Migraine

A 48yrs old male presented to ED having H/o sudden onset LOC and seizure with multiple episode of vomitting.K/c/o HTN not on regular treatment as advice by his family doctor.O/e CNS - conscious,alert,oriented,Right UMN facial palsy,Both pupils are normal in size.GCS-E3V4M4,Bp-170/90mmhg.Diagnosis?

#Homeopathic Medicines for Migraine# ---------------------------------------------------------------------------- *Belladonna – Best Homeopathic medicine for migraine which is pulsating or throbbing in nature Belladonna is one of the best Homeopathic medicines for migraine with intense throbbing, pulsating headache. The person prescribed Belladonna will also feel an extreme fullness in the head. Light seems to worsen the headache. Noise is unbearable. In some cases, exposure to cold air can trigger a migraine episode. In others, a head bath with cold water can bring on migraine headache. Hard pressure over the head is the only way some relief is felt in such cases. *Glonoinum – Excellent Homeopathic medicine for headache that are congestive Homeopathic medicine Glonoinum is most helpful in treating migraine with excessive congestion in the head. The head feels very large, as if it would burst. In such a migraine attack, patients in pain are seen holding their head in hands. The eyeballs seem protruded. Extreme heaviness in head is felt. Also, heat around the head is unbearable. Uncovering the head relieves the headache. The migraine also gets better with sleep while walking worsens the migraine headache. Apart from congestive headaches, Glonoinum is also the most suitable Homeopathic medicine for migraine headache triggered by sun exposure. *Spigelia – Very effective Homeopathic medicine for left-sided migraine Spigelia is a most effective Homeopathic medicine for left-sided migraine. It is indicated when the headache is located over the left temporal region, forehead and eyes. In most cases, the pain begins in occipital region of the head, extends upward and settles over the left eye. The pain is violent, throbbing and pulsating in nature. There is a sensation of a tight band around the head. Stooping seems to worsen the headache. Severe pain in the eyeballs may attend. Eye movement worsens this pain. *Sanguinaria Canadensis – Well indicated Homeopathic medicine for migraine of right side Sanguinaria Canadensis is a wonderful Homeopathic medicine for right-sided migraine. The pain starts from the back of head i.e. occiput, ascends and settles over the right eye. Lying down quietly in a dark room brings relief. In some cases, sleep may relieve pain. Fasting (going without meals) often triggers a migraine headache in persons prescribed Homeopathic medicine Sanguinaria Canadensis. It is also the medicine to prescribe when the headache starts in the morning, increases during the day and lasts until sunset. Also, Sanguinaria Canadensis is a significant Homeopathic medicine for migraine in women during menopause. *Iris Versicolor – Valuable Homeopathic cure for migraine with nausea, vomiting or acidity Iris Versicolor is a most valuable Homeopathic medicine for migraine when attended with intense nausea, vomiting or acidity. Burning may be noted in any part of alimentary canal. Vomiting of acidic, sour, bitter nature is observed. Bitter, acrid, belching with intense burning behind sternum and in throat is well marked. Acidic stomach reflux leads to headaches. Headache with diarrhoea signals prescription of Iris Versicolor. This medicine is also useful where migraine begins with a blur before the eyes. *Nux Vomica – Homeopathic Remedies for migraine with gastric troubles Nux Vomica is a very effective Homeopathic Remedies for migraine with gastric troubles. Migraine due to indigestion, flatulence, constipation and piles shows great recovery with use of Homeopathic medicine Nux Vomica. Nux Vomica also helps where migraine headache gets worse after taking coffee, spicy food and alcoholic drinks. The headache may be located in any part of the head. The person feels the need to press the head against something hard for relief. *Natrum Carbonicum – Highly suitable Homeopathic medicine for sun headache Other than Glonoinum, another Homeopathic medicine that shows quick and effective results in migraine headache from sun exposure is Natrum Carbonicum. Vertigo appears along with headache from sun exposure in such case

