Migraine continues to hurt for several days.

Written by Zhang Hui

Neurology

Updated on January 25, 2025

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Migraine headaches that persist for several days might be a sign of a migraine condition. It's essential to handle this promptly to alleviate pain and improve the patient's quality of life. The following treatments are recommended for such patients. First, it's crucial to take pain-relief medication as soon as possible. For example, non-steroidal anti-inflammatory drugs can be used. If the pain remains severe and the effect is not apparent after taking these, one could use specific migraine medications like ergot preparations or triptans. Additionally, beta-blockers and calcium channel blockers may be used, which can also produce good results. Migraine patients often suffer from sleep disorders, anxiety, and irritability. It might be appropriate to administer benzodiazepines, which can also benefit headache relief. (Please use medication under professional medical guidance and do not self-medicate.)

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Written by Liu Yan Hao

Neurology

1min 7sec

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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

1min 6sec

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What should I do if I have a migraine attack?

Migraine attacks do not pose a significant risk to one's health. Therefore, during an attack, it is appropriate to take symptomatic oral pain relief and antiemetic medications for treatment, such as ibuprofen sustained-release capsules and metoclopramide tablets. These medications provide symptomatic relief. However, it is essential to confirm that the symptoms are due to a migraine and not conditions like cerebral hemorrhage or subarachnoid hemorrhage, which are acute cerebrovascular diseases. If it is one of these acute cerebrovascular diseases, taking these pain relievers could delay the diagnosis and treatment of the condition. Migraines are often triggered by certain foods, so it is best to avoid preserved foods, such as pickled vegetables that contain nitrates, which can trigger migraines. Other foods like cheese and red wine can also trigger migraines and should be avoided as much as possible. Additionally, it is important to rest properly, avoid staying up late, and try to reduce the frequency of migraine attacks. (Please consult a professional physician before using any medication.)

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Written by Zhang Hui

Neurology

52sec

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How to treat migraines

The incidence of migraines is still very high, and the pain can be quite severe, affecting patients' work and daily life, preventing them from resting well. The main treatments include the following: First, maintain the patient's emotional stability and keep the patient calm, avoiding strong lights and loud noises as much as possible to create a quiet environment. Second, administer oral non-steroidal analgesics for pain relief, or take ergot preparations for pain relief. Third, patients sometimes exhibit obvious anxiety and can take benzodiazepines for related treatment, as well as certain anti-anxiety medications. Fourth, if the patient experiences nausea and vomiting, symptomatic treatment should be given, including antiemetic medications. If the patient has frequent episodes, prophylactic treatment with receptor blockers can be used.

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Written by Zhang Hui

Neurology

58sec

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Where does the migraine hurt?

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

54sec

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Can I wash my hair if I have a migraine?

Patients with migraines should avoid washing their hair during an attack. Water that is too hot or too cold can stimulate the dilation or spasm of cerebral blood vessels, potentially worsening migraine symptoms. Therefore, it is advised not to wash hair during a migraine attack, though it is fine during remission periods. During a migraine attack, symptomatic oral pain relievers and medications to alleviate vascular spasms can be used for treatment. It is important to prevent migraines by avoiding staying up late and overexertion. Additionally, certain foods known to trigger migraines should be avoided, including foods containing nitrites such as leftovers, pickled vegetables, and other preserved foods which may contain nitrites. Foods like red wine and cheese can also trigger migraines and should be consumed with caution. (Medication should be used under the guidance of a doctor.)