instruction: hello doctor for the past several months I have been vomiting four to six times a week sometimes my eyes become sensitive to light and I get a massive headache which ends in vomit other times I could randomly dry heave until it eventually comes out without any warning sign pregnancy is not a possibility I am a 19 year old female with no prior medical conditions and healthy diet a few years back I was prescribed birth control for constant headaches it did not help in fact it is very hard for me to keep down pills so I would rather not take them and induce a vomiting spell my question is what could be the cause and possibly some different alternatives other than pills
output: hello all the symptoms you have mentioned are suggestive of a clinical condition called migraine we have to rule out other conditions like tension headaches before starting the treatment you do not need to worry as it is highly curable with timely treatment I suggest you consult a general physician and get the following things done a detailed clinical history and examination may be needed to make a diagnosis as initial management you might require analgesic like ibuprofen or sumatriptan for headache to prevent further attacks you may require a long term drug like flunarizine prolonged use of contraceptive pills can also cause headaches so it is better to use alternative contraceptive measures you can also seek help from an acupuncturist for constant headaches migraine conservative do not deprive sleep avoid contraceptive pills