Is migraine easy to treat?

Written by Zhang Hui
Neurology
Updated on September 07, 2024
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Migraine, a type of disorder that frequently occurs, causes substantial pain, with patients experiencing severe headaches, nausea, vomiting, and other symptoms. Generally, migraines are manageable and not particularly difficult to treat, although they are prone to recurrence. Treatment primarily consists of pharmacotherapy, including non-steroidal anti-inflammatory drugs for pain relief, as well as specific medications such as triptans and ergot derivatives, all of which are highly effective. Some patients might also benefit from using benzodiazepines, which serve as sedatives and hypnotics, providing favorable outcomes. If migraines frequently disrupt life, preventive medications may be used to decrease their occurrence, including calcium channel blockers and antiepileptics, which are quite effective. (Note: The answer is for reference only. Take medications under the guidance of a professional physician, and do not self-medicate.)

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Written by Liu Yan Hao
Neurology
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Which department should I go to for migraines?

Patients with migraines should visit the neurology department for treatment. Typical migraines often begin with an aura that changes how one sees things before an attack. After the aura appears, symptoms of pain on one side of the head may occur, usually resolving completely within a few hours. These symptoms can recur, and during an attack, symptomatic oral pain relievers can be used for treatment. To prevent migraines, one should avoid staying up late and consuming pickled foods, which contain nitrates that can trigger migraine attacks. Leftovers also contain nitrates and can induce migraines, so it's best to avoid them as well. Additionally, red wine and dairy products can trigger migraines and should be avoided. Overall, since migraines are a neurological disorder, it is advisable to seek treatment in the neurology department.

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Written by Liu Yan Hao
Neurology
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What should I do about migraines?

Patients with migraines can temporarily take oral painkillers to alleviate the symptoms, provided that it has been confirmed as a migraine attack, and not a headache caused by acute cerebrovascular diseases such as cerebral hemorrhage or subarachnoid hemorrhage. Typically, before a migraine attack, there may be an aura symptom involving changes in vision, followed by unilateral headache. These symptoms can recur, usually lasting several hours, and they can subside on their own without medication. These are the symptoms of migraines. Generally, migraines do not pose a significant health risk, so patients can temporarily treat it with symptomatic oral pain relief. During remission, it is advisable to take preventive measures such as avoiding staying up late, not overworking, and reducing the frequency of migraine attacks as much as possible.

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Written by Liu Yan Hao
Neurology
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Symptoms of Migraine

Typical migraine attacks start with prodromal symptoms. Common prodromal symptoms include blurred vision, distorted vision, or the appearance of water-like patterns. Shortly after these symptoms disappear, headache symptoms on one side of the head appear, often accompanied by nausea and in a few cases, vomiting. These symptoms can subside completely within a few hours and can recur. The occurrence of migraines is greatly related to diet, such as pickled foods and leftovers that contain nitrates, which can trigger a migraine attack. It is best to avoid these, as well as cheese and red wine which can also trigger migraines. During a migraine attack, symptomatic oral pain relievers can be used for treatment. (Please use medication under the guidance of a professional physician.)

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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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What causes migraines with nausea?

Patients with migraines often experience significant nausea and vomiting, which is also an important diagnostic criterion in the diagnosis of migraines. The reason migraines cause nausea is primarily due to abnormalities in the trigeminal ganglion of migraine sufferers. These impulses may be transmitted to the solitary nucleus in the brainstem, which is mainly responsible for some autonomic nerves and closely related to vomiting. When the solitary nucleus is affected, obvious vomiting naturally occurs. Many migraine patients find that their symptoms are somewhat relieved after vomiting. The main treatment for migraine-induced vomiting is to have the patient rest quietly and take appropriate pain relief medication. If vomiting is pronounced, it is recommended that the patient take antiemetic drugs orally, preferably by muscle injection, which generally provides quick symptom relief.