Migraine

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Written by Tang Bo
Neurology
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How to treat migraines?

The treatment of migraine includes pharmacological and non-pharmacological methods. During the acute phase, pain relievers can be used when an attack occurs, and this should be done under the guidance of a doctor. After the acute phase, preventative treatment may also be necessary. Preventative pharmacological treatment should also be under the guidance of a doctor. There are also some non-pharmacological treatments, such as maintaining a healthy lifestyle, identifying and eliminating triggers of migraine attacks, and ensuring good daily routines. For some patients whose migraines may be related to menstrual cycles, it's important to check hormone levels for preventative medication. (The use of medications should be conducted under the guidance of a professional doctor.)

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Written by Yuan Jun Li
Neurology
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Can you not expose yourself to wind if you have a migraine?

When experiencing migraine headaches, it is best to avoid exposure to wind, as it may trigger or worsen the symptoms. Migraine is a primary neurovascular headache whose exact cause is unclear, but many sufferers have identifiable triggers such as changes in weather, cold temperatures, wind, excessive excitement, anxiety, sleep disturbances, sensory stimuli, and consumption of certain foods and fruits. Foods containing tyramine, pickled, smoked items, caffeinated sodas, red wine, beer, and citrus fruits like oranges, grapefruits, and lemons can also provoke headaches. When necessary, symptomatic medication should be used, such as ibuprofen, indomethacin, and naproxen. In severe cases, medications like ergotamine caffeine and zolmitriptan may be required. (Please use medication under medical supervision.)

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Written by Zhang Hui
Neurology
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What are the symptoms of migraines?

Migraine has a relatively high incidence among many young people, and it is a type of vascular pain, with the following clinical symptoms during the pain episodes. Firstly, the pain usually occurs on one side of the head, but it is important to note that it can also be bilateral. Do not assume it is not a migraine just because the patient experiences pain on both sides of the head. Secondly, the nature of the pain is throbbing headache, and the patient will have a clear sensation of pulsating blood vessels. Thirdly, the patient will experience photophobia, phonophobia, unwillingness to move, and routine activities can exacerbate the headache. In addition, the patient may also exhibit clinical symptoms such as nausea and vomiting, as well as visual abnormalities, such as seeing unusual flashes of light, and may be accompanied by restlessness.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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How to massage for migraines

Migraine is a common clinical symptom in medical practice. Sometimes patients may experience pain on the left side of their head, sometimes on the right, or sometimes at the back of the skull. Based on the specific condition of the patient, we can choose to perform massages. For instance, if the pain is on the left side, we can massage certain acupuncture points on the left side and the tips of the ears, as well as the "Lugou" point. Additionally, using our five fingers to comb from the front to the back of the head may also alleviate the migraine on the left side. Of course, massaging certain parts on the left side of the body, such as the "Waiguan" and "Fengchi" points, can also help reduce the symptoms of migraine.

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Written by Liu Yan Hao
Neurology
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Can migraines be hereditary?

Migraines are not hereditary and are not considered genetic diseases. The onset of migraines is mainly associated with staying up late, fatigue, and the consumption of certain foods that can trigger migraines, such as foods containing nitrites. This includes pickled vegetables, overnight foods, leftover meals, and leftover vegetables, as these contain nitrites, which can trigger migraine attacks. Other triggers include certain dairy products and red wine. To reduce the frequency of migraine episodes, it is advisable to avoid these foods and not to stay up late. When a migraine attack occurs, temporary relief can be sought through oral painkillers. Regular scheduling and avoiding the aforementioned foods can significantly reduce the number of migraine episodes. Therefore, migraines are not hereditary and do not constitute a genetic disease. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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Written by Yuan Jun Li
Neurology
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How to relieve migraines and nausea

Migraine accompanied by nausea first requires analyzing the cause, followed by appropriate treatment. 1. If primary migraine is considered, oral medications like ibuprofen, indomethacin, and naproxen can be used, as well as acetaminophen or ergotamine caffeine. For severe vomiting, treatments such as vitamin B6 and metoclopramide can be administered to stop the vomiting. 2. If hypertension is the suspected cause, the main treatment is blood pressure regulation, typically using long-acting medications. Commonly used medications include amlodipine, irbesartan, candesartan, and valsartan. 3. If the cause is due to mental stress and high pressure, appropriate relaxation and stress reduction can provide relief. 4. It could also be related to organic brain lesions, such as a brain tumor. In such cases, a brain MRI should be considered to confirm the diagnosis. Treatment primarily involves surgery or radiation therapy. (Please follow medical advice when using medications.)

