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Regular migraines
I always encounter a migraine attack whenever
I go to office. The day I go to office, I return
with a strong migraine along with the pain
spread over any side of the face. Why is it so
specific with office? Any chances of getting
an exemption from going to office due to this
reason? It has become unbearable nowadays.
I take cetadom for migraines but sometimes it
takes 2 or more days to cure.
Answers (35)
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Your migraine attacks occurring specifically on office days (and resolving or improving on non-office days) strongly point to office-related triggers rather than a purely internal or random cause.
Most common culprits in such a clear “office = migraine” pattern:
• Bright/flashing office lights (LED tubes, computer screens)
• Poor indoor air quality (low fresh air, high CO₂, AC + dust + chemical smells from printers/carpets/cleaners)
• Prolonged screen time + forward-head posture + eye strain
• Stress/anxiety from commute, workplace pressure, or deadlines
• Irregular meals/skipped lunch/poor hydration during office hours
• Strong smells (perfume, air freshener, food in pantry)
• Noise (open office chatter, phone calls, keyboard sounds)
The fact that it’s unilateral (one-sided facial pain) and takes 2+ days to resolve even with Cetadom (paracetamol + domperidone) suggests moderate-to-severe migraine with possible aura or central sensitization — but the office specificity is the biggest clue.
Next Steps
1. See a neurologist or headache specialist within the next 1–2 weeks (not general physician) — they will:
• Confirm diagnosis (migraine vs tension-type vs mixed)
• Assess for preventive therapy (you need it since attacks are frequent & disabling)
• Give acute treatment stronger than Cetadom (e.g., sumatriptan/rizatriptan + anti-nausea)
2. Request work-from-home exemption / accommodation
• Yes — you have a valid medical ground to ask for WFH (at least 3–4 days/week) or flexible hours.
• Get a medical certificate from the neurologist stating:
• Diagnosis: Migraine triggered by office environment (screen, light, air quality, stress)
• Impact: Severe disability on office days → inability to work productively
• Recommendation: Work-from-home or reduced office exposure
• Submit this to HR — most companies in India (especially IT/corporate) accept such requests under disability/inclusion policies or as reasonable accommodation.
Health Tips
• Immediate relief on office days (while waiting for neurologist):
• Take rizatriptan 10 mg or sumatriptan 50 mg at the first sign of aura/headache (much faster than Cetadom — ask doctor for prescription)
• Wear blue-light-blocking glasses (₹300–800 on Amazon/Flipkart) for entire office time
• Use noise-cancelling earphones (even without music — blocks chatter)
• Keep dark sunglasses + small table lamp (warm light) at desk — reduces fluorescent glare
• Drink 500 ml water every 2 hours + small snacks every 3 hours (prevents dehydration/hypoglycemia trigger)
• Long-term prevention (neurologist will guide, common options):
• Propranolol 40 mg or Amitriptyline 10–25 mg at night
• Topiramate 25–50 mg or Flunarizine 10 mg daily
• Lifestyle: fixed sleep, no skipping meals, 30 min walk daily, stress management
You are not exaggerating — office-specific migraine is a real, recognised pattern and qualifies for work modification in most progressive companies.
A neurologist’s letter + better acute + preventive therapy can make office days bearable again.
For a detailed plan (exact preventive medicine choice, strongest acute treatment safe for you, wording for HR letter, and how to track triggers), please book an online consultation with me — I’ll review your full history (frequency, aura, associated symptoms, current medicines) and give you a clear, step-by-step strategy so you can get relief fast and get the WFH approval you deserve.
Looking forward to helping you — let’s make office days migraine-free
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Your headaches fit migraine, and office conditions are probably triggering them. You do not need to stop going to office permanently, but you do need proper migraine treatment and possibly preventive medication. Simple tablets like Cetadom alone are often not enough. A short period of work accommodation is reasonable while we optimise your treatment.
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Yes , By seeing ur History u r suffering with the Migraine without aura , U might Need Sound Sleep of about 10 - 12 hrs in a Day ...And also should reduce ur screen time which can trigger more attacks , kindly consult if u want to know more about it...
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✓It's migraine related to work-environment ,Screen strain ,poor posture and work related pressure are key triggers ,for your symptoms..
Next Steps
✓check your vitamin D3,serum vitamin B12 and serum magnesium levels , deficiency of any of these can worsen your symptoms
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Please connect me through practo or wattsap nine zero seven two twozero seven zero nine three
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Need a few more details please consult for further evaluation and treatment
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Maintain your life style in balance manner
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Lot of theory as answer u recived.
Change life style n diet plan drastically first.
Tab Ultracet 3 times.
Or tab headset three times.
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Sorry you’re dealing with this — office-day migraines usually mean a trigger there (AC, screens, stress, dehydration, skipped meals). One-sided facial pain fits migraine. Cetadom only gives temporary relief, it doesn’t prevent future attacks — that’s why it keeps coming back and lasts days.
