What to do about migraines?

Written by Tang Li Li
Neurology
Updated on September 23, 2024
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Migraine is a very common neurological disorder, generally related to dysfunction in vascular contraction and expansion, abnormal neurotransmitter secretion in the brain, and trigeminal nerve dysfunction. If a patient experiences recurring headaches, they can visit the department of neurology for a comprehensive examination using cranial CT or MRI. Once intracranial organic diseases are ruled out, a diagnosis of migraine can generally be confirmed, and related treatment can be administered. If a patient experiences frequent headaches, but they are not severe, long-term oral administration of traditional Chinese medicine can be prescribed, typically for a course of at least 28 days. If the headaches are severe but occur less frequently, temporary oral administration of pain relief medication may be recommended, commonly using non-steroidal anti-inflammatory drugs.

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Written by Zhang Hui
Neurology
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How to alleviate migraine symptoms?

When a migraine attack occurs, the clinical manifestations are very obvious. The patient will experience moderate to severe headaches, accompanied by nausea and vomiting, which are quite painful. Generally, the following methods can be used to relieve the symptoms: First, most patients can take non-steroidal anti-inflammatory analgesics, which can inhibit the production of inflammatory mediators and have a significant effect on relieving pain. Second, if the patient's headache is very severe, they can also choose specific ergot preparations or triptan medications for treatment. Third, accompanying symptoms should be promptly addressed. If nausea and vomiting occur, some antiemetic agents can be administered via muscle injection. (Please use medication under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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How to relieve migraine and vomiting

Many migraine patients also experience symptoms of vomiting, which is one of the most common accompanying symptoms of migraine. If vomiting occurs with a migraine, the following methods are recommended for relief: First, allow the patient to rest quietly, avoiding strong lights and loud sounds, which can exacerbate headaches and vomiting. Second, quickly terminate the headache attack, administer non-steroidal anti-inflammatory drugs for pain relief, and, if necessary, provide the patient with triptan preparations to quickly stop the headache. Third, sometimes the use of sedative-hypnotic drugs can also help reduce the symptoms of headaches and vomiting. Fourth, treat symptomatically; patients can be given muscle injections or oral antiemetic drugs for corresponding treatment, and most patients' symptoms of vomiting can be quickly alleviated.

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Written by Zhang Hui
Neurology
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migraine symptoms

The typical symptoms of migraine include unilateral pulsating headaches, usually located in the temporal area, where the patient can feel a pronounced throbbing of blood vessels. However, some patients may experience bilateral fluctuating headaches; bilateral headaches should not exclude the diagnosis of migraines. Patients may also experience nausea, vomiting, photophobia, phonophobia, and clinical manifestations such as aggravation of headache during routine activities, and may also exhibit symptoms of restlessness and unease. Additionally, some patients may experience visual auras, such as flashing lights or black spots in front of their eyes, before a migraine attack.

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Written by Zhang Hui
Neurology
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What causes migraines?

Migraine is a relatively common disease, and the possible causes of this disease are as follows: First, it may be related to genetics, with about 60% of migraines being familial, which strongly suggests that genes may be significantly related to the onset of migraines; Second, it is also clearly related to certain internal environments and hormone levels. For example, some women experience migraine attacks during menstruation. Additionally, the triggers for attacks also include drinking alcohol, consuming vasodilator drugs, eating chocolate, and consuming food additives containing sodium glutamate. The pathogenesis of this disease is not yet very clear, and it may be related to vascular dysfunction.

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Written by Zhang Hui
Neurology
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How to relieve migraine

The incidence of migraines is quite high, and the pain experienced can be severe. Patients often find it unbearable and refrain from physical activities, as everyday activities can significantly aggravate the headache. Therefore, rapid alleviation of migraine pain is crucial for improving patients' quality of life and maintaining stability in work and study. The main methods of alleviation include: The first method is relief through medication. Medications primarily include some non-steroidal pain relievers, along with other symptomatic treatment drugs. For example, if patients frequently experience vomiting, antiemetic drugs are necessary. Another category of drugs refers to benzodiazepine sedatives, which also play an important role in alleviating headaches. Additionally, there are specific drugs for treating migraines, mainly the triptan class of medications. The second aspect is that patients need to focus on resting and maintaining a quiet environment. A quiet environment plays a very important role in the management of migraines. (Note: This answer is for reference only. Medication should be taken under the guidance of a professional physician, and blind medication should be avoided.)