Treatment Options During Pregnancy
Certain medications used for migraine treatment and prevention are contraindicated for pregnancy, due to safety concerns for the developing fetus. For patients who use oral contraceptives to regulate their hormone levels and manage migraine, having a conversation about migraine treatment options may happen when they want to go off of birth control and start trying to conceive. The good news is there are safe options for migraine prior to and during pregnancy.
Im always telling my patients, either preconception or patients that are pregnant, that we recommend in general to use the number of different medications for anything that were treating, Dr. Grossman says. And also, of course, the lowest dose possible that we can use in pregnancy and preconception is what we recommend. Her first-line treatment is non-medication options, and she then layers in other treatments as needed.
How Can I Tell If I Have A Migraine Or A Sinus Headache
Many people confuse a sinus headache with a migraine because pain and pressure in the sinuses, nasal congestion, and watery eyes often occur with migraine. To find out if your headache is sinus or migraine, ask yourself these questions:
In addition to my sinus symptoms, do I have:
If you answer yes to two or three of these questions, then most likely you have migraine with sinus symptoms. A true sinus headache is rare and usually occurs due to sinus infection. In a sinus infection, you would also likely have a fever and thick nasal secretions that are yellow, green, or blood-tinged. A sinus headache should go away with treatment of the sinus infection.
Remember These Five Steps For Emergency Migraine Treatment: Cold + Heat + Inhale + Liquids + Lights Off Chill Just Chill
Picture this: you’re away for the day in a hot air balloon with your family. Bright sun, a loud engine, the smell of exhaust, a jerking ride in the wind – just the day your kids dreamed of.
Suddenly, you feel a Migraine attack coming on. You dig through your backpack – and no meds. Short of bumming two aspirin from a fellow tourist, what can you do? How to get rid of a Migraine fast before it’s in full swing?
Don’t Miss: Is An Ocular Migraine A Sign Of A Stroke
Calm Yourself To Treat Migraine
During migraine headaches, a person becomes sensitive towards light. To treat this problem, find a place for yourself, far from the noise and lights. Relax in a dark and quiet room. Try to sleep, this will help you to calm your senses. Moreover, you can tie a cloth around ;your forehead to relieve the pain. The best way to get rid of the pain is do not think about the pain. If possible, make yourself so busy that you do not find time to remember the pain. However, do not exhaust your body.
Can Migraines Be Prevented
You can’t prevent every migraine. But learning your triggers and trying to avoid them can help. Take a break from activities that might start a migraine, such as using the computer for a long time. If you know that some foods are triggers, skip them. Some people find that cutting back on caffeine or drinking a lot of water can help prevent migraines.
Make a plan for all the things you have to do especially during stressful times like exams so you don’t feel overwhelmed when things pile up. Regular exercise also can reduce stress and make you feel better.
The more you understand about your headaches, the better prepared you can be to fight them.
Don’t Miss: Can You Get Disability For Migraines
Getting The Most Out Of Your Doctors Appointment
Youve found a headache doctor and made an appointment.;Now how will you and your doctor determine that you have migraine? Theres no blood test, ultrasound, or MRI that will tell your doctor if your head pain is migraine.;The only real way for your doctor to know is for you and him or her to talk about the specifics of your head pain , how you have handled the pain until now, family history of migraine, current and previous treatments including over-the-counter medications, and how your head pain limits your quality of life.
You wont have a lot of time with the doctor, especially if youre seeing a primary care physician, so go prepared.;Think about these questions, write down the answers if you can, and take them with you to the appointment.
About the head pain:
If My Headache Isn’t Going Away Should I Get Tested For Coronavirus
Headache is one of the symptoms of COVID-19, the illness caused by the novel coronavirus SARS-CoV-2, according to the Centers for Disease Control and Prevention . A February 2020 report of the WHO-China Joint Mission on COVID-19, from early in the pandemic, found that of 55,924 people confirmed to have the disease, 13.6 percent had a headache.
Theres no treatment for COVID-19, but the same OTC pain relievers that help with other types of headaches may alleviate headaches caused by this disease. does not recommend against;the use of ibuprofen for people with COVID-19.)
If you have symptoms of COVID-19 and want to get tested, the;CDC recommends calling your state or local health department or a medical provider. Most people with COVID-19 have mild illness and are able to recover at home, the CDC notes.
Read Also: Inner Ear Piercing For Headaches
Prescription Painkillers For Frequent Tension Headaches
Indocin , an NSAID that is available only by prescription, is “usually used for arthritis, but can also be very useful as a headache treatment,” Dr. Rozental says. “Indomethacin‘s downside is that it is among the drugs most likely to cause gastric irritation as a side effect,” including stomach ulcers and bleeding. It can also harm kidney function if taken at high doses or chronically.
Find A Dark Quiet Space To Rest
The first thing you should do when you feel a migraine coming on? Find a dark, quiet space to rest. If youre home or can get home easily, draw the curtains in your bedroom, turn the air conditioning down, and lie down in bed with an eye cover on. If you cant get home, try to find a quiet corner somewhere to close your eyes and take a few deep breaths. Sensitivity to light and sound is one of the most common migraine symptoms, so finding a way to minimize your sensory experience can make a world of a difference.;
Read Also: What Type Of Migraine Do I Have Quiz
Nuts To Get Rid Of Migraine
Taking a pill when you are suffering from migraine will give you relief, but frequent use of pain-killer also leads to many other serious problems. Try to sought out this problem with home remedies for migraine. Make sure you intake some almonds every day. In fact make it a routine of eating 5-6 almonds daily in the morning.
