Migraine: what to do? How to treat it?

“Doctor, I have headaches that force me to put myself in the dark, I hear my heart beat at the right temple and I have to stop all my activities and the pain is sometimes intolerable that it gives me I feel worried because just before this great pain, I see strange things like intense lights and that even with closed eyes …online shopping in Pakistan   Nothing goes more doctor … It would not be migraines? care and above all, how can I prevent it from happening again? ”

A headache or a migraine?
Migraine is one of the major family of headaches (headaches) among which tension headaches (caused by nervous tension, anxiety, fatigue …) and migraines. Tension headaches are said to be primary or secondary to another pathology (colds, sinusitis for example …). Migraines are crises that appear gradually and are preceded or not by warning signs that are grouped under the name of aura.

To tell the difference between the 2:

– A migraine is unique in its duration, intensity and pain, which is usually felt on one side of the head or located near the eye. online shopping in Lahore  The pain is perceived as pulsations in the cranial box and is aggravated by light and noise (and. Migraine can also be accompanied by nausea and vomiting and only isolation in the dark can bring a lull.
– Tension headaches are headaches that result in a tight feeling on the forehead and temples and cause discomfort as they cause no nausea or vomiting.
A migraine affects 7 million people in France and women are 3 times more affected than men. It is, therefore, one of the most common neurological pathologies, a source of very important functional handicap with a deterioration of the patient’s life and especially of high indirect costs (work stoppage, a decrease of efficiency at work, etc …)

In France, only 20% of migraine patients have regular follow-up in consultation, which is a shame since a medical follow-up allows the migraine patient to have a reliable diagnosis, to organize his daily life with a migraine, to understand the consequences and the severity of seizures and to control its causes, its triggering factors to ultimately implement an effective treatment.

 

A migraine: what are the symptoms?
Why do some people have headaches, tension headaches or migraines and why others have none, even if they are exposed to the same environment? This is a great mystery!

For a long time it was established that migraines were due to vascular changes with vasoconstriction, then vasodilatation of the cerebral vessels causing the pain felt. However, the physiopathological causes of a migraine are much more complex and are linked to a cascade of reactions in the nervous system leading to inflammation of the neurons and dilation of the cerebral vessels (including the arteries of the meninges) with a number of mediators and substances pro-inflammatory involved very important.

The main symptoms of a migraine are as follows (they can last from 4 to 72 hours):

– An intense headache that installs gradually (not brutal) and more durable than ordinary headaches.
– Localized pain, often concentrated on one side of the head.
– A throbbing pain, throbbing and pulsation (sensation of feeling your heart beat in your head!): Pulsating pain.
– nausea and vomiting.
– Blurred vision (blurred vision, black spots in the field of vision).
– A feeling of cold or intense sweats.
– Increased sensitivity to light (photophobia), noise and sometimes odors, which forces you to isolate yourself in a quiet, dark room.

ATTENTION: a medical consultation is necessary if:

– This is a very intense first headache.
– In case of a headache different from other times or with other symptoms: fainting, loss of vision, difficulty speaking or walking …
– If the migraines are more and more painful or if they are triggered by any physical exercise or by sneezing or coughing.

If headaches arise as a result of a head injury (shock, wound …)

There are also warning signs that precede a headache from a few hours to 2 days, the most common are:

– Fatigue,
– Compulsive cravings,
– the stiffness of the neck,
– a psychological sensitivity,
– Increased sensitivity to noise, light, and odors.

Many migraine sufferers also know the aura phenomenon: it is a phenomenon of neurological nature that lasts from 5 to 60 minutes and the headache then appears. It is a harbinger of very strong migraine and this aura can manifest itself in different ways:

– Visual effects with lightning flashes, duplication of vision and bright lines of color.
– Temporary vision loss of one or both eyes.
– Numbness in the face, on the tongue or in a limb with sometimes speaking difficulties.
– In very rare cases, a major weakness such as paralysis:

A migraine: people at risk and triggers.
If we know little about the mechanisms of a migraine, it is now possible to identify a number of warning signs and triggers of a migraine.

Ethnicity: Migraines are more common in the Caucasian population than the African or Asian population.
– Genetic factors but also environmental and food.
– Some diseases can make the bed of a migraine: high blood pressure, epilepsy, an old stroke, a depressed state, anxiety, stress, excitement or annoyance.
– Hormonal changes in women since migraines can appear around puberty, improve significantly during pregnancy and can be triggered at the time of menstruation or in the case of a highly dosed pill. And finally, in 2/3 of cases, migraines stop at menopause.
– The consumption of alcohol (especially white wine), hypoglycemia, irregular meals or brutal weaning in caffeine. Some foods are also involved as triggers of migraine such as foods rich in histamine (responsible for reactions in some allergic), chocolate, cold cuts, dried fruits, citrus etc …
– Climatic factors: strong wind, a sudden drop in atmospheric pressure, strong heat or intense cold.
– Sensory factors: bright light, cinema, heady smells, noise …

Since the triggering factors and risk factors are very numerous and varied, the migraine sufferer will be asked to keep a migraine diary to identify, for example, the foods that trigger migraines and this is generally a good start for the prevention of migraines. the occurrence of crises.
How to relieve and treat a migraine?
First, some reflex actions to apply as soon as the symptoms of a migraine episode are felt:

– Lie in a quiet, dark room, put on a cold cloth or use a cooling pack on the forehead and drink plenty of water to hydrate the best (especially in case of vomiting).
– Breathe fresh mint or apply on time a menthol pencil.

