I am a 22 year old female who is 23 weeks pregnant with my first baby and today is day 7 of a migraine that has honestly been one of the hardest things I’ve ever dealt with.
I have never had a history of migraines or headaches before pregnancy and was not taking any medications before this started.
I ended up being admitted to the hospital for several days because the pain became severe (10/10) and wasn’t responding to treatment.
While I was there they:
Had the neurology team evaluate me.
Had ophthalmology evaluate me, and they found no papilledema.
Did CTA/CTV scans of my head and CTA scan of my neck with IV contrast/dye (all normal).
Performed two occipital nerve block injections in the back of my head.
Gave me multiple migraine treatments including Compazine, Reglan, Zofran, Tylenol, Benadryl, magnesium sulfate, sumatriptan, oxycodone, and butalbital-acetaminophen-caffeine (ESGIC).
Monitored me for several days.
Despite all of this, the migraine has barely improved. The nerve blocks did not give me noticeable relief either.
After several days, my pain became slightly more tolerable, so the neurology team and hospital felt comfortable discharging me.
They prescribed me ESGIC/ESGIV (butalbital/acetaminophen/caffeine), Benadryl, and Ativan as needed. The problem is the medication does not seem to take the pain away completely. I’m still waking up every couple of hours because of the headache.
The biggest thing I’ve noticed is that the headache is very positional:
The pain is mostly in the front of my head/temple area with some occipital pain.
It feels like a squeezing pressure with throbbing/pulsing.
I have light and sound sensitivity.
When I stand up or sit down, I get a sudden intense throbbing, pulsing, and sharp pain sensation that feels significantly worse for about 20 seconds before settling back down.
Changing positions (standing, sitting, or lying down) seems to trigger the worst spikes of pain.
Some background: this is my first pregnancy, and I am considered higher risk for preeclampsia because during my anatomy scan they found left uterine artery notching, so my OB is monitoring me more closely.
During my hospital stay, my labs were also checked:
CBC showed normal white blood cells (9.5) and normal platelets (283), with mild anemia (hemoglobin 11.5).
Metabolic panel was mostly normal, including sodium (140), potassium (4.0), kidney function (eGFR >100), AST (23), and ALT (15).
Blood pressure remained normal/low during admission (around 92–121/52–76).
My neurological exams were normal (normal strength, sensation, reflexes, and mental status), and my imaging was normal, which is reassuring. But I’m honestly getting anxious because it has been a full week and the migraine has barely improved.
Has anyone experienced a migraine lasting this long, especially during pregnancy? Has anyone had a migraine that required hospitalization and multiple treatments before it finally broke?
What finally helped you get relief?
I do plan on following up with my doctors because my home medications aren’t providing enough relief, but I would really appreciate hearing from anyone who has gone through something similar because right now it feels like this is never going to end.