Can you drink alcohol with a migraine?

Written by Liu Yan Hao
Neurology
Updated on January 18, 2025
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Patients with migraines can appropriately drink some white liquor or beer, which is generally not a problem, but they must not drink red wine. This is because red wine and dairy products, such as cheese, can induce migraine attacks. Additionally, pickled foods like pickled vegetables contain nitrites, which can also trigger migraine attacks; therefore, it is best to avoid pickled foods as much as possible. Typically, before a migraine attack, there is a precursor symptom where vision changes occur. After these precursor symptoms disappear, migraine symptoms emerge. During a migraine attack, oral pain relievers can be taken for symptomatic treatment. Some patients may find relief on their own a few hours after not taking medicine. Symptoms may recur, so it is generally advised to identify and avoid these triggers to prevent migraine attacks.

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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 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 Zhang Hui
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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 Zhang Hui
Neurology
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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
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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.)