What to do about migraines?

Written by Zhang Hui

Neurology

Updated on January 03, 2025

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Migraine prevalence is relatively high, and for those experiencing migraines, the following treatments are recommended:

First, it is essential to maintain a calm emotional state and avoid excessive stress.

Secondly, medication can be used for treatment. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used and are effective for many patients. However, if there is no relief after taking these, or if the pain is very severe, medications specifically for treating migraines such as ergot derivatives and triptans may be prescribed.

Third, if the migraine is accompanied by nausea and vomiting, antiemetic drugs can be used. Additionally, if the patient with migraine also experiences significant restlessness or anxiety, an appropriate amount of sedative medication can be applied.

(Please use medication under the guidance of a doctor.)

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Written by Liu Yan Hao

Neurology

52sec

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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

51sec

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How to treat migraines

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 Liu Yan Hao

Neurology

1min

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Does a migraine hurt a lot?

Migraine is a severe type of headache, but generally does not last long and usually does not come with symptoms of limb weakness or nausea and vomiting. It often resolves on its own after a few hours, even without treatment. Typical migraine attacks often have some precursory symptoms related to vision changes, such as blurred vision, distorted shapes, or the appearance of water-like ripples; these symptoms are followed shortly by headaches, either on one side or both sides of the head. Migraines do not generally have a major impact on one's health. During an attack, taking ibuprofen sustained-release capsules can help alleviate the pain. Additionally, it is recommended to avoid staying up late and overworking. Certain foods, such as pickled products, salty vegetables, and nitrates, can trigger migraines; some dairy products and red wine can also provoke headaches, so it is best to avoid these foods to prevent migraines.

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Written by Zhang Hui

Neurology

56sec

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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.

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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 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.)