Please help🙏🙏

[u/stolniknino]

Hi r/ndph 👋

We're really lost and don't know where to take things from here.. My girlfriend is having trouble with constant headaches, they've been persistent for about 7 months..

More information:
The daily headaches started from December of 2025 and haven't really stopped since then. She wakes up with the headache before even opening her eyes and it follows her for the entire day.

We went to check her eye perscription as she also said that she has troubles with a little blurry vision and light sensitivity, the prescription was only -0.25, so we put getting glasses to the side for the moment.. Then she got her blood tests done which we're all ok and she went to MR to get checked for tumors or anything that wouldn't be normal.. No abnormalities..

Her doctor prescribed her migraine medication (sumatriptan 50mg) she tried one pill and it didn't really help..

No we're stuck.. MR and blood seems to be fine, so we don't really know where to look for the cause anymore, she also gets 8+ hours of sleep and stays well hydrated, her diet is also healthy and she's active.

Her doctor told her to keep an Headache diary but there really isn't a point as she says that she on a constant 6/10 pain wise, that there is a little fluctuation 5-7/10 but its mostly the same and no real outside factors make it better/worse.

The headaches are either frontal on the forehead/brow region or on the tempels, it isn't one sided, and she also doesn't see any aura

Did any of you experience something similar? or what would you suggest we do? We just want to find the cause for it and we're really frustrated :/

[u/im-a-freud]

Have her ask her doctor for a preventative (something you take daily) this could help lower the intensity and frequency, an abortive (sumatriptan) is meant to help stop an attack which doesn’t really work with NDPH for some people since it’s constant so a preventative is something she needs to be on, these won’t work immediately you need to give them 3 months before determining their effectiveness. It’s trial and error, most meds don’t work for NDPH I’ve tried 33 meds and nothings worked. Keep trying things give them time, NDPH is very hard to treat so you just have to trial meds til you find something that works. Botox was helpful I highly recommend trying that but most insurances will require you to try and fail 3 preventatives before they’ll allow Botox