nothing was ever improved.

  Except one time when I went to a acupuncturist who also added some spiritual woo, and that actually remedied a part of it.

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  • Lumisal@lemmy.world ⁨5⁩ ⁨months⁩ ago

    That combined with what you mentioned about cannabis triggering your headache sounds like the issue might be your trigeminal nerve (my guess mylohyoid) or similar nerve branch in the neck area. Sleeping likely causes it because there’s constant pressure on it at night as you sleep.

    An orthopedic pillow might help, something such as this for example: www.amazon.com/…/B09964WTF5?th=1&psc=1

    Alternative hypothesis would be it’s blood pressure related, perhaps orthostatic hypotension or fluctuating hypertension - you can test this by getting a good blood pressure machine and checking in the morning before you get up from bed without moving much, immediately after sitting up, immediately after standing, and then stay standing still for 1 minute and take again.

    Probably don’t need the coffee by the way considering the medicine you take (Ritalin)

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    • dysprosium@lemmy.dbzer0.com ⁨5⁩ ⁨months⁩ ago

      Wow interesting! I’ll be saving for a pillow like this. I thought about measuring blood pressure in the morning, as well. But I doubt these things come cheap. I’m curious though how you linked cannabis is causing headache to, nerves in my neck area might be causing headaches. I’ve been cooking up a lot of potential (intermediate) causes, but nothing like this.

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      • Lumisal@lemmy.world ⁨5⁩ ⁨months⁩ ago

        Trigeminal nerve pain can be triggered/worsened by an enlarged vein pushing against the nerve at just the right spot. Cannabis causes hypotension via vasodilation, hence the potential trigger.

        The thing is, veins don’t grow perfectly parallel, which means hypertension can also cause pain via vasoconstriction, if the vein slightly spirals around the nerve and also constricts; think like a snake wrapped around an arm and squeezing. So it’s possible both localized vasodilation and vasoconstriction are causing these headaches, considering the times the headache is worst ("cannabis use or after waking up) and mild but constant (after stimulants like caffeine).

        If your pressure is a bit high during the day, a very small dose of a vasodilator drug taken after your medication would normalize it and that would, hopefully, stop the pain overall. You could still have orthostatic blood pressure issues too, but certain mild exercises can help with those too (assuming there’s no other underlying blood flow issues).

        But there’s not enough data to say conclusively, hence taking your blood pressure as directed, as well as throughout the day sitting (after sitting at least 3 minutes without moving much) to see if there’s any abnormalities with it, as well as the orthopedic pillow. If the pillow helps it also narrows down the cause.

        That said, if it’s the trigeminal nerve and you can’t control the veins there well through medication… Good luck I suppose. Most surgeons won’t want to cauterize because of mild (yet constant) pain. Acupuncture could achieve the same result, but that would be a scary gamble, because there’s also potential they hit the nerve wrong with the micro needle and instead worsen the pain. That would be a last result solution, assuming it’s the trigeminal nerve causing you issues.

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  • Crashumbc@lemmy.world ⁨5⁩ ⁨months⁩ ago

    Find another doctor, and another one after that…

    Unfortunately, most doctors SUCK, if you have even a slightly complicated or unusual problem.

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