How to suppress migraine and vomiting?

Written by Zhang Hui
Neurology
Updated on September 21, 2024
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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 Zhang Hui
Neurology
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Can migraine be treated with hot compress?

Patients with migraines are not advised to use heat compresses, as the heat may promote the dilation of blood vessels both inside and outside the skull, possibly worsening the migraine or even triggering an attack. Some people may experience migraines when taking hot baths, which is based on the same principle. Migraines are primarily caused by a dysfunction in the constriction and dilation of blood vessels, resulting in severe pain that is typically moderate to severe in intensity. The pain may be accompanied by nausea, vomiting, a pulsing sensation in the blood vessels, and clinical symptoms such as photophobia (sensitivity to light) and phonophobia (sensitivity to sound). In terms of treatment, it is important to rest and provide the patient with a quiet environment, free from loud noises and bright lights. Appropriate pain relief medications should be taken, and if nausea and vomiting occur, antiemetic medications should be administered as well. Most symptoms will quickly subside, but it is important to focus on prevention.

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Written by Zhang Hui
Neurology
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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
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What to do if you always have migraines?

Migraine attacks are related to insufficient rest, staying up late, fatigue, or poor sleep, as well as certain foods consumed ordinarily, such as pickled foods and salted vegetables, which contain nitrites. Nitrites can trigger migraine attacks. Other foods like some dairy products and red wine can also easily trigger migraines. If migraines recur frequently, it's important to first identify the causes, such as staying up late or poor sleep. For poor sleep, sedative and sleep aid medications can be taken, and try to avoid staying up late. Also, consider if you frequently consume pickled foods, dairy products, or red wine, and if so, try to correct these habits, which might reduce the frequency of migraine attacks. Furthermore, during a migraine attack, you can take some pain relievers to alleviate the symptoms. (The use of medications should be under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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What should I do if I have severe migraines?

Migraine is a very common type of headache with a high incidence rate. Severe migraines can lead to nausea, vomiting, and even an inability to move, significantly impacting the patient's life and work. When migraines are severe, they can be managed by taking oral medications, specifically drugs that target migraines, mainly ergot preparations and triptans. However, these medications should not be used by patients with severe hypertension or by pregnant women. Additionally, non-steroidal anti-inflammatory drugs can also be taken to provide relief. Furthermore, symptomatic treatment should be administered for nausea and vomiting, using antiemetic drugs. If migraines frequently occur and severely affect life, preventive treatments can also be undertaken with oral medications. These mainly include receptor blockers and calcium channel antagonists.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Which area is moxibustion applied for migraines?

Migraines can be relieved through moxibustion by targeting specific acupoints to alleviate headache symptoms. Firstly, local acupoints can be selected; for migraines, you can use the Ah-Shi points, and also massage points such as the temples, Si Zhu Kong, Jiao Sun, Shuai Gu, and Feng Chi. Additionally, based on differential diagnosis, distant acupoints may be chosen. For instance, if the migraine is caused by external pathogens, add Feng Chi and Feng Fu points. If caused by phlegm and turbidity disturbances, add Feng Long and Zu San Li to clear phlegm and reduce turbidity. For migraines due to deficiency of qi and blood, add Qi Hai, Xue Hai, and Zu San Li to nourish yin and replenish qi, with the aim of treating deficiencies and alleviating pain.