migraine symptoms

Written by Zhang Hui
Neurology
Updated on January 06, 2025
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The typical symptoms of migraine include unilateral pulsating headaches, usually located in the temporal area, where the patient can feel a pronounced throbbing of blood vessels. However, some patients may experience bilateral fluctuating headaches; bilateral headaches should not exclude the diagnosis of migraines. Patients may also experience nausea, vomiting, photophobia, phonophobia, and clinical manifestations such as aggravation of headache during routine activities, and may also exhibit symptoms of restlessness and unease. Additionally, some patients may experience visual auras, such as flashing lights or black spots in front of their eyes, before a migraine attack.

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Written by Zhang Hui
Neurology
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How many days can a migraine recover?

For most cases of migraines, patients generally recover within three days. If migraine-specific medications are administered, recovery can be faster, with symptoms significantly alleviated within a day. If a migraine persists for more than three days without recovery, it is known as a status migraine, and specific migraine medications need to be used, such as ergot preparations or triptan drugs, which are effective. Some patients with prolonged migraine duration may need sedatives and drugs to reduce intracranial pressure for symptomatic treatment. Patients with migraines must ensure adequate rest, ensure good sleep, and maintain stable emotions. (Medications should be used under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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How to treat migraines

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 Zhang Hui
Neurology
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What are the symptoms of migraines?

The main symptoms of migraines include the patient experiencing photophobia and phonophobia, meaning a sensitivity to light and sound respectively. These stimuli can significantly worsen the headache. Patients often prefer to rest or sleep in a quiet environment. The second major symptom is a pronounced pulsating headache on one side, where the patient can feel a palpable throbbing of the blood vessels. Additionally, patients may also experience significant nausea and vomiting. Some migraine sufferers may have visual disturbances, such as seeing flashes of light or observing moving water-like visuals. At times, migraine patients may also experience episodes of vertigo, referred to as cluster migraines. Therefore, it is evident that migraine symptoms are quite common and need to be recognized and treated accordingly.

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Written by Zhang Hui
Neurology
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Migraine vertigo symptoms

There is a special type of migraine called vestibular migraine, where the main symptoms during an attack are significant dizziness, accompanied by nausea, vomiting, and unsteady walking. A headache may or may not occur. This type of migraine-induced dizziness is relatively common in clinical practice, and patients generally experience severe dizziness, along with pale complexion and cold sweats among other clinical symptoms. The treatment for the dizziness caused by this type of migraine primarily follows the treatment protocols for migraine attacks, and may include taking certain non-steroidal anti-inflammatory pain medications. Additionally, administering calcium channel blockers and antiemetic medications can also achieve very good results. Furthermore, some sedative medications can also be used and can improve the patient's symptoms.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Can migraines be massaged?

For some primary migraines clinically, we can alleviate clinical symptoms, reduce the intensity of pain, and decrease the frequency of pain through massage, which has certain clinical effects. How do we perform the massage? Generally, we select some massage areas according to the patient's clinical symptoms and characteristics, and also choose some acupoints based on differentiation. For example, for forehead pain, we usually start by selecting local acupoints, including Jingming, Sizhukong, Yangbai, and Touwei acupoints, then massage Baihui and Tongtian acupoints. For distant points, we choose to massage acupoints such as Houxi and others to alleviate the clinical symptoms of migraines.