Next Steps
• Track triggers on office days
• Check Hb, thyroid, Vit D/B12
• You may need preventive migraine meds (not just painkillers)
• If frequent, a proper diagnosis can help you get medical advice for WFH/exemption
A short consultation helps tailor treatment instead of guessing.
Health Tips
Avoid frequent Cetadom. Don’t skip meals. Hydrate well. Reduce screen glare. Prioritize sleep.
If this is affecting work and quality of life, I’d suggest booking a consult — early treatment makes a big difference.
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Yes migraine affects the quality of life and productivity.please consult to get rid of it.
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Try to observe the cause that triggers the headache. Avoiding that will reduce the migraine attacks. Simultaneously consult a neurophysician for detailed evaluation and discussion. There are medicines that can be used to prevent migraines.
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If you are getting migraine attack only when you go to your office then you should seriously consider changing your job.
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It probably isn’t a Migraine
Try acupuncture
All the best.
J G S R clinic
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You can take Ultracet for the pain. Earn to avoid stress and ensure adequate relaxation.
Get a c.t. scan brain done, to exclude some other cause for the increasingly frequent headache.
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Migraine could be triggered due to office work,stress etc. If you are certain that you suffer from migraine you can take abortive medicines like triptans and pain killers.However the prevention is better, with newer medicines like GEEPANS category,there injectable prevention medicines that are taken once a month . Consult a neurophysician in your area for appropriate treatment
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Please do a cbc to rule out anemia
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Try to avoid light , use warm water for bathing and get your MRI done for once
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Avoid taking overdose of medicines. Try to take good sleep in night. You can control your Migraine headache by Good & personalised medications as per your life styles and symptoms. Consult to me on practo.
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kindly consult me on practo
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Based on your complaint it might be due to nasal block(rhinitis)
Check with ENT consultant first
Then if symptoms still persist you can visit neurologist
You can contact me if you have more questions or if u need to specify
Next Steps
Look for nasal block - if present use Otrivin drops
Health Tips
Steam inhalation
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Migraines are specific to exaggerations. May be your office is a flashing point . For more questions, kindly consult with me on 94 two six eight six 78 nine six.
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Share me your routine bp , I'll start ciplar if appropriate , triptans for acute attack , you'll be fine , consult...
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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Hello,
Based on your symptoms, this appears to be migraine. The reason it mainly happens on office days is commonly due to long screen time,work stress, travel, posture strain, bright lights, noise, irregular food timings, or lack of sleep ,,all of which are known migraine triggers.
Since the headache is severe, sometimes lasts for 2 or more days. Using painkillers like Cetadom may give you temporary relief,but its not advisable for long term
You may benefit from preventive medications,lifestyle changes, and identifying your specific triggers after proper medical evaluation. If the attacks continue and interfere with daily functioning, a temporary reduction in office hrs or workfromhome option can be medically considered.
Please consult a doctor for detailed evaluation and appropriate treatment
Next Steps
Maintain a headache diary to identify triggers (screen time, stress, travel, missed meals).
Discuss temporary workfromhome or reduced office exposure if symptoms remain severe.
Health Tips
Avoid prolonged screen exposure,,take regular breaks every 30–45 minutes.
Most important:Ensure adequate sleep, hydration about 4 to 5 litres water intake, and stick to food timings
Do not overuse painkillers, as this can worsen headaches.
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Migraine is common in office working females.its take time to relieve the headache.you need to avoid migraine trigger factors like bright light ,stress,anxiety.keep hydrated and eat fibrous diet to keep body light.use in naproxen and any Triptans sos.consult me on practo if you still nervous about it.consult for further management and evaluation.
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Hello…
Generally migraine takes time for settle down…keep your yourself stress free and enough hydrated… get enough sleep in calm room and avoid bright lights…
Also a healthy breakfast in time will help…
In case of emergency you can take naproxen 500mg twice a day for 4 days for symptomatic relief…
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Rushita Waghdhare
Internal Medicine
6 yrs exp
New Delhi
it’s good that the ?migraine /TTH , trigger has been identified ,
You will have to change some of your lifestyle habits and get your regular checkups done - thyroid / vit. D levels / CBC -and then you will need to start prophylactic treatment which would go on for almost 4-6 months till the triggers are reduced to an extent that you can go to work without a headache , after the diagnosis is confirmed by a GP or a neurologist .
Do take a consult soon
Next Steps
Yoga is a very good remedy to prevent such types of headaches
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Neurologist
Or take prophylaxis for migraine
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
It depends on your job profile, stress level and lifestyle. If it is happening daily in office then change the work and observe.
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Dr. Harshavardhana V Naik
General Physician
12 yrs exp
Bangalore
Hi. Migraine is a very common issue. Have you been diagnosed with Migraine by a Doctor or is it self diagnosed. Also there medicines to a) stop the acute attack of Migraine and b) preventive medicines to stop an individual to get acute attacks. Kindly consult Carna Health Centre Nagarbhavi Bangalore for more details
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Get into stress environment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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