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

57sec

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How to relieve a migraine?

When a migraine occurs, one can temporarily take some painkillers for symptomatic treatment, which can quickly alleviate the pain. The prerequisite is to ensure that it is indeed a migraine. Typically, before a migraine starts, there are some precursor symptoms related to vision where one might experience blurred vision, distorted vision, or see wave-like patterns in front of their eyes. The headache symptoms often follow these visual symptoms after a short duration. Migraines can recur, and even without treatment, some may completely resolve within a few hours, which is typical of migraines. The occurrence of a migraine generally does not have a major impact on one's health, so one can take painkillers for symptomatic treatment. Additionally, it is advisable to avoid staying up late and overworking. Foods such as pickled products, cheese, and red wine should also be avoided as much as possible, as they can trigger migraine attacks.

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Written by Liu Yan Hao

Neurology

1min 1sec

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Can migraines be hereditary?

Migraines are not hereditary and are not considered genetic diseases. The onset of migraines is mainly associated with staying up late, fatigue, and the consumption of certain foods that can trigger migraines, such as foods containing nitrites. This includes pickled vegetables, overnight foods, leftover meals, and leftover vegetables, as these contain nitrites, which can trigger migraine attacks. Other triggers include certain dairy products and red wine. To reduce the frequency of migraine episodes, it is advisable to avoid these foods and not to stay up late. When a migraine attack occurs, temporary relief can be sought through oral painkillers. Regular scheduling and avoiding the aforementioned foods can significantly reduce the number of migraine episodes. Therefore, migraines are not hereditary and do not constitute a genetic disease. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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Written by Yuan Jun Li

Neurology

1min 20sec

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How to relieve migraines and nausea

Migraine accompanied by nausea first requires analyzing the cause, followed by appropriate treatment. 1. If primary migraine is considered, oral medications like ibuprofen, indomethacin, and naproxen can be used, as well as acetaminophen or ergotamine caffeine. For severe vomiting, treatments such as vitamin B6 and metoclopramide can be administered to stop the vomiting. 2. If hypertension is the suspected cause, the main treatment is blood pressure regulation, typically using long-acting medications. Commonly used medications include amlodipine, irbesartan, candesartan, and valsartan. 3. If the cause is due to mental stress and high pressure, appropriate relaxation and stress reduction can provide relief. 4. It could also be related to organic brain lesions, such as a brain tumor. In such cases, a brain MRI should be considered to confirm the diagnosis. Treatment primarily involves surgery or radiation therapy. (Please follow medical advice when using medications.)

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Written by Zhang Hui

Neurology

59sec

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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

Neurology

47sec

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The causes of migraine

Migraine is a very common type of headache in neurology, and the causes of migraines mainly include the following aspects. The first aspect, it may be caused by the dysfunction of vasoconstriction and dilation. Constriction of the blood vessels inside the skull leads to the precursor of migraine, and then dilation leads to the onset of the headache. The second reason to consider is that migraines may be caused by the cortical spreading depression. The third reason, it may also be due to trigeminal ganglion lesions causing migraine attacks, the specific mechanism of which is actually not very clear. The occurrence of a migraine also has some triggers, for example, consuming cheese, pickled products, chocolate, and wine can all potentially trigger migraines, which should be avoided.