I Had Side Effects With Something They Gave Me What Can I Do To Avoid That In The Future
Some medications used in the ER can cause side effects :
- Anti-emetics acting on dopamine: somnolence, restlessness, dystonic reactions , low blood pressure
- Cortisone: restlessness, insomnia
- Opioids: somnolence, constipation, muscle spasms
Sometimes, drugs are given to make the person sleep, and somnolence can last for hours. Driving may not be safe when you leave the ER. Consider finding a safe way to get back home.
The Attack Is Prolonged
If your migraine is lasting for days on end and none of your usual remedies are working to end it, then an emergency room visit would be a good next step to take. Or, if you know it is not life-threatening and you are not in fear of brain damage or head trauma, then consider going to an urgent care clinic. Either way, you can speak with a doctor about methods for ending the pain and getting back to your normal routine.
In 2016, nearly 27% of people reported visiting an urgent care center at least once in the previous two years. If you are among the group that has utilized these services in the past or if you are concerned you will need them in the future, consider turning to the team here at Legacy. We are ready to handle any and all of your ER & urgent care needs.
How Are Migraines Treated
Migraines can be treated at home with over-the-counter pain medicines such as acetaminophen , ibuprofen , or naproxen or with prescription medicines from your doctor. When a migraine hits, it may also help to lie down in a dark room and try to sleep.
To prevent migraines, try to avoid things you know can trigger your migraines and try to get regular exercise. Your doctor may also give you medicines to help prevent migraines.
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Challenges Patients With Migraine Face In The Er
The emergency room can be a really challenging place for a patient with a migraine, said Dr. Hamilton. Its a chaotic environment with noise, bright lights, odors which may be offensive its sensory overload the very last thing a patient in the midst of a migraine attack needs or wants.
In the emergency room, people with migraine face unique challenges. ER doctors approach neurological problems with caution, so people with migraine should generally expect testing, including CT scans, and possibly a spinal tap . Patients are likely seeing new doctors who dont know their medical history and what generally works best for them, which can lead to less effective treatment. Opioids and narcotics are commonly prescribed to patients with migraine, even though theyre not as effective as other alternatives, and come with risks.
Migraine is often not recognized as a serious problem in the emergency department and patients may not get the attention that is expected or deserved, said Dr. Hamilton.
What You Can Do For A Migraine Headache
If you get a migraine headache, dont panic — there are things you can do at home to relieve your migraine symptoms. Rest in a cool, quiet, dark room can help when you have a migraine, you want to minimize stimuli to allow your brain to rest. Over-the-counter migraine medications can also provide more relief than ibuprofen or acetaminophen on their own. Allow yourself to rest while youre suffering a migraine attack since activity can make the pain worse. And if youre nauseated, make sure to drink plenty of fluids and stay hydrated.
While you can get temporary relief for your migraine from your urgent care doctor, you should make an appointment with your primary care doctor if you start to have migraines more frequently.
Sometimes the pain and nausea from a migraine can be too much to manage at home. For relief from your severe migraine, visit a Birmingham MedHelp near you.
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When Should I See My Doctor
If you get severe headaches but dont know whats causing them, or if the pattern of your headaches changes, it is important for you to consult a doctor. Even if you have previously consulted a doctor and been diagnosed with migraines, but your prescribed treatment has not been successful, it is worth going again. Migraines can be managed.
Are There Any Signs That I Should Go To The Emergency Room Anyway
Just because there are legitimate reasons not to go to the emergency room for a migraine doesnât mean you should rule out the option entirely. In fact, certain symptoms should be taken as a sign that what youâre experiencing isnât a migraine attack, and might actually be a more dangerous type of headache.
One clear sign is that your headache is very different from your usual migraine attacks, especially if itâs much more severe and starts suddenly. If you have any of these symptoms in addition to head pain, Dr. Bain recommends that you seek emergency care:
- stiff neck
- weakness in one arm or leg
It might also make sense to go to the emergency room if your typical treatment routine doesnât work and youâre still in pain after a few hours, if you donât have access to the medications you need, or if youâre vomiting so much that youâre dehydrated or canât keep oral medications down.
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When To Go To The Er For A Headache Or Migraine
When to Go to the ER
Everyone gets an occasional headache. In most cases, you can get rid of it by taking an over-the-counter pain killer, drinking water, or taking a nap. Even those who suffer from frequent migraines dont need to run to the hospital every time they feel one coming on.
However, there are instances when a headache may be a sign that there may be something significantly wrong with your head. How can you recognize some of the symptoms, and when is it time to go to the Emergency Room?
Types & Causes Of Migraines & Headaches
Many factors can lead to a headache or migraine, but it is important to be aware of what kind of condition you are dealing with in the first place so you can be better prepared when it comes time to treatment.