Homeopathic Medicines for Migraine Belladonna – Best Homeopathic medicine for migraine which is pulsating or throbbing in nature Belladonna is one of the best Homeopathic medicines for migraine with intense throbbing, pulsating headache. The person prescribed Belladonna will also feel an extreme fullness in the head. Light seems to worsen the headache. Noise is unbearable. In some cases, exposure to cold air can trigger a migraine episode. In others, a head bath with cold water can bring on migraine headache. Hard pressure over the head is the only way some relief is felt in such cases. Glonoinum – Excellent Homeopathic medicine for headache that are congestive Homeopathic medicine Glonoinum is most helpful in treating migraine with excessive congestion in the head. The head feels very large, as if it would burst. In such a migraine attack, patients in pain are seen holding their head in hands. The eyeballs seem protruded. Extreme heaviness in head is felt. Also, heat around the head is unbearable. Uncovering the head relieves the headache. The migraine also gets better with sleep while walking worsens the migraine headache. Apart from congestive headaches, Glonoinum is also the most suitable Homeopathic medicine for migraine headache triggered by sun exposure. Spigelia – Very effective Homeopathic medicine for left-sided migraine Spigelia is a most effective Homeopathic medicine for left-sided migraine. It is indicated when the headache is located over the left temporal region, forehead and eyes. In most cases, the pain begins in occipital region of the head, extends upward and settles over the left eye. The pain is violent, throbbing and pulsating in nature. There is a sensation of a tight band around the head. Stooping seems to worsen the headache. Severe pain in the eyeballs may attend. Eye movement worsens this pain. Sanguinaria Canadensis – Well indicated Homeopathic medicine for migraine of right side Sanguinaria Canadensis is a wonderful Homeopathic medicine for right-sided migraine. The pain starts from the back of head i.e. occiput, ascends and settles over the right eye. Lying down quietly in a dark room brings relief. In some cases, sleep may relieve pain. Fasting (going without meals) often triggers a migraine headache in persons prescribed Homeopathic medicine Sanguinaria Canadensis. It is also the medicine to prescribe when the headache starts in the morning, increases during the day and lasts until sunset. Also, Sanguinaria Canadensis is a significant Homeopathic medicine for migraine in women during menopause. Iris Versicolor – Valuable Homeopathic cure for migraine with nausea, vomiting or acidity Iris Versicolor is a most valuable Homeopathic medicine for migraine when attended with intense nausea, vomiting or acidity. Burning may be noted in any part of alimentary canal. Vomiting of acidic, sour, bitter nature is observed. Bitter, acrid, belching with intense burning behind sternum and in throat is well marked. Acidic stomach reflux leads to headaches. Headache with diarrhoea signals prescription of Iris Versicolor. This medicine is also useful where migraine begins with a blur before the eyes. Nux Vomica – Homeopathic Remedies for migraine with gastric troubles Nux Vomica is a very effective Homeopathic Remedies for migraine with gastric troubles. Migraine due to indigestion, flatulence, constipation and piles shows great recovery with use of Homeopathic medicine Nux Vomica. Nux Vomica also helps where migraine headache gets worse after taking coffee, spicy food and alcoholic drinks. The headache may be located in any part of the head. The person feels the need to press the head against something hard for relief. Natrum Carbonicum – Highly suitable Homeopathic medicine for sun headache Other than Glonoinum, another Homeopathic medicine that shows quick and effective results in migraine headache from sun exposure is Natrum Carbonicum. Vertigo appears along with headache from sun exposure in such cases. The pressive headache is accompanied by cloudiness of eyes. Heat in the head and congestion may be felt. Shooting pain in the forehead also suggests use of Natrum Carbonicum. Natrum Muriaticum – Prominent Homeopathic medicine for migraine attacks during menses Homeopathic medicine Natrum Muriaticum is the best prescription for migraine attacks that worsen around the menstrual cycle. The headache may be triggered before, during or at the close of menstrual cycle. Another unique symptom is migraine headache that starts with sunrise, continues through the day and vanishes after sunset. This is popularly known as the “sunrise to sunset headache”. Also, in cases where the migraine headache feels like little hammers knocking on the brain, Natrum Muriaticum will help. Natrum Muriaticum is also the most suitable prescription for migraine headaches in school girls or in girls who are anaemic. It is also considered the best medicine where numbness or tingling is felt in the nose, tongue or lips before the migraine attack. Sepia – Most suitable Homeopathic medicine for migraine in women around menopause Sepia is the most suitable Homeopathic medicine for migraine attacks in women around menopause. In such cases, terrible headaches accompany menopause. The headache gets worse indoors, open air brings relief. Nausea and vomiting may attend migraine headaches. Lying on the painful side of head affords relief. The top of