I have had migraine headaches for 9-10 years and am currently taking Sibelium 10 mg and Inderal LA 20. Initially, there was a response, but now I experience frequent headaches almost daily or 2-3 times a week.

If your migraine has become more frequent despite Sibelium and Inderal LA, it may indicate treatment resistance or a need for adjustment. You should consult your doctor to review your therapy and explore alternative options.

My child is undergoing treatment for EHPVO (Extrahepatic Portal Vein Obstruction) and has an enlarged spleen; what are the recommended medications and treatment options available to manage this condition?

For children with EHPVO and an enlarged spleen, treatment focuses on reducing pressure in the portal vein and preventing complications. Key options include: 1. Medications: Beta-blockers (such as propranolol) may be used to help lower blood pressure in the veins. 2. Endoscopic Therapy: Procedures like band ligation (EVL) prevent or manage bleeding from swollen veins (varices). 3. Surgery: A bypass surgery, particularly the Rex shunt (mesoportal bypass), is highly effective in children. It restores normal blood flow to the liver and can significantly reduce spleen size. Rest assured, with proper medical management, children with EHPVO can lead active, normal lives. Please discuss these options with your pediatric gastroenterologist.