The following are the most common types & causes of headaches & migraines:
- Primary Headaches the two types of primary headaches are tension and cluster headaches.Tension headaches are caused by lifestyle changes or medication usage.Cluster headaches are much sharper and may burn in pain on the side of your head and most often occur in the middle of the night.
- Migraines these are similar to headaches but may also be accompanied by symptoms of vomiting, nausea, and sensitivity around sound or light. Migraines can be treated through preventative measures and other medications.
- Chronic Migraines if you suffer from headaches almost every day, you may be experiencing chronic migraine symptoms. These migraines are painful and can be almost unbearable at times if not managed with medication, especially if you partake in regular daily activities.
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The Migraine Community Reveals The Er Is Either A Lifesaver Or A Pain
What do people with Migraine hate more than attacks themselves? The ER. Specifically, going to a hospital emergency room in the midst of an attack that just won’t stop. Or, even worse, a migraine attack plus a pandemic.
As Migraine experiences go, the ER has always been one of the most painful. It’s not as bad as losing a spouse or a job but sometimes it feels close – especially with the added anxiety that you’ll be exposed to COVID-19 while you’re there.
A survey of nearly 1000 people with Migraine showed that 74% of them were afraid to go to the Emergency Department when experiencing acute symptoms.
Depending on where you live and how familiar your local hospital is with Migraine, it can either be a horror story or a lifesaver.
We’re sharing first-hand accounts of what really happens when you go to the ER with Migraine, as told by members in our . If you haven’t already ‘Liked’ our page, take a minute and do so now. It’s a great place to discover people just like you who are struggling with the brutal reality of unpredictable pain.
Most people report going to the ER because of an intractable Migraine attack that can’t be resolved at home or symptoms that are different, strange and stroke-like, requiring further assessment. For others, friends and co-workers insist they get hospital care because they feel scared and helpless watching the Migraine unfold.
Medications For Severe Headaches And Other Symptoms Of An Emergency
Every 10 seconds, someone in the United States develops a migraine headache so severe they go to the hospital emergency room , according to the Migraine Research Foundation. Given the pain and risks associated with these episodes , ER doctors often opt for migraine treatments that can be administered via injection or IV, so they can have a quick effect.
Emergency treatment for migraine depends on a patient’s specific symptoms and overall health and health history. While this overview of emergency treatments for headaches will give you an idea of the typical approaches used in the ER, keep in mind that your care may differ slightly from these standard protocols.
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When Youve Suffered A Migraine That Has Lasted Quite A While
When a headache begins, you may lay down or take some pain meds to help manage the pain, hoping that itll die down in a while.
However, if it persists and you are constantly in severe pain , you should seek help. A migraine that hinders you from doing anything and lasts a few days to weeks warrants an emergency room visit.
Doctors in the ER work to ensure that no severe, life-threatening issues are causing the migraine, and while they may not be migraine or headache specialists, they will help decrease your suffering by prescribing stronger medications to help manage the pain. This is, of course, after they rule out any complications or potentially fatal issues. If the doctor discovers that youre experiencing dehydration, they may administer fluids through an IV.
Apart from this, if you experience frequent migraines, you may need to make a migraine kit for emergencies.
Swelling Of The Brain Following Head Injury
Head injuries often result from accidents during sports events or fall around the home. When the head sustains a hard impact, the brain can swell, causing pressure and an associated headache. Whether a headache occurs or not, this type of injury requires immediate medical attention. Go to the ER if you sustain a head injury since swelling in and around the brain can be life-threatening.
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What Are The Downsides Of Going To The Emergency Room With A Migraine
So, we know E.R. staff will be able to treat your migraine faster and more effectively than you could at homeâand when youâre in debilitating pain, the only thing that matters to you might just be making it stop as soon as possible.
But if thatâs the case, you should also take into account the amount of time you might spend waiting before you get that treatment. Thereâs really no way to know how long youâll have to wait, and the emergency room is the last place youâd want to be during a migraine.
Whyâs that? âWell, the emergency room is often a very loud, bright, chaotic place that treats a large number of patients with a wide range of conditions including heart attacks, strokes, and drug overdoses,â Dr. Bain explains. âTo put it bluntly, migraine patients are rarely a priority in the ER.â
And in the times of COVID-19, those other patients arenât just another source of unbearably loud sounds. Theyâre also a legitimate risk to your healthâand if you have COVID-19 and donât know it, you could be a danger to them. You shouldnât let the fear of coronavirus exposure stop you from seeking emergency care if you need it, but you should consider whether the treatment youâll receive is worth the risk youâre taking.
