What should I do if I always have migraines?

Written by Zhang Hui
Neurology
Updated on September 18, 2024
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Migraine is a disease that severely affects quality of life. During a migraine attack, patients experience moderate to severe headaches, accompanied by nausea, vomiting, photophobia, phonophobia, and daily life is severely affected. Activities such as climbing stairs can progressively worsen the headache. If migraines occur frequently and severely affect daily life, it is advisable to undergo preventive treatment. Preventive medications primarily fall into three categories: the first category includes receptor blockers, the second category consists mainly of anti-epileptic drugs, and the third category comprises calcium channel blockers. These medications can effectively prevent the onset of migraines and can be taken under the advice of a doctor. Additionally, it is important to maintain a stable mood and ensure adequate sleep to prevent the onset of migraines.

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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 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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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.)

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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
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How to relieve a migraine?

Migraine is one of the most prevalent diseases among the population, mainly characterized by unilateral pulsating headaches, which can be accompanied by nausea and vomiting. The main ways to alleviate a migraine attack are: First, maintain a stable mood without too much emotional fluctuation, ensure bed rest, and rest in a quiet environment. Second, if the migraine is severe, you can take some non-steroidal anti-inflammatory painkillers for treatment, which mostly have good effects. If the results are unsatisfactory, some specific ergot pain relievers can be used for relief. Third, treat the symptoms accordingly. If there are obvious symptoms of nausea and vomiting, you can orally take or receive muscle injections of painkillers for treatment. Generally, after these treatments, there will be a significant relief from the migraine.