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Migraine

Updated 04.04.2022
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A migraine is a severe throbbing headache that comes on suddenly and can last a few hours to days. It is a very common health condition, that is not completely understood. It is described as a throbbing pain that usually affects one side of the head around the temples. The headaches are usually accompanied by other symptoms. This can vary for each person but include things like vomiting or feeling sick or having a sensitivity to light or sound, eased by laying down in a dark quiet room. Migraines can also be associated with auras - these are warning signals that the migraine is about to happen. Examples of different auras include flashing lights, numbness, and tingling, dizziness, or muscle weakness. It is also possible to have a silent migraine, where there is no headache but instead just the auras and other migraine symptoms.

What are migraine triggers?

Migraines can be triggered by certain stressors and situations. A symptom diary will help you to identify any triggers that may lead to migraines. This will help you find ways to manage your migraines better. Examples of triggers include; stress, menstruation, dehydration, tiredness, certain foods or drinks such as cheese, chocolate, and alcohol.

How can migraines be treated?

There is no cure for migraines. They can be managed however, through a number of ways. Simple painkillers are a good place to start, such as paracetamol or ibuprofen. Codeine-based medications are usually best avoided unless discussed with your doctor first. Triptans are medicines that are used at the first onset of the migraine and work by blocking the pain pathways in the brain. It is also wise to treat your symptoms. Anti-sickness medications can also be used separately or together with painkillers, to reduce vomiting or the feeling of being sick (nausea).

When should I see my doctor?

If your migraines are occurring more frequently (more than 5 days a month) or more severely than you would expect, your doctor would want you to discuss it with them. If your migraines are occurring frequently, it might be best for you to try a prevention strategy and trial some medication to help prevent them from occurring. You should see your doctor if you experience headaches that come on suddenly and are the worst you have ever experienced. If there are any changes such as slurred speech, confusion, weakness, and numbness, or if your headaches occur with fever, nausea vomiting, or stiff neck and confusion it would be best to treat this as an emergency and call 999 for a more urgent review.

How can I prevent migraines?

By identifying your triggers, you will best be able to understand how to avoid your migraine attacks. If your migraines are occurring more frequently, preventative medicines (where you take tablets every day) can be considered. Examples of these medications include Topiramate, propranolol or amitriptyline. If your migraines are brought about by stress then finding ways to reduce your stress levels can be important, for example through relaxation and meditative techniques. If your migraines occur before your period, it would be worthwhile exploring with your doctor hormonal and non-hormonal medicinal options. Some specialists may be trained to give Botulinum toxin type A for chronic migraines. This an injection that paralyses the muscles, that for reasons unclear have been helpful in people suffering from migraines. Acupuncture is another non-medicinal treatment that can be useful in the prevention of migraines.

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