24th, November 2022

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What Is Migraine?

How Do Migraines Occur?

A severe headache is the most typical sign of the neurologic disease migraine. The headache comes in bursts, and it frequently accompanies nausea, vomiting, and light sensitivity.

Symptoms of a migraine

Everybody has a different migraine. They often take place in phases in numerous persons. These phases could involve:

Prodrome

About 60% of migraine sufferers have symptoms like: hours or days before a headache.

  • having a sensitive sense of smell, sound, or light
  • Fatigue
  • craving food or having no appetite
  • Mood shifts
  • extreme thirst
  • Bloating
  • bloating or diarrhea

Aura

The cause of these symptoms, which frequently impair your vision, is your neurological system. They often begin gradually, last between five and twenty minutes, and are shorter than an hour. You could

  • see wavy lines, light bursts, dark blotches, or absent things (hallucinations)
  • have a narrow focus
  • to be completely blind
  • One side of your body is tingling or numb.
  • inability to talk clearly
  • Feeling heavy in the arms and legs?
  • experience ringing in the ears
  • Keep an eye out for changes in your ability to taste.

Attack

A migraine headache frequently starts off as a throbbing sensation before becoming dull. Usually, it gets worse as you exercise. It’s possible for the pain to originate at the front of your head, spread from one side of your head to the other, or feel ubiquitous across your entire brain.

A headache and nausea are experienced by roughly 80% of persons, and about half of them vomit. Additionally, you can feel dizzy or cold and pale.

The average duration of a migraine attack is 4 hours, although more severe cases can continue up to 3 days. Two to four headaches per month are typical. While some people only experience migraines once or twice a year, others may experience them frequently.

Postdrome

This stage following a headache can last for up to a day. These signs include:

  • feeling worn out, drained, or irritable
  • Being unusually energized or content
  • aching or weakened muscles
  • craving food or having no appetite

Migraine Causes

Migraine is a condition that results in headaches similar to migraines. Doctors are unaware of the precise cause of migraine headaches, despite the fact that heredity and changes in your brain seem to be involved. Even migraine causes like exhaustion, harsh lights, or changes in the weather can be inherited from your parents.

For a very long time, scientists thought that migraines were caused by changes in the blood flow to the brain. Most people now believe that while it may contribute to discomfort, it does not cause it.

Current theories suggest that a migraine headache attack is most likely brought on by your trigeminal nerve, which delivers sensation to your head and face. This signals the release of hormones like serotonin and calcitonin gene-related peptides by your body (CGRP). When CGRP is present, the blood vessels that line the brain swell. The resulting pain and inflammation are subsequently influenced by neurotransmitters.

Risk factors for migraines

According to the Worldly Migraine Foundation, more than 80 million worldwide suffer from headaches. Some factors could increase your risk of contracting them:

  • Women are three times as likely as males to get migraines.
  • Most people begin experiencing migraines between the ages of 10 and 40 However, many women discover that after the age of 50, their migraines improve or disappear. they turn 50.
  • Family background. Four out of five migraine sufferers have family members who also suffer from the condition. A child has a 50% probability of developing these headaches if one parent has a history of them. The chance increases to 75% if both parents have them.
  • other health problems. Your chances can increase if you have epilepsy, bipolar disorder, depression, anxiety, or bipolar disorder.

Migraine Causes

among the frequent migraine causes are:

  • hormone alterations When they are ovulating, pregnant, or around their period, many women report having headaches. Symptoms can also be brought on by menopause, hormonal birth control, or hormone replacement therapy.
  • Stress causes your brain to release chemicals that could change your blood vessels and cause a migraine.
  • Aged cheese, alcohol, and food additives like nitrates (found in lunchmeats, hot dogs, and pepperoni), monosodium glutamate (MSG), and others may be to blame in some individuals.

leaving out food

  • Caffeine. Receiving too little or too much might cause headaches. Caffeine alone may be used to treat acute migraine attacks.
  • weather variations. A storm front, variations in barometric pressure, strong winds, or elevation changes can all cause migraines.
  • Senses. A migraine may be brought on by potent odors, bright lights, and loud noises.
  • Medications. Vasodilators, which make your blood vessels bigger, can cause them.
  • Physical exercise. Sex and exercise are included in this.
  • Tobacco
  • shifts in how you sleep. When you sleep too much or too little, you could experience headaches.

Headache Types

Migraines come in many different varieties. The most frequent are migraines without aura and migraines with aura, generally referred to as “classic migraines” (or common migraine).

Other kinds consist of:

  • Migraine at a period. When this occurs, the headache and a woman’s period are related.
  • Silent headache. This kind of migraine is sometimes referred to as an acephalgic migraine. You experience symptoms of an aura rather than a headache.
  • Migraine in the vestibule. Whether you have a headache or not, you experience balance issues, vertigo, nausea, and vomiting. People who have previously experienced motion sickness are generally affected by this sort of.
  • constipation headaches Experts don’t know a lot about this variety. It induces nausea, vomiting, and stomach pain. Children are frequently affected by it, and with time, it may turn into migraine headaches as we know them.
  • migraine with hemiparesis. You briefly feel hemiplegia or weakness on one side of your body. You might also have vertigo, numbness, or poor vision. These symptoms may also be signs of a stroke, so get emergency medical help.
  • Ocular migraine. Another name for this illness is retinal migraine or ocular migraine. In addition to a dull headache that may radiate to the other side of your head, it causes a momentary, full, or total loss of vision in one eye. Consult a doctor right away if you detect any changes in your vision.
  • a brainstem aura during a migraine. There can be dizziness, confusion, or balance problems prior to the headache. The pain may radiate to the back of your skull. These symptoms frequently come on suddenly and may be accompanied by nausea, ringing in the ears, or trouble speaking. This particular type of migraine, which primarily affects young adult women, is closely related to hormonal fluctuations. Once more, see a doctor straight once to get these symptoms examined.