the head may feel cool in such cases. In general, hot flushes, sometimes along with sweat, are well marked. Kali Phos – Homeopathic medicine for migraine due to stress In case of a migraine attack triggered by stress, Homeopathic medicine Kali Phos proves extremely useful. The unique indication for use of Kali Phos is that stress, tensions and worry lead to migraine headaches. Such migraine headaches are common among students who suffer school or college related stress. Exhaustion and weakness usually accompany migraine in such cases. Epiphegus – Significant Homeopathic medicine for migraine triggered by mental or physical exertion Epiphegus is a valuable Homeopathic medicine for treating migraine where exhaustion – mental or physical, sets off the migraine episode. It is used where the slightest deviation from routine work brings on a migraine attack. Although it works for both sided migraine, yet comparatively better results are seen in left-sided headaches with Epiphegus. A peculiar attending symptom is increased saliva with constant inclination to spit. Cyclamen – Best Homeopathic medicine for migraine that starts with visual aura or disturbances Homeopathic medicine Cyclamen is majorly indicated for migraine attacks that begin with flickering, fiery sparks before the eyes or dim vision. These visual symptoms that precede the migraine headache are referred to as aura. Cyclamen is also useful where migraine headache starts on rising in the morning. Shooting pain is experienced in the temporal region. Vertigo, especially when standing, may accompany the headache. Natrum Mur – Homeopathic medicine for headache due to eyestrain Natrum mur is very effective homeopathic medicine for headache when eyestrain causes it. Ruta is another important medicine for headaches caused by eyestrain

Friends today I am discussing about #Migraine. Migraines are severe, recurring, and painful headaches. They can be preceded or accompanied by sensory warning signs and other symptoms. The extreme pain that migraines cause can last for hours or even days. Migraines can follow an aura of sensory disturbances followed by a severe headache that often appears on one side of the head. They tend to affect people aged 15 to 55 years. Fast facts on migraines: Some people who experience migraines can clearly identify triggers or factors that cause the headaches, such as allergies, light, and stress. Some people get a warning symptom before the start of the migraine headache. Many people with migraine can prevent a full-blown attack by recognizing and acting upon the warning signs. Over-the-counter (OTC) medications can eliminate or reduce pain, and specific medications can help some people with migraine. People who have severe attacks can take preventive medicines. Triggers The cause of migraines is not yet known. It is suspected that they result from abnormal activity in the brain. This can affect the way nerves communicate as well as the chemicals and blood vessels in the brain. Genetics may make someone more sensitive to the triggers that can cause migraines. However, the following triggers are likely to set off migraines: Hormonal changes: Women may experience migraine symptoms during menstruation, due to changing hormone levels. Emotional triggers: Stress, depression, anxiety, excitement, and shock can trigger a migraine. Physical causes: Tiredness and insufficient sleep, shoulder or neck tension, poor posture, and physical overexertion have all been linked to migraines. Low blood sugar and jet lag can also act as triggers. Triggers in the diet: Alcohol and caffeine can contribute to triggering migraines. Some specific foods can also have this effect, including chocolate, cheese, citrus fruits, and foods containing the additive tyramine. Irregular mealtimes and dehydration have also been named as potential triggers. Medications: Some sleeping pills, hormone replacement therapy (HRT) medications, and the combined contraceptive pill have all been named as possible triggers. Triggers in the environment: Flickering screens, strong smells, second-hand smoke, and loud noises can set off a migraine. Stuffy rooms, temperature changes, and bright lights are also possible triggers. Treatment There is currently no single cure for migraines. Treatment is aimed at preventing a full-blown attack, and alleviating the symptoms that occur. Lifestyle alterations that might help reduce the frequency of migraines include: getting enough sleep reducing stress drinking plenty of water avoiding certain foods regular physical exercise Some people also find that special diets can help, such as gluten-free. Consider seeking further treatment if the above changes do not relieve the symptoms or frequency of migraines. The treatment of migraine symptoms focuses on avoiding triggers, controlling symptoms, and taking medicine. Surgery The last decade has seen the development