How to treat migraines

Written by Zhang Hui
Neurology
Updated on September 29, 2024
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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 Liu Yan Hao
Neurology
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What should I do about migraines?

Patients with migraines can temporarily take oral painkillers to alleviate the symptoms, provided that it has been confirmed as a migraine attack, and not a headache caused by acute cerebrovascular diseases such as cerebral hemorrhage or subarachnoid hemorrhage. Typically, before a migraine attack, there may be an aura symptom involving changes in vision, followed by unilateral headache. These symptoms can recur, usually lasting several hours, and they can subside on their own without medication. These are the symptoms of migraines. Generally, migraines do not pose a significant health risk, so patients can temporarily treat it with symptomatic oral pain relief. During remission, it is advisable to take preventive measures such as avoiding staying up late, not overworking, and reducing the frequency of migraine attacks as much as possible.

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Written by Zhang Hui
Neurology
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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.

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Written by Liu Yan Hao
Neurology
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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 Liu Yan Hao
Neurology
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What should you pay attention to in daily life if you have migraines?

Patients with migraines should pay attention to maintaining a regular daily schedule, avoid staying up late, avoid overworking, and ensure sufficient sleep. Additionally, there are some foods that can trigger migraine attacks, such as pickled foods and salty vegetables, which contain nitrites that may provoke migraines. Other foods, like certain dairy products and red wine, can also trigger migraine attacks. Patients who experience migraines should try to avoid these types of foods to minimize occurrences. What is a migraine? Migraines typically present as unilateral head pain. A common symptom before the onset of a migraine headache is experiencing prodromal symptoms such as changes in vision, blurred vision, altered shapes, and seeing rippling patterns. These symptoms appear shortly before the headache begins, characterizing a typical migraine attack. During an attack, one can take pain relief medication to ease the pain. Migraines generally do not cause significant health issues, and even without medication, the pain usually resolves within a few hours, so there is no need to worry excessively. The main focus should be on the above points to reduce the frequency of migraine attacks. (Please use medication under the guidance of a doctor.)

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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.