How to treat migraines

Written by Zhang Hui
Neurology
Updated on September 19, 2024
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Migraine is a very common type of headache clinically. Its treatment mainly includes the following aspects:

The first method involves giving patients some non-steroidal anti-inflammatory painkillers for treatment, which most patients find relieving. If the headache is severe and these drugs are not effective, then it is necessary to use some specific drugs, mainly ergot preparations.

Second, symptomatic treatment. Migraine patients are prone to complications such as nausea and vomiting, and can be treated with some antiemetic drugs.

Third, patients should rest in a quiet environment, avoid strong light and loud noises, and maintain a calm mood. Additionally, if migraines recur frequently, preventative treatment is recommended. The treatment plan mainly includes some calcium channel blockers and some β-blockers.

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Written by Zhang Hui
Neurology
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How to suppress migraine and vomiting?

Patients with migraines typically experience unilateral or bilateral pulsating headaches. During severe headache episodes, they often experience significant symptoms of nausea and vomiting. This is because migraines can disrupt autonomic nervous function, and some neural nuclei in the brainstem emit impulses that cause nausea and vomiting. The treatment for vomiting includes the following aspects: First, patients should rest and avoid consuming foods that are hard to digest or are very tough. Second, patients can take orally or receive muscle injections of medications that treat vomiting, primarily those that promote gastrointestinal motility. Third, treating the migraine itself involves providing the patient with non-steroidal anti-inflammatory drugs for pain relief. Once the headache is alleviated, the nausea and vomiting will naturally subside.

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Written by Liu Yan Hao
Neurology
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What should you pay attention to in daily life if you have migraines?

Patients with migraines should pay attention to maintaining a regular daily schedule, avoid staying up late, avoid overworking, and ensure sufficient sleep. Additionally, there are some foods that can trigger migraine attacks, such as pickled foods and salty vegetables, which contain nitrites that may provoke migraines. Other foods, like certain dairy products and red wine, can also trigger migraine attacks. Patients who experience migraines should try to avoid these types of foods to minimize occurrences. What is a migraine? Migraines typically present as unilateral head pain. A common symptom before the onset of a migraine headache is experiencing prodromal symptoms such as changes in vision, blurred vision, altered shapes, and seeing rippling patterns. These symptoms appear shortly before the headache begins, characterizing a typical migraine attack. During an attack, one can take pain relief medication to ease the pain. Migraines generally do not cause significant health issues, and even without medication, the pain usually resolves within a few hours, so there is no need to worry excessively. The main focus should be on the above points to reduce the frequency of migraine attacks. (Please use medication under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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Is migraine easy to treat?

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 Zhang Hui
Neurology
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How long will it take for the migraine to get better?

Migraine is very prevalent among young and middle-aged people, with sufferers usually experiencing unilateral, though sometimes bilateral, pulsating headaches. These may accompany a sensitivity to light and sound, along with significant nausea and vomiting. Typically, migraines resolve within 4-72 hours, meaning recovery generally occurs within three days. If it doesn’t resolve within three days, it’s referred to as a status migrainosus. During an acute migraine episode, it is important to rest, ensure adequate sleep, consume more fruits, and take non-steroidal anti-inflammatory drugs for treatment. Specific pain relievers such as triptans may also be used, and concurrent complications should be addressed. Furthermore, if migraines recur frequently, prophylactic treatment with medications like beta-blockers may be considered. (Please consult a professional physician before taking any medication.)

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Written by Liu Yan Hao
Neurology
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What should I do if I have a migraine and feel nauseous?

Migraine-induced nausea can be symptomatically treated with oral pain relievers, medications that suppress gastric acid secretion, protect the gastric mucosa, and treat nausea. It is essential to confirm that the nausea is caused by a migraine rather than other acute cerebrovascular diseases. This is because migraine attacks do not pose a significant risk to health, and temporary relief from pain can be achieved by taking pain relievers orally. It's important to avoid staying up late and overworking to minimize the frequency of migraine attacks. If one experiences persistent severe headaches accompanied by nausea, conditions such as cerebral hemorrhage and subarachnoid hemorrhage must be ruled out, as these acute cerebrovascular diseases can be triggered. This is to avoid delaying treatment due to taking pain relievers. Therefore, it is crucial to understand the cause before proceeding with specific treatment. (Please administer medication under professional medical supervision and do not self-medicate.)