Where does the migraine hurt?

Written by Zhang Hui
Neurology
Updated on September 10, 2024
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The location of migraine pain is generally most commonly on one side, particularly in the frontal and temporal areas, which are the temples. Patients may feel a distinct pulsing in the blood vessels, and the pain can be quite severe, accompanied by significant nausea, vomiting, and other symptoms. However, some migraine sufferers experience bilateral pain in the frontal and temporal areas, meaning both temples feel significantly painful. The treatment primarily involves administering non-steroidal anti-inflammatory pain medications. If the patient also experiences significant nausea and vomiting, these symptoms need to be addressed as well. Additionally, migraine sufferers tend to be very sensitive to strong light and sound stimuli; it is recommended that they rest in bed during a migraine attack. If migraine attacks are frequent, it is advisable to take preventative medications orally.

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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 Zhang Hui
Neurology
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What are the symptoms of migraines?

The main symptoms of migraines include the patient experiencing photophobia and phonophobia, meaning a sensitivity to light and sound respectively. These stimuli can significantly worsen the headache. Patients often prefer to rest or sleep in a quiet environment. The second major symptom is a pronounced pulsating headache on one side, where the patient can feel a palpable throbbing of the blood vessels. Additionally, patients may also experience significant nausea and vomiting. Some migraine sufferers may have visual disturbances, such as seeing flashes of light or observing moving water-like visuals. At times, migraine patients may also experience episodes of vertigo, referred to as cluster migraines. Therefore, it is evident that migraine symptoms are quite common and need to be recognized and treated accordingly.

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Written by Tang Li Li
Neurology
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What to do about migraines?

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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Can migraines be cured?

From the current medical development perspective, it is very difficult to completely cure migraines. Migraine is a disease that is prone to attacks, primarily caused by dysfunction of certain blood vessels. Some also believe that abnormal changes in the trigeminal ganglion can also lead to migraines. Migraines are prone to recurrence, and can be triggered by fatigue, poor sleep, bad mood, anxiety, and depression. When a migraine attack occurs, the pain can be quite severe, generally ranging from moderate to severe, accompanied by significant nausea, vomiting, and other clinical manifestations, and a feeling of vascular pulsation during the headache. The treatment plan mainly involves the administration of pain relief medications. If migraine attacks are frequent and the pain during attacks is severe, severely affecting daily life, preventive treatment with medication can be given. These medications can reduce the frequency of migraine attacks, but achieving a complete cure remains very challenging.

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Written by Zhang Hui
Neurology
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Can migraines cause vomiting?

Patients with migraines may experience vomiting, which is one of the most common complications of migraines. The occurrence of vomiting in migraines is mainly because the headache may affect the vomiting center in the brainstem, such as affecting the solitary nucleus. Damage to the solitary nucleus can lead to gastrointestinal dysfunction and result in vomiting. Many patients find that their headache symptoms are alleviated after vomiting. In terms of treatment, on one hand, it is necessary to correct the occurrence of migraines, mainly by administering pain relief medications and allowing the patient to rest in a quiet environment. For vomiting, antiemetic medications can be given to the patient, either orally or by muscle injection. Most patients show significant clinical improvement after treatment. (Please use medication under the guidance of a doctor.)