Case Study
MIGRAINE HOME IV THERAPY
-
Date
6 May 2026 -
Client
Marvi Anchel -
Category
Migraine IV
How a Home IV Drip Helped a Dubai Executive Recover Without a Hospital Visit
Severe Migraine and Dehydration
Case study Prepared By Dr Marina
Last Updated: Febraury 2026 | Medical Review: Dr Fahimunnisa | DHA Licensed
A 31-year-old female executive suffering from a severe migraine attack, nausea, and dehydration received a same-day IV drip at home through MediLife’s doctor-on-call service. The treatment provided rapid symptom relief, allowing her to recover comfortably without visiting an emergency department.
PATIENT PROFILE
- Patient age - 31 year-old female, resident of Palm Jumeirah, Dubai
- Symptom duration - 2 weeks
- Diagnosis achieved - Same day
- Occupation - Senior finance executive
- LIVING SITUATION - Busy professional with frequent work-related stress and irregular meal schedules
- MEDICAL HISTORY - History of episodic migraines diagnosed 8 years ago
CHIEF COMPLAINT & HISTORY OF PRESENT ILLNESS
The patient requested a home visit after experiencing:
- Severe throbbing headache for 12 hours
- Nausea
- Sensitivity to light (photophobia)
- Sensitivity to sound (phonophobia)
- Dizziness
- Fatigue
- Poor oral intake
The headache began early in the morning and progressively worsened throughout the day. Due to nausea, the patient was unable to eat properly and consumed minimal fluids.
No fever, weakness, speech difficulty, visual loss, or head injury was reported.
PAST MEDICAL, SOCIAL & ALLERGY HISTORY
- PAST MEDICAL HISTORY - Migraine disorder No hypertension No diabetes No cardiovascular disease.
- MEDICATIONS - Occasional migraine medication as needed
- ALLERGIES - No known drug allergies (NKDA)
- SOCIAL HISTORY - Non-smoker Social alcohol consumption High-stress work environment
PHYSICAL EXAMINATION — HOME VISIT FINDINGS
| Parameter | Result | Clinical Significance |
|---|---|---|
| Blood Pressure | 118/74 mmHg | Stable |
| Heart Rate | 96 bpm | Mild elevation due to pain and dehydration |
| Respiratory Rate | 18 breaths/min | Normal |
| Temperature | 36.7°C | Afebrile |
| O₂ Saturation | 99% RA | Normal oxygenation |
| Hydration Status | Dry oral mucosa | Mild dehydration present |
ADDITIONAL FINDINGS
- Appeared uncomfortable and preferred a dark room
- Alert and oriented
- No focal neurological deficits
- Mild dehydration noted clinically
DIFFERENTIAL DIAGNOSES CONSIDERED
- Acute Migraine Attack — Confirmed- Supported by headache pattern, photophobia, phonophobia, nausea, and previous migraine history.
- Tension-Type Headache — Excluded- Symptoms were more severe and associated with migraine features
- Meningitis — Excluded No fever, neck stiffness, or neurological symptoms.
- Stroke or Neurological Emergency — Excluded Normal neurological examination and symptom profile.
MANAGEMENT PLAN
- IV Therapy
- Migraine IV administered
- Physician-prescribed anti-nausea medication administered
- Physician-prescribed migraine relief medication administered
- Supportive Care
- Quiet, dark environment recommended
- Hydration counselling provided
- Stress management advice discussed
- Adequate sleep and rest encouraged
- Monitoring
- Vital signs monitored throughout treatment
- Symptom reassessment performed following infusion
- Patient observed for treatment response and overall comfort
- No adverse reactions noted during the visit
OUTCOME
Within 90 minutes of IV therapy:
- Headache intensity reduced significantly
- Nausea resolved
- Dizziness improved
- Oral fluid intake resumed
- Patient reported feeling comfortable and rested
48-HOUR FOLLOW-UP
- No recurrence of severe symptoms
- Returned to normal work activities
- Hydration status fully restored
PATIENT EXPERIENCE
“The migraine was one of the worst I’ve had in years. I couldn’t tolerate light or even drink water properly. Having a doctor come to my home and start treatment immediately was incredibly helpful. The relief after the IV drip was remarkable.”
CLINICAL INSIGHT
Migraine attacks are frequently accompanied by nausea, reduced fluid intake, and dehydration, which can worsen symptoms and prolong recovery. Early intervention with IV hydration and supportive treatment may help improve comfort, restore hydration, and reduce the need for emergency department visits. Home IV therapy offers a convenient solution for suitable patients who require prompt symptom management in a comfortable environment.
DISCLAIMER
Patient details have been anonymised and consent obtained for educational publication. This case study is for informational and educational purposes only and does not constitute medical advice. Individual results may vary
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