Migraine is a type of neurological disorder with extremely inefficient neurological symptoms.
Migraine headaches are usually persistent throbbing pain, usually on one side of the head. But in about a third of attacks, both sides can be affected.
Symptoms of migraine headache may be accompanied by vomiting, nausea, sensitivity to light or sound.
A migraine headache can last from 4 hours to 3 days, and sometimes it can be longer.
Migraine is different from other types of headaches. It is considered a neurological problem. Women are more likely to develop migraines than men.
Migraine headache symptoms include nausea, vomiting, speech difficulty, a sense of numbness and sensitivity to light and sound.
Migraine sufferers may describe headaches with several descriptions, such as beating, piercing or crushing the head. Some also describe it as exhausting physical forces.
The highest prevalence among women is between the ages of 25 and 55. Migraines do not jeopardize the lives of patients, but cause significant damage to the quality and normal course of life, causing loss of working days and material losses.
Symptoms of Migraine
Types of
migraines
The International Headache Society has defined migraine headaches according to the following indicators:
Causes of
Migraine Headaches
A trigeminovascular system works in the brain that is designed to protect the brain from harmful factors.
Aura occurs as a result of spreading cortical depression, the process of altering the polarization of neurons in the cerebral cortex, slowly spreading at a frequency of 3 to 5 mm per second on the surface of the brain, accompanied by changes in blood flow to these areas.
Diagnosis of Migraine
➤Beta-Blockers Drugs such as metoprolol, propranolol, timolol.
How to Prevent Migraine Headache Naturally
Migraine headaches are usually persistent throbbing pain, usually on one side of the head. But in about a third of attacks, both sides can be affected.
Symptoms of migraine headache may be accompanied by vomiting, nausea, sensitivity to light or sound.
A migraine headache can last from 4 hours to 3 days, and sometimes it can be longer.
Migraine is a type of headache. |
Migraine Headache - Symptoms, Causes, and Treatment - How to Prevent Migraine Naturally
What is Migraine?
Migraine is a type of headache and comes in the form of recurrent
seizures, usually moderate to severe in severity, and is gradually increasing,
and makes up about 12% of other types of headaches, and often affects
individuals aged between 10- 30 years, often on one side of the head but can
come on both sides of the head, lasting from hours to days, usually accompanied
by nausea and vomiting.
Migraine is different from other types of headaches. It is considered a neurological problem. Women are more likely to develop migraines than men.
Having a family member with
migraines increases the likelihood of other family members.
Migraine headache symptoms include nausea, vomiting, speech difficulty, a sense of numbness and sensitivity to light and sound.
Migraine sufferers may describe headaches with several descriptions, such as beating, piercing or crushing the head. Some also describe it as exhausting physical forces.
The spread of the disease
Migraines are very prevalent among the population of Western
countries and at least 18% of women and 6% of men have suffered migraines at
least once. 60% - 70% of migraine sufferers are women.
Before the age of puberty, the
prevalence of migraines is about 4% and then increases, at a later stage,
especially among girls up to the age of 40 years. After the age of 40
years, with age, a decrease in the incidence of migraine begins.
The highest prevalence among women is between the ages of 25 and 55. Migraines do not jeopardize the lives of patients, but cause significant damage to the quality and normal course of life, causing loss of working days and material losses.
Symptoms of Migraine
The symptoms of migraine headache may include:
➮Transient localized brain damage
manifested in vision disorder (most common), sensation disorder, decreased body
strength, on the right or left side, balance disorder or speech disorder.
➮Aura usually appears before the onset of
headaches, but sometimes it also appears during or after the headache and takes
less than an hour.
Because of the similarity, it is sometimes thought to be a stroke,
but it does not result from a blockage in a blood vessel, not even a stop in
the flow of blood to a particular part of the brain. The next stage is a
headache.
➮The pain usually begins on one side of the
head, but sometimes it moves to the other side, too, and then gradually
intensifies within hours, pulsing and affecting the functioning of the person.
➮The headache is usually accompanied by
nausea and sometimes vomiting increased sensitivity to stimuli, such as light,
noise, and smell, and the patient prefers to lie in the dark and calm until the
end of the attack and its demise.
➮An attack can be accompanied by a feeling of fatigue, thirst, hyperuricemia, pallor, sweating, hunger or lack of
appetite, nasal congestion, feeling cold or heat.
➮A drop-in the ability to concentrate, a
feeling of depression, anxiety, and nervousness can occur. While some patients
may feel depression and discomfort, others may feel refreshed and rejoiced
after a seizure.