What To Expect At An Er Visit
Nevertheless, when you go to the ER, be sure to mention to the doctor your symptoms and whether they are new and/or unusual to you. Also, discuss whether or not you are taking any medications, and if so, how much and how often. Additionally, if you have any positive results from a particular medical regimen, it can be helpful for the ER to know that as well.
Sometimes the ER doctors will order tests like CT scans of the head or spinal taps to rule out certain problems associated with headaches, but if your headache is typical and there are no new symptoms, they usually will forgo these tests because they would probably prove unhelpful. In any case, you have the right to refuse the tests if you so choose.
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Going To The Emergency Room With Migraine
A person goes to the ER during a migraine attack with one goal: to reduce the severity of an unbearable attack. Yet, they often feel like theyre treated not as people in pain, but as addicts trying to get high. To help patients get better care, the American Headache Society has issued new, research-based guidelines for treating migraine in the ER.
Pursuing Migraine Prevention And Relief With Dr Kanaan
Before an appointment with Dr. Kanaan, patients receive a packet of information and questionnaires, either by mail or electronically since many patients are now seen virtually. They are asked to complete their medication and treatment history when its convenient for them, eliminating unnecessary pressure the day of their appointment. We see patients who have been to multiple physicians and who have tried numerous medications and treatments, so we dig deep into that history and gauge what they have and have not tried, says Dr. Kanaan. As a headache specialist, Im always finding that they havent tried everything and Ill tell them, I know it feels like youve tried it all, but we still have options there are effective treatments that may benefit you.
For most migraine patients, there isnt a hesitancy to try new options they are desperate for relief, for a new treatment that could improve their quality of life. Prevention medications take time to work, unlike the immediate relief of painkillers. Dr. Kanaan stresses the importance of keeping a positive mindset and not giving up during the treatment process using preventive medications. Structural changes have to happen within the brain, chemicals in the body need to restore balance, and those changes take time and consistency.
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When To Visit The Emergency Room For A Migraine Attack
Patients are often confused as to whether or not they should visit an emergency room for their symptoms. A migraine may not constitute an emergency in some cases, but it is important to know when to visit the emergency room. At Express ER in Abilene, we encourage patients to seek emergency care if they dont know what to do about their symptoms.
What If I Have An Aura And Cannot Talk
Some people with migraine have complex auras during which they cant talk or even move See this post. If this happens to you, consider the following options.
- Carry a bracelet with your aura diagnosis
- Carry a document you could show to the ER doc
- Be accompanied by someone who has a clear understanding of your medical problem
** NEVER assume that a neurologic symptom is caused by migraine especially if its the first time it happens to you. Any new symptom should be medically evaluated.
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When To See A Doctor And What Theyll Ask You
Start by making a long appointment to see a GP to discuss your headache and nothing else. Give it the time and attention it deserves.
Its helpful to take a record of your headaches for your doctors appointment: a headache diary.
The most important tool doctors have to diagnose headaches is your history. You may feel they are asking a lot of questions, but thats because there are so many possible causes. Bear with your GP as they try to get you the most accurate diagnosis.
Here are the kinds of questions a doctor may ask, or be asking themselves while they assess you:
Is the pain caused by something straightforward?
Possible common causes include dehydration, eye/neck strain, teeth grinding, lack of sleep or caffeine withdrawal. Even taking regular painkillers can cause medication overuse headaches the cure can become the cause.
Where in your head is the pain?
Sometimes the location of the pain gives a clue. For example, about 35% of headaches are tension headaches, which feel like a tight band around both sides of your head. Another 4% are cluster headaches, which start behind one eye and are often associated with a stuffy nose.
Do you have any other symptoms accompanying the headache?
A migraine episode may be preceded by an aura , and often includes symptoms like nausea or vomiting, extreme sensitivity to noise and light, and blurred vision.
Is there a pattern to your headaches?
Do you have any other medical conditions?
Signs Of Another Serious Condition
Are other circumstances or conditions causing my head pain?
Occasionally, an episode might seem like a migraine attack but may actually be related to another condition or triggering event. Some examples include:
Physical Injury or TraumaIf you have recently experienced trauma to the headregardless of severityit is possible you may have suffered a concussion or traumatic brain injury this could very well cause of any associated head pain. Even injuries that seem mild at the time may still have long-term consequences for the brain. If you have experienced any type of vehicle accident or fall, it is always best to have a doctor check for non-visible injuries, particularly any involving your head. Certainly, if any of your symptoms are extreme or persist, then you should consider going to the emergency department.
StrokeMigraine and stroke can share similar symptomssuch as headache, numbness on one side of the body, dizziness, and loss of visionwhich may make it difficult to distinguish between them. Specific migraine subtypes have also been linked to higher rates of stroke, further blurring the line these two conditions. In cases where stroke-like symptoms present themselves, especially if they are new or severe, it is always best to exercise extreme caution and call the emergency department.
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