of new approaches to the treatment of migraines. A doctor may administer an injection of botulinum toxin, or Botox, to the extracranial sensory branches of the trigeminal and cervical spinal nerves. These are a group of nerves in the face and neck linked to migraine reactions. Medications Migraines are often managed through a course of medication. There are many different types of migraine medication, including painkillers. Painkillers should be taken early in the progress of a migraine rather than allowing the headache to develop. Over-the-counter (OTC) medications effective for treating migraines include: naproxen ibuprofen acetaminophen Other painkillers, such as aspirin with caffeine and acetaminophen, can often stop the headache or reduce pain. Many painkillers are available to buy online, including naproxen, acetaminophen, and aspirin with caffeine. Always speak to a doctor before taking new medication. Drugs that treat nausea Some people who experience migraines will need to take medications that treat the accompanying symptoms. Metoclopramide may be used to control certain symptoms, such as nausea and vomiting. Serotonin agonists, such as sumatriptan, may also be prescribed for severe migraines or for migraines that do not respond to OTC medications. Selective serotonin reuptake inhibitors (SSRIs) and antidepressants, such as tricyclics, are prescribed to reduce migraine symptoms, although they are not approved in all countries for this purpose. Preventive medications Migraine prevention begins with avoiding triggers. The main goals of preventive therapies are to reduce the frequency, pain level, and duration of migraine headaches and increase the effectiveness of other therapies. There are several medications and supplements that help prevent migraine attacks, including: antidepressants coenzyme Q10 herbal extracts, such as feverfew magnesium citrate vitamin B-12 supplements riboflavin Many supplements can be purchased online, including vitamin B-12 and feverfew. Before purchasing, ensure that it is safe to take these supplements alongside other medication. It is worth noting that some people can experience a medication overuse headache (MOH), or rebound headache. This can occur after taking too many medications in an attempt to prevent migraine attacks. Types There are two main types of migraine. This classification depends on whether the individual experiences any disturbances of the senses leading up to a migraine. These are known as auras. Migraine with aura migraine with aura representation with blurred hue around a tree This picture is an illustration of what a person experiencing migraine with aura might see. For many people with migraine, the auras act as a warning, telling them that a headache is soon to come. The effects of an aura can include: confusing thoughts or experiences the perception of strange, sparkling or flashing lights zig-zagging lines in the visual field blind spots or blank patches in the vision pins and needles in an arm or leg difficulty speaking stiffness in the shoulders, neck, or limbs unpleasant smells If the following symptoms are unusual for the person with migraine, they should not be ignored: an unusually severe headache visual disturbance loss of sensation difficulties with speech When migraines with aura affect vision, the patient may see things that are not there, such as transparent strings of objects. They may also not see parts of the object in front of them or even feel as if part of their field of vision appears, disappears, and then comes back again. People experiencing an aura may describe the visual disturbance as similar to the sensation that follows being exposed to a very bright camera flash. Migraine without aura More commonly, a person will experience a migraine without any sensory disturbance leading up to the attack. Between 70 and 90 percent of migraines occur without an aura. Other types There are other types of migraine related to specific syndromes or triggers, including: Chronic migraine: This refers to any migraine that triggers attacks on over 15 days of the month. Menstrual migraine: This is when the attacks occur in a pattern connected to the menstrual cycle. Hemiplegic migraine: This causes weakness on one side of the body for a temporary period. Abdominal migraine: This is a syndrome that connects migraine attacks to irregular function in the gut and abdomen. It mainly occurs in children under 14 years of age, Migraine with brainstem aura: This is a rare type of migraine that can trigger severe neurological symptoms, such as affected speech. Speak to a doctor after identifying a migraine pattern in any headaches experienced. They will be able to advise the type and prescribe suitable treatment. Symptoms Symptoms of migraine can start a while before the headache, immediately before the headache, during the headache, and after the headache. Although