Types of
migraines
Migraine attacks can be classified into two types: (1) Migraine
with aura (also called classical migraines). (2) Migraine without aura
(formerly known as common migraines).
It is the most common type, even 66% of migraine attacks are with
Aura. “Aura” usually involves visual symptoms like seeing shapes, lines,
or flashes.
The International Headache Society has defined migraine headaches according to the following indicators:
⇨The patient has
the typical episodes characteristic in his life.
⇨Migraines last
from 4 hours to 72 hours.
⇨Pain
characteristics include at least two features of the following:
(A) Pain is concentrated in only one side (unilateral); (b) pain
appears as a pulse; (c) pain is moderate to severe; (d) pain is exacerbated by
physical exertion.
⇨During an
attack, the patient experiences at least one of the following symptoms: (a)
nausea, vomiting or both; and (b) sensitivity to light or noise.
⇨Seizures are
not attributed to another problem.
The Stages of Migraine
The Stages of the onset of migraine symptoms.
Naturally, like any disease or health condition,
migraine representation varies from one patient to another, in terms of the
duration of the disease, the period of the appearance of symptoms, the time of
disappearance, the severity, and the impact on the patient's life, as well as
its acceleration.
Migraine has four stages that are characterized
and experienced by the patient but not in the same context and at the same
time.
These stages may include:
Prodrome Migraine
Prodrome migraine can
mark the onset of a migraine attack. The symptoms of the prodrome phase are
particularly specific that may include Constipation, frequent yawning, neck
stiffness, increased thirst, and urination, craving for certain foods and mood
changes, from depression to euphoria.
Migraine Aura
A migraine aura is a
frequent and recurring headache that affects after or at the same time as the
sensory, motor or verbal disturbances. This animation indicates what happens if
you have a migraine with aura.
The symptoms of migraine
aura may include:
➛Visual
phenomena, such as seeing various shapes, flashes of light or bright spots.
➛Needles
and pins sensations in an arm or leg.
➛Uncontrollable
jerking or other movements.
➛Weakness
on one side of the body.
➛Weakness
on one side of the body.
➛Tingling
in the hand or face.
➛Hearing
noises or music.
➛Other
changes in vision
➛Difficulty
speaking.
Migraine Attack
In the first stage of an
attack, about a third of people develop symptoms that last from hours to
days.
Migraine
attack occurs in patients with migraines at a frequency of about once a
month, but some patients have several attacks per week, and there are attacks
lasting more than 3 days without interruption (status migrainosus).
During a migraine
attack, the person might have:
➛The
Pain that throbs or pulses.
➛The
pain generally on one side of the head, but often on both sides.
➛The
sensitivity to sound, light and sometimes touch and smell.
➛Nausea
and
Postdrome - The Migraine Hangover
Postdrome - The Migraine Hangover
The postdrome (formally
known as “migraine hangover,”) is the fourth and final phase of a
migraine attack. After a migraine attack, the patient may feel confused,
drained and washed out or elated.
This might take days or
even weeks to go through all four phases. in this stage, the patient remains
exhausted, nervous or uncomfortable, with little ability to concentrate, with
noticeable scalp sensitivity.
The symptoms of migraine
hangover include mood changes, fatigue, difficulty concentrating, nausea,
dizziness, body aches, sensitivity to light, hunger or neck stiffness.
When Should You See a Neurologist for Migraines?
Symptoms of migraines
that you should pay attention to and not ignore if you suspect someone around
you has a migraine headache. But for a patient you know he has a migraine, is
this just a diagnosis?
There are even cases
where he should see a doctor, and sometimes need to go directly to the
emergency room.
The symptoms of such
migraine may include:
➾Feeling
very sudden pain in the head, such as a sharp blow or thunder speed, you should
see a doctor this is a risk indicator.
➾Severe
headaches with high body temperature, stiff neck, joint pain, disturbance in
concentration and blurred vision, exposure to bouts of convulsions, the feeling
of miniature or let down in sensation, or difficulty speaking.
➾Pain
in the head after being hit or injured in the head, especially if the pain and
headaches get worse and worse.
➾Chronic
headache - for a longer period, more than three months - and increases further
after coughing, exertion, going to the toilet, or after a sudden movement.
➾If
the patient is over 50 years old and complains of pain even if it is minor or
for the first time, and without any known causes.
Having learned a little bit about how to identify or even put suspicions of migraine, you must believe
that the attending physician will not spare any effort to provide the necessary
solutions to treat migraine patients.
