Please Help Me With My Headaches?

I am 36 years old and have suffered fro the last ten years or so.I get headaches that escalate so bad that i violently throw up and my head feels like it's gonna burst.My bp and pulse go up sky high.When they are severe like this i have to go to the ER where i am treated like a junkie,sometimes they dont treat me at all,they give me 2 ultram and tell me to go home and sleep.The few docs who do treat me give me iv fluids,for the pail they give me diiaudid and iv phenergan for the nausea.The pail is so intense it sometimestakes 2 shots of dilaudid to work.I am at my wits end,i.ve seen so many neuros,tried so many migraine meds,antidepressants,pretty much exhausted every option.I have seen several docs and they all seem to play the same recording.They all say narcotics are not the answer but what du you do when they are the only meds that work?I live in the MB area of S.C.knows a pain doc who aint afraid to do narcotic long term treatment for headaches,please tell me.(Please Help Me)