 

Migraine status. The interval between bouts of this severe type of migraine might be over 72 hours. Given how bad the pain and nausea are, you may need to go to the hospital. On rare occasions, medications or drug withdrawal may cause them.

Ocular paralysis migraine. The muscles around your eye paralyse, resulting in agony all around your eye. Because the symptoms could possibly be brought on by an aneurysm or strain on the nerves behind the eye, this is a medical emergency. A droopy eyelid, double vision, or other vision alterations are further symptoms.

Frequency of Migraines

Three levels of migraine frequency are classified by doctors.

You have episodic migraines, which occur occasionally. You experience eight to 14 headache days per month if you have a high-frequency episodic migraine. You are also more likely than others to have chronic migraines as a result of this illness.

When you get a headache for more than 15 days in a row and eight of those days have migraine-like symptoms like:

  • a headache that ranges in intensity
  • Headache on the side (one or both)
  • The pain pulsates or throbs.
  • Moving causes pain to worsen
  • You feel queasy or sick
  • You’re easily startled by light and noise.

Only approximately a third of the 12% of Americans who occasionally experience migraines also experience chronic migraine.

Migraines that are chronic or even high-frequency episodic can be incapacitating. Additionally, each headache might be more incapacitating the more intense the pain is. Working closely on a treatment plan with your doctor is crucial for this reason.

Are Migraines Curable?

There is still no treatment for migraines. Drugs, on the other hand, can help you manage your symptoms, prevent them, or stop them.

You can also avoid things that aggravate your migraines. Alterations to one’s way of life, such as lessening stress and establishing healthy sleep habits, may also be advantageous.

Migraines: Are they fatal?

Most migraines are not harmful in the long run.

An uncommon complication known as migrainous infarction can occur. When a stroke occurs when you are experiencing a migraine, that is. However, there is no proof that a migraine can cause a stroke.

Although it happens very infrequently, a hemiplegic migraine can occasionally cause a coma or other life-threatening complications.

A rapid onset, extremely severe headache may be an indication of a more serious problem, such as a stroke or aneurysm. Immediately seek medical assistance if this occurs.

When to Contact Your Physician

Anytime a headache persists or reappears, consult a doctor.

If you get a headache with a stiff neck, fever, vomiting, numbness or weakness in the limbs, or difficulty speaking, see a doctor straight away or visit the emergency department.

Diagnosis of migraines

Your physician will enquire about your medical history and symptoms. Keeping a diary of your symptoms and any triggers you’ve identified may be helpful. Put down:

  • what signs do you experience, including any pain
  • When do you have them?
  • Do any other family members also suffer migraines? How long do they last?
  • Your entire medication and supplement regimen, including over-the-counter medications
  • Additional medications you recall taking in the past

To rule out other potential causes of your symptoms, your doctor may prescribe testing, such as:

  • blood test
  • MRIs and CT scans are imaging procedures.
  • Electroencephalogram (EEG) (EEG)

Treatment for Migraines and Home Remedies

There is no treatment for migraines. But several medications can either treat or even stop them. Typical migraine therapies include:

Pain reduction Many over-the-counter (OTC) medications are effective. Acetaminophen, aspirin, caffeine, and ibuprofen make up the majority of the components. Never administer aspirin to anyone younger than 19 due to the possibility of Reye’s syndrome. OTC pain relievers should be used with caution as they may exacerbate headaches. They can cause rebound headaches or make you reliant if you use them excessively. Talk to your doctor about prescription medications that might work better if you take any OTC painkillers more than twice a week. They might recommend triptans, as well as the more recent titans and pants, as prescription medications that could effectively relieve your migraine headache. If these are appropriate for you, your doctor can let you know.

anti-nausea drugs. If you experience nausea in addition to your migraine, your doctor may prescribe medication.

Triptans. The chemicals in your brain are balanced by these medications. You can be given an injection, a nasal spray, a pill to swallow, or tablets to dissolve on the tongue. Elliptan (Relpax), rizatriptan (Maxalt), sumatriptan (Imitrex), and almotriptan (Axert) are a few examples.

Ergotamine (Cafergot, Ergomar, Migergot) (Cafergot, Ergomar, Migergot). The chemicals in your brain are also affected by this.

Lasmiditan (Reyvow) (Reyvow). This medication reduces sensitivity to light or sound, nausea, and discomfort.

antagonists of the CGRP receptor. Your doctor may prescribe rimegepant (Nurtec) or ubrogepant if earlier treatments have failed (Ubrelvy).

preventative drugs. If other therapies are ineffective, you get regular headaches, or you have four or more migraine days per month, your doctor might advise them. You take them frequently to lessen the severity or frequency of your headaches. Among these include injections of botulinum toxin type A, beta-blockers and calcium channel blockers, certain antidepressants, and drugs for blood pressure (Botox).Atogepant (Qulipta), eptinezumab (Vyepti), erenumab (Aimovig), fremanezumab (Ajovy), and galcanezumab (Emgality) are CGRP antagonists that can also stop migraines from occurring.

Transcranial magnetic stimulation with a single pulse (sTMS). When you first get a migraine with aura, you place this device on the back of your skull. A magnetic energy pulse is sent to a region of your brain, which could cease or lessen pain.

 

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