not all migraines are the same, typical symptoms include: moderate to severe pain, usually confined to one side of the head but capable of occurring on either side of the head severe, throbbing, or pulsing pain increasing pain during physical activity or when straining inability to perform regular activities due to pain feeling sick and physically vomiting increased sensitivity to light and sound, relieved by lying quietly in a darkened room Some people experience other symptoms such as sweating, temperature changes, stomach ache, and diarrhea. Migraine vs headache It is important to know the difference between a migraine attack and a headache. Headaches can vary a great deal in how long they last, how severe they are, and why they happen. They may not occur in a recognizable pattern as migraine attacks do. MIgraine attacks will present as moderate-to-severe headaches on one side of the head that occur with other symptoms, such as nausea and vomiting. Migraine and non-migraine headaches are different and can indicate different causes. To help identify a migraine headache, it can be useful to keep a diary of symptoms noting the time of onset, any triggers, the duration of the headaches, any noticeable signs or auras leading up to a migraine attack, and any other symptoms. A headache diary should ideally be used for a minimum of 8 weeks and record: the frequency, duration, and severity of headaches any associated symptoms all prescribed and OTC medications taken to relieve headache symptoms possible triggers the relationship of headaches to menstruation The International Headache Society recommends the "5, 4, 3, 2, 1" criteria to diagnose migraines without aura. This stands for: 5 or more attacks with a duration of 4 hours to 3 days At least two of the following qualities: Occurring on one side of the head, a pulsating quality, moderate-to-severe pain, and aggravation by routine physical activity At least one additional symptom, such as nausea, vomiting, sensitivity to light, or sensitivity to sound. During the initial diagnosis of migraines, the doctor may suggest a range of tests to exclude any other causes of a headache. These can include electroencephalography (EEG), CT, and MRI scans, or a spinal tap. Primary Homoeopathic Remedies Belladonna This relieves headaches with the feeling of head fullness, and sensitivity to noise and light. Bryonia This remedy can be helpful if a person has a heavy or "splitting" headache, with steady pain that settles over one eye (especially the left) or spreads to the entire head. Pain is worse from any motion, even from moving the eyes, and the person wants to lie completely still and not be talked to or disturbed. Nausea with a heavy feeling in the stomach and vomiting may occur. The person can have a very dry mouth and usually is thirsty. Gelsemium This remedy relieves congestive headaches at the base of the head, as well as headaches around the eye, caused or aggravated by stress. Glonoinum This remedy relieves sudden headaches, with fullness of head and feeling of heat, and aggravated by heat. Ignatia This remedy is helpful for migraines in sensitive people, especially headaches after emotional upsets or caused by grief. The headache is often focused on one side of the head, and may feel as if a nail is driven in. Twitching in the face or spasms in the muscles of the neck and back frequently occur. The person often sighs or yawns and may sometimes weep or seem "hysterical." Iris versicolor Intense migraines with blurry vision and pain that extends to the face and teeth, along with vomiting and a burning feeling in the throat and stomach, can often be relieved with this remedy. The person feels worse from resting and better from motion. Natrum muriaticum Migraines (often on the right) that are worse from grief or emotional upsets, worse from too much sun, or occur just before or after the menstrual period, are likely to respond to this remedy. The headache feels like "a thousand little hammers were knocking on the brain" and is often worse from eyestrain. The person may have numb or tingling feelings in the lips or face before the headache starts, and the eyes are very sensitive to light. The person often feels better lying in the dark and after sleeping. Nux vomica This remedy relieves nausea and digestive troubles associated with overindulgence in food or alcohol. Sanguinaria Right-sided migraines with tension in the neck and shoulder, extending to the forehead with a bursting feeling in the eye, are often relieved with this remedy. Jarring, light, and noise aggravate discomfort. The headaches improve after vomiting, as well as from burping or passing gas, and are often better after sleep. A person who needs this remedy often comes down with migraines after missing meals, and also has digestive problems and allergies. Sepia Left-sided migraines with dizziness and