Migraine treatments in self-medication:

– Paracetamol which will have a very moderate effect on the warning signs of the crisis such as migraine aura and moderate efficacy on migraine pain
– Asteroidal anti-inflammatory drug (NSAID) such as ibuprofen or ketoprofen, but these medicines should not be combined with each other or with aspirin.
– Aspirin but beware this molecule has a very fickle effect and that is only about headaches. Do not combine with other medicines without medical advice.
– Self-service opiates must absolutely be avoided because of the risk of drug abuse and the dependence they can create but also for their tendency to increase nausea in migraine sufferers.

These drugs, to be effective, must be taken as soon as possible from the beginning of the crisis.

Caution in self-medication: do not exceed the maximum daily dose allowed and respect the dosage as an overdose can have very harmful effects on health. Do not combine analgesics of different compositions with each other (except medical advice) and pay attention to the contraindications of each drug (read the leaflet). Drug abuse can also cause chronic headaches, so it will be important to see if after a few days of self-medication the pain does not stop.

Prescription migraine treatments:

– Analgesics and/or non-specific anti-inflammatory drugs to be taken as soon as possible at the beginning of the crisis.
– If there is nausea associated: anti-nausea and an anti-emetic drug may be prescribed.
– In cases of severe seizures or ineffective non-specific treatment, the doctor may prescribe a drug of the family Triptans which is a family of drugs that reduce the dilation of the blood vessels of the brain causing migraine pain. These drugs are only prescribed and prescribed after verification by the doctor of no contraindications (especially cardiovascular for triptans). This medication should be taken as early as possible at the beginning of the migraine

The background treatment of a migraine:
It is a treatment that does not eliminate seizures but makes them less frequent and less painful and is not prescribed by the attending physician depending on the frequency and intensity of seizures and the family, social and professional disability that they provoke. This basic treatment also makes it possible to avoid abuse of anti-migraine drugs or overdose during painful crises. The doctor can offer a large number of basic treatment but the most frequently used are beta-blockers especially when stress is part of the triggers. In women, in the case of cycle-related migraines, hormonal treatment can be effective. Drugs containing dihydroergotamine should no longer be used as a DMARD because of their many side effects and many contraindications with other drugs.

Homeopathic treatment of a migraine
For a homeopathic treatment, it is advisable to consult before any treatment his homeopathic doctor in order to establish precisely the ground of each individual and to then adapt the homeopathic strains and dosages to be used according to the factors triggering migraines.

For example for migraines:

– Related to an increase of nervous fatigue, work, worries, it is possible to use: Kalium phosphoricum 9CH and Phosphoricum Acidum 9CH.
– Linked to a great joy or a strong annoyance: Ignatia Amara 15CH.
– Related to eyestrain: Onosmodium 9CH.
– Related to muscular fatigue: Rhus Toxicodendron 9CH, Gelsemium 9CH.
– Linked to a dietary excess: Nux vomica 9CH.
– Related to menopause: Lachesis mutus 9CH.
– Linked to a cold snap: Belladonna 9CH.

Herbal treatment of a migraine
For the treatment of migraines by plants, we will favor:

– Sedative plants such as Hawthorn, Melilot, Melissa, Passion Flower, Lavender or Valerian and Eschscholtzia.
– Anti-inflammatory plants: Meadowsweet, Greater Chamomile, Matricaria.
– Drainage plants or having a hepatic impact: Artichoke, Rosemary, Fumitory, Black radish, Dandelion …

Aromatherapy treatment of a migraine
Be careful, before using for the first time one or more essential oils you must first detect a possible intolerance or allergy and always seek advice from your pharmacist. Not for use by pregnant women.

For migraines there are mainly 3 essential oils that can have an action in the migraine attack:

– The essential oil of Gaulthérie thanks to the presence in its composition of salicylés. It relieves especially the intense neuralgic pains.
– Peppermint essential oil
– Officinal lavender essential oil especially if a migraine is linked to stress.

Many ready-to-use products are available in pharmacy and especially in the form of roll-on to be applied with a localized express massage.

 

How to prevent the appearance of a migraine?
There are a number of preventive actions whose purpose is to:

– Reduce the intensity and frequency of crises, or even eliminate them.
– Improve the quality of life of people with significant migraines.
– Reduce the need for medicines.

Keep a migraine diary to find out what triggers the seizures by noting all the food you eat, its symptoms, your psychological situation, and the external conditions at the time of your migraine.

Adapt your lifestyle according to the analysis of this newspaper: reduce stress, do not skip meals, enough sleep or eviction of the offending food.

Do not let a headache spoil the day and act at the first sign of migraine pain: we avoid noise and light, there is no worse to activate the pain, we turn off the lights, the screens of TV, computer, no radio or phone and if possible we lie 10 minutes pulling the curtains …

Crises are frequent? So we consult because if headaches and migraines are especially painful and debilitating, they are not usually caused by serious medical problems but a diagnosis mu

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