Friends today I am discussing about #Migraine,#Headache, #Headpain .
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.
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.
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
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.
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.
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:
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.
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:
herbal extracts, such as feverfew
vitamin B-12 supplements
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.
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
stiffness in the shoulders, neck, or limbs
If the following symptoms are unusual for the person with migraine, they should not be ignored:
an unusually severe headache
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.
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 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
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
This relieves headaches with the feeling of head fullness, and sensitivity to noise and light.
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.
This remedy relieves congestive headaches at the base of the head, as well as headaches around the eye, caused or aggravated by stress.
This remedy relieves sudden headaches, with fullness of head and feeling of heat, and aggravated by heat.
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."
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.
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.
This remedy relieves nausea and digestive troubles associated with overindulgence in food or alcohol.
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.
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.
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.
This remedy relieves headaches and sleeplessness with agitation and overactive thoughts.
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.
This remedy relieves symptoms from intellectual overwork.
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.
This relieves headaches caused by delaying meals, with desire for hot food and candy.
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.