A patient is vomiting 6 episodes in a day of fresh stuffs ( indigested) and he also having terrible headache which radiating into eyes? What is the dianosis? How to manage the patient? ?

The diagnosis for this patient could be a migraine headache with associated nausea and vomiting. Migraines can often cause severe headaches that radiate into the eyes and can be accompanied by gastrointestinal symptoms such as vomiting.

To manage the patient, the following steps can be taken:

1. Provide pain relief: Administering pain medication such as ibuprofen or acetaminophen can help alleviate the headache.

2. Antiemetic medication: Prescribing anti-nausea medication can help control the vomiting episodes.

3. Rest and hydration: Encourage the patient to rest in a quiet, dark room and to stay hydrated by drinking plenty of water.

4. Avoid triggers: Identify and avoid any triggers that may be causing the migraine, such as certain foods, stress, or lack of sleep.

5. Follow up: Schedule a follow-up appointment with a healthcare provider to monitor the patient's symptoms and adjust treatment as needed.

If the symptoms persist or worsen, the patient should seek immediate medical attention.

Diagnosis:

Migraine with vomiting

Management:

1. Abortive Treatment:

- Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen sodium
- Triptans (serotonin receptor agonists) such as sumatriptan or rizatriptan
- Ergotamines (vasoconstrictors) such as dihydroergotamine

2. Antiemetic Therapy:

- Ondansetron (5-HT3 receptor antagonist)
- Metoclopramide (dopamine antagonist)

3. Rest and Hydration:

- Encourage the patient to rest in a quiet, dark room.
- Administer intravenous fluids or oral rehydration solutions to prevent dehydration.

4. Other Measures:

- Cold packs or ice applied to the head
- Caffeine in small doses may help reduce pain
- Avoid bright lights, loud noises, and strong odors
- Follow a headache diary to identify triggers

5. Hospitalization:

May be necessary if:

- Vomiting is severe and persistent
- Headache is severe and unresponsive to treatment
- Other symptoms such as fever, stiff neck, or neurological deficits are present

Additional Notes:

- Migraine is a common neurological disorder characterized by severe headaches that can be accompanied by vomiting and other symptoms.
- The exact cause of migraines is unknown, but it is thought to involve abnormal brain activity, particularly in the trigeminal nerve.
- Treatment of migraine aims to relieve the pain and reduce the frequency and severity of attacks.