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Written by Zhang Hui
Neurology
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Where to treat migraine?

Migraine is a common disease in neurology, so if a patient suffers from migraines, they definitely should seek treatment in neurology. Neurologists have extensive clinical experience in the diagnosis, differential diagnosis, and treatment of migraines. This is a very classic type of vascular headache, which is significantly related to disorders in vascular constriction and dilation functions. Some studies also suggest that it may be related to trigeminal vascular complex lesions. In this regard, the main treatment for patients involves the use of non-steroidal anti-inflammatory painkillers for symptomatic treatment. If the headache is severe, ergot preparations or triptans may be administered for treatment. (Please use medicine under the guidance of a professional physician.)

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Written by Liu Yan Hao
Neurology
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How to quickly relieve a migraine

Migraines can be quickly alleviated by taking oral painkillers, but this is under the precondition that the diagnosis confirms a migraine attack, rather than some other acute cerebrovascular diseases. If it is an acute cerebrovascular event, taking oral analgesics may mask the symptoms and delay appropriate treatment. Typically, before a migraine attack, there may be premonitory symptoms such as blurred vision or other changes in vision. After these premonitory symptoms appear, headache on one side of the head occurs, and these symptoms may recur. When the symptoms alleviate, they disappear completely. This is a typical migraine attack. Generally, migraines do not pose a major threat to one's health, and symptomatic oral analgesics can quickly relieve the pain. However, it is also necessary to rule out acute cerebrovascular diseases, such as cerebral hemorrhage or subarachnoid hemorrhage, which can also cause headache on one side. If the headache on one side is persistent, a cranial CT scan should be conducted to rule this out. (Please take medications under the guidance of a professional physician.)

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Written by Liu Yan Hao
Neurology
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How to relieve migraines?

Patients with migraines can take oral painkillers to alleviate the pain during an attack. If the patient also experiences nausea, they can take medication to protect the stomach lining and treat nausea and vomiting to relieve symptoms, since migraines do not pose a major threat to one's health. However, it is essential to confirm that the headache is indeed a migraine and not caused by conditions such as cerebral hemorrhage or subarachnoid hemorrhage. Typically, before a migraine attack, there are characteristic prodromal symptoms such as blurred vision or the appearance of wave-like patterns. These symptoms are followed shortly by unilateral or bilateral headaches, which can resolve completely within a few hours even without treatment. These symptoms tend to recur, which are indicative of typical migraines. During an episode, oral painkillers can be taken for relief. To prevent migraines, it is advisable to avoid staying up late, consuming pickled foods, cheese, and red wine as these can trigger migraines. It is recommended to avoid these foods as much as possible. (Medication should be used under the guidance of a doctor.)

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Written by Liu Yan Hao
Neurology
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Can migraines be cured completely?

Migraine cannot be cured fundamentally, and in fact, many diseases in clinical practice cannot be cured completely, just like the common cold. Even though a cold can be treated and overcome, it's still possible to catch a cold again in the future. Thus, it is said that migraines cannot be fundamentally cured. When a migraine occurs, symptomatic oral painkillers can be used for treatment. Normally, the main focus should be on preventing the occurrence of migraines; if prevention is successful and there are no further episodes, then it can be considered as effectively cured. Migraine episodes are related to staying up late, so it's best to avoid staying up late and overworking. Furthermore, certain foods should be avoided, such as those containing nitrates, leftovers, pickled salty vegetables that contain nitrites. Good preventative measures against migraines can also be considered as a fundamental cure. (Please use medication under the guidance of a professional physician.)