nausea, worse from missing meals, and worse near menstrual periods or during menopause, often responds to this remedy. Pain may come in shocks or jerks, and the person feels worse indoors and from lying on the painful side. A person needing Sepia feels weary, cold, and irritable, wanting no one to make demands on them. Silicea (also called Silica) Migraines that come on after mental exertion or near the menstrual period may indicate a need for this remedy—especially in a nervous person who is very chilly. Headaches are usually right-sided, starting in the back of the head and extending to the forehead, and are worse from drafts or from going out in the cold without a hat. The person may feel better from lying down in a dark, warm room and also from covering the head. Other Remedies Cimicifuga This remedy is often indicated for migraines with throbbing pains ("as if the top of the head would fly open") or shooting pains in the eyes. Headaches are often associated with the menstrual period or come on after long-term study or worrying. The muscles of the neck are usually involved in the headache, feeling very stiff and painful. The person (normally talkative and energetic) feels mentally dull and gloomy, or even fearful, during a migraine. Pain is worse from motion and sometimes improved by eating. Coffea cruda This remedy relieves headaches and sleeplessness with agitation and overactive thoughts. Cyclamen Migraines that start with flickering in the eyes, dim vision, or dizziness suggest a need for this remedy. Pain is often right-sided and may involve the ear—which can also ache or itch. The person feels very weak and sick (the nausea is often worse from fatty food) and is thirsty, very sensitive to cold, and worse from open air. People who need this remedy are sympathetic and emotional; they often have an anxious or remorseful feeling that they may have neglected some responsibility. Kali phosphoricum This remedy relieves symptoms from intellectual overwork. Lachesis Left-sided migraines with congested, pulsing pain that is worse from pressure or tight clothing may respond to this remedy. The person's face looks deeply flushed or blotchy. Headaches are often worst before the menstrual period and better once the flow begins. The person feels worse from sleeping (either in the daytime or at night) and is usually worse from heat. Lycopodium This relieves headaches caused by delaying meals, with desire for hot food and candy. Spigelia Excruciating headaches on the left side of the head, with violent throbbing, or stitching pains above or through the eyeball, may respond to this remedy. Pain may extend through the face and is worse from motion, touch, position changes, and jarring. The person may feel better from lying on the right side with the head supported, and keeping still.

MIGRAINE A migraine is a primary headache disordercharacterized by recurrent headaches that are moderate to severe. Typically, the headaches affect one half of the head, are pulsating in nature, and last from two to 72 hours.Associated symptoms may include nausea, vomiting, and sensitivity to light, sound, or smell. The pain is generally made worse by physical activity .Up to one-third of people have an aura: typically a short period of visual disturbance which signals that the headache will soon occur.Occasionally, an aura can occur with little or no headache following it. Migraines are believed to be due to a mixture of environmental and genetic factors About two-thirds of cases run in families.Changing hormone levels may also play a role, as migraines affect slightly more boys than girls before puberty and two to three times more women than men. The risk of migraines usually decreases during pregnancy. The underlying mechanisms are not fully known. Migraine attacks can cause significant pain for hours to days and can be so severe that the pain is disabling. Warning symptoms known as aura may occur before or with the headache. These can include flashes of light, blind spots, or tingling on one side of the face or in your arm or leg. Migraines often begin in childhood, adolescence or early adulthood. Migraines may progress through four stages: prodrome, aura, headache and post-drome, though you may not experience all stages. Migraines may be caused by changes in the brainstem and its interactions with the trigeminal nerve, a major pain pathway. Imbalances in brain chemicals — including serotonin, which helps regulate pain in your nervous system — also may be involved. Researchers are still studying the role of serotonin in migraines. Serotonin levels drop during migraine attacks. This may cause your trigeminal nerve to release substances called neuropeptides, which travel to your brain's outer covering (meninges). The result is migraine pain. Other neurotransmitters play a role in the pain of migraine, including calcitonin gene-related peptide (CGRP).