Causes of
Migraine Headaches
The exact cause of migraines remains unknown and is not entirely
clear, but it is now known that there are processes that affect it and are
related to its appearance.
A trigeminovascular system works in the brain that is designed to protect the brain from harmful factors.
When an external factor (lack of sleep, certain food) alerts the
nerve trigeminal of the skull, it secretes pain mediators (Substance P and
CGRP) into the blood vessels in the brain envelope, causing the secretion
of other inflammatory mediators from mast cells.
These mast cells, in turn, attract inflammatory cells
(polymorphonuclear neutrophil) to that region.
These mast cells also secrete chemicals that cause changes in
the diameter of blood vessels and increase the permeability of the walls of the
blood vessels, thus creating a state of neurogenic inflammation.
In this case, the penetration of pain mediators and the expansion
of blood vessels will be a cause of pain, too.
Aura occurs as a result of spreading cortical depression, the process of altering the polarization of neurons in the cerebral cortex, slowly spreading at a frequency of 3 to 5 mm per second on the surface of the brain, accompanied by changes in blood flow to these areas.
Risk Factors for Migraine
Headaches
There are many triggers and risk factors that contribute to
migraine attacks. These triggers include:
Emotional changes: Some strong emotions and emotional changes such as stress,
depression, anxiety, and trauma may lead to migraine attacks.
Hormonal changes: Hormonal changes associated with the menstrual cycle may
cause migraine attacks.
Food-related triggers: Some foods can contribute to migraine attacks such as
alcohol, caffeine, chocolate, cheese, citrus, and foods containing tyramine.
Skipping meals and not eating them regularly, as well as suffering from
dehydration due to lack of drinking fluids contribute to the occurrence of
migraine attacks.
Physical causes: such as feeling tired, not sleeping long enough, or
suffering from straining muscles in the shoulder or neck or hypoglycemia may
cause migraine attacks.
Environmental triggers: Environmental triggers such as strong odors, secondhand
smoke, loud noises, and temperature changes contribute to migraine attacks.
Some medications: Some medications may contribute to migraine attacks, such as
birth control pills containing estrogen and progesterone, Nitrate, Indomed or
Reserpine, and alternative hormone therapy.
Family history: About 70% of migraine sufferers have a first-degree
relative, and first-degree relatives of a migraine sufferer are 1.5 to 2 times
more likely to have migraines than other people.
If the migraine is with aura, the rate rises to four times. To
date, the mutation has been detected in a number of genes causing certain and
rare forms of migraine, such as familial hemiplegic migraine.
Studies show that migraines are, in most cases, not caused by a
defect in a single gene, but are associated with several factors, both genetic
and environmental.
Diagnosis of Migraine
Physical neurological examination, and other tests, such as blood
tests, computed tomography (CT), magnetic resonance imaging (MRI), or
electroencephalogram (EEG). Often, no tests are needed and the disease can be
diagnosed based on the patient's description - (history of the disease - Anamnesis)
and on the basis of a normal, healthy neurological examination.
What is the Best Treatment for Migraine Headaches?
What is the best treatment for migraine headaches? |
Treatment of Migraines
The first step to treating migraines is to avoid triggers for
migraines. The treatment of migraines depends on the severity of the
attack; Low-intensity attacks can be treated with Nonsteroidal
anti-inflammatory drugs (NSAIDs) such as Ibuprofen or Naproxen.
If a migraine attack is moderate to severe, it is treated with
other medications and therapeutic types.
Migraine treatment consists of several therapeutic types,
including:
➩Behavioral therapy to prevent attacks:
➩Regular sleep
➩Regular diets
➩Medium physical activity
➩Avoid certain foods that contain caffeine,
triamine, monosodium glutamate or nitrates.
➩Anti-migraine treatment: This treatment is
usually prescribed for people with more than 4 migraine attacks per month that
exceed 12 hours and more.
The main objectives of inhibitor therapy are:
⤇Reducing the
frequency, severity, and duration of attacks.
⤇Reducing the
progression of the disease from a severe attack to a chronic illness.
⤇Increasing the
response to treatment during acute attacks.
⤇Improving
patient performance and reducing disability,
Medications to prevent
migraine attacks:
The categories of medications that have been found to be
effective in scientific research as an anti-migraine attack include:
➤Beta-Blockers Drugs such as metoprolol, propranolol, timolol.
➤Anticonvulsants such as valproate and
topiramate.
➤Tricyclic antidepressants such as
amitriptyline and venlafaxine.
Treatment to relieve
symptoms of migraine during an attack:
There are many drugs that have been scientifically proven to treat
acute migraine attacks, and we can divide them as follows:
➧Common pain medications such as
painkillers
➧Paracetamol
➧Non-steroidal Anti-Inflammatory Drugs
(NSAIDs) such as aspirin, ibuprofen, naproxen, and diclofenac.
➧Opioid drugs, despite the divergence of
views among doctors about the advantage of using it to treat migraines.
Medications to Treat
Migraines Headaches
Triptans: a
drug specifically developed to treat migraines, they are neurotransmitters
called Serotonin 5-HT1B / 1D.
Drugs in this category include eletriptan, Naratriptan,
Rizatriptan, Sumatriptan (the most commonly used medication today known to
begin to relieve pain during a short time), and Zolmitriptan).
These drugs have a good effect and high effectiveness at the time
of seizure.
Ergots: These
drugs also bind to the serotonin 5-HT1B / 1D receptor. The types of drugs in
this category are ergotamine (Ergotamine) and dihydroergotamine
(DihydroErgotamine).
Anti-Emetic Drugs: The role of these drugs is supportive and adjunct to the
treatment of headache pain relief and to prevent vomiting associated with
headaches in migraine attacks. Drugs in this category include metoclopramide,
chlorpromazine, prochlorperazine, droperidol, and diphenhydramine.
Dexamethasone: Dexamethasone
has been shown to reduce the frequency of a migraine attack if it is
administered during an acute attack.
New research is underway on new drugs that work on other serotonin
neurotransmitter receptors that promise a potential efficacy for migraine
patients.
Note: All
medicines discussed here are for general information only. We do not recommend
any type of medication for the treatment of migraine headaches. Please consult
your doctor before taking these medicines. Visit our Disclaimer Page.
How to Prevent Migraine Headache Naturally
Here, we have mentioned some best and effective ways to prevent
migraine headache naturally:
Get the Right Diagnosis: One of the best ways to prevent migraines is to ask yourself
this question. Do you have a headache or a migraine?
Migraines do not usually indicate more serious health anxiety.
Very rarely, migraines may indicate a more serious cause such as a brain
tumor.
Causes of concern include attacks that may occur suddenly, with no
history of personal injury, or neurological disorders such as dizziness,
confusion, or numbness.
Avoid High Noise and Bright Lights: This is one of the best ways to
prevent migraines. Because certain situations such as driving at night,
cinemas, clubs or crowded places, sunlight may cause migraines.
Breaks should be taken from watching TV or computer screen to
comfort your eyes, adjust brightness levels on digital screens.
Know Early Warning Signs and Take Action: If you have a gesture phase, you'll
recognize early warning signs of migraines, whether areola or fatigue, that can
alert you that you are about to have a migraine.
Other early warning signs include dizziness or nausea.
The method of preventing migraines is limited to finding a cool,
quiet room for rest. Drink plenty of water, use natural remedies to reduce pain.
Identify Migraine Triggers: Identifying triggers is one of the first strategies you
should use to prevent migraines in the future.
Although migraines are scary and very annoying for life, many
patients find comfort in knowing the causes as they give some dominant
manifestations of debilitating attacks.
Change Your Eating Habits: If you've identified certain foods that lead to migraines,
changing the eating habits is one of the best ways to prevent migraines.
You can increase the number of foods you eat with magnesium and
omega-3 fatty acids. Reduce food containing stimuli, such as chocolate, alcohol
or preserved food.
Quit Smoking: Studies
have shown that smoking more than 5 cigarettes a day is more likely to lead to
migraines.
If you are unable to quit smoking directly, you should limit your
intake to less than 5 cigarettes per day. While reducing your quantum may be a
double-edged benefit of quitting.
Reduce Your Weight: Excess weight can lead to more inflammation in the
body.
The study report suggests that women with a high percentage of
abdominal fat which account for about 37 percent are more likely to get
migraines than those who have a beautiful and slim body.
Use Essential Oils for Migraines: It is a useful home remedy for headaches and migraine
pain in inhalation and application of topical lavender oil.
It is recommended to add two to four drops per 2-3 glasses of
boiling water when inhaling lavender oil vapors as a headache remedy.
Other commonly recommended oils include peppermint oil and basil
oil.
Do Exercise Regularly: One of the simple reasons for reducing migraines in exercise
is to reduce stress, reduce inflammation, and enhance mood.
Adhere to dense and low to moderate exercises in a
high-intensity activity that can sometimes lead to migraines.
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