This is very beneficial in tension-type migraine. It helps you to;treat;migraine;pain because of its essential element known as salicin.;Take 5-6 almonds and soak it in a water.;Eat them on an empty stomach.;Repeat this for two weeks.
Diagnosis And Patient Assessment
Migraine has well-established diagnostic criteria4; . Good evidence supports the use of the POUND mnemonic for migraine diagnosis6; . Assessment aims to confirm diagnostic criteria, evaluate for alternative explanations, identify comorbidities that could complicate management ,8; and document the baseline pattern and severity of episodes. A variety of conditions can present as headache, most of which can be identified by the history and physical examination .6 The only indications for ancillary testing are to identify causes of secondary headaches or comorbid conditions.9,10; Table 4 lists red flag symptoms that indicate the need for neuroimaging and/or urgent referral.9,10
International Headache Society Diagnostic Criteria for Migraine Headache With and Without Aura
Migraine without aura
*Recurrent disorder manifesting in headaches with reversible focal neurologic symptoms that usually develop gradually over 5 to 20 minutes before onset of the headache and last for less than 60 minutes. Headache with the features of migraine without aura usually follows the aura symptoms. Less commonly, headache lacks migrainous features or is completely absent .
Adapted with permission from Gilmore B, Michael M. Treatment of acute migraine headache . Am Fam Physician. 2011;83:272.
International Headache Society Diagnostic Criteria for Migraine Headache With and Without Aura
Migraine without aura
POUND Mnemonic for Diagnosis of Migraine
Also Check: Can You Get A Sick Note For Migraines
What Are Some Ways I Can Prevent Migraine
The best way to prevent migraine is to find out what triggers your attacks and avoid or limit these triggers. Since migraine headaches are more common during times of stress, finding healthy ways to cut down on and cope with stress might help. Talk with your doctor about starting a fitness program or taking a class to learn relaxation skills.
Talk with your doctor if you need to take your pain-relief medicine more than twice a week. Doing so can lead to rebound headaches. If your doctor has prescribed medicine for you to help prevent migraine, take them exactly as prescribed. Ask what you should do if you miss a dose and how long you should take the medicine. Talk with your doctor if the amount of medicine you are prescribed is not helping your headaches.
Are Migraines Hereditary
Migraines tend to run in families. As many as four out of five people with migraines have a family history. If one parent has a history of migraines, their child has a 50% chance of having them. If both parents have a history of migraines, the risk jumps to 75%. Again, up to 80% of people with migraines have a first-degree relative with the disease.
You May Like: Does Aspartame Cause Migraines
Apple To Treat Migraine
An;apple a day keeps the doctor away similarly, it also keeps a migraine away. Eat an apple at the onset of the migraine pain. The crunchy apple will improve the blood flow to the brain, which will eventually reduce the pain. Moreover, it is believed that green apples are more effective as compared to red apples. According to the recent research smelling, a green apple will have the equal benefits.
Who Is At Risk For Abdominal Migraine
Abdominal migraines mostly affect children, with the first episode occurring between 3 and 10 years old. Most children seem to outgrow the condition, though abdominal migraines in adulthood are just starting to be studied. A child with a family or personal history of migraine headache has an increased chance of developing abdominal migraine.;
Read Also: Can You Get A Fever With A Migraine
What Natural Home Remedies And Lifestyle Changes Relieve Migraines
Migraine patients can play a significant role in managing their headache frequency and severity.
Keep track of when migraines occur by using a headache diary or log to track pain levels, triggers, and symptoms. In addition, patients should keep track of the migraine types they experience . This can help identify patterns that precede a migraine, as well as help identify factors that contribute to the development of the headache. Once these contributing factors are known, lifestyle modifications can lessen their impact. These modifications may include:
- Maintain a regular schedule for eating and sleeping.
- Avoid certain foods that might cause a migraine.
- Keep well hydrated since dehydration has been identified as a migraine trigger for some people.
- Exercise regularly.
Exercise and migraine
Some people find that exercises that promote muscle relaxation can help manage the pain of migraines. Examples of types of mind-body exercises that can help encourage relaxation are:
Whats A Migraine Journal
- Keeping a migraine journal is not only beneficial to you, but it helps your healthcare provider with the diagnosis process. Your journal should be detailed and updated as much as possible before, during and after a migraine attack. Consider keeping track of the following:
- The date and time of when the migraine began specifically when the prodrome started, if youre able to tell its happening. Track time passing. When did the aura phase begin? The headache? The postdrome? Do your best to tell what stage youre in and how long it lasts. If theres a pattern, that may help you anticipate what will happen in the future.
- What are your symptoms? Be specific.
- Note how many hours of sleep you got the night before it happened and your stress level. Whats causing your stress?
- Note the weather.
- Log your food and water intake. Did you eat something that triggered the migraine? Did you miss a meal?
- Describe the type of pain and rate it on a one to 10 scale with 10 being the worst pain youve ever experienced.
- Where is the pain located? One side of your head? Your jaw? Your eye?
- List all of the medications you took. This includes any daily prescriptions, any supplements and any pain medication you took.
- How did you try to treat your migraine, and did it work? What medicine did you take, at what dosage, at what time?
- Consider other triggers. Maybe you played basketball in the sunlight? Maybe you watched a movie that had flashing lights? If youre a woman, are you on your period?
Don’t Miss: Are Migraines A Symptom Of Pregnancy
And Be Proactive With Healthy Lifestyle Choices
I talk about this on almost every page of this website. Do not underestimate the power of making healthy lifestyle choices. Routines are proven to reduce migraine attacks.
So create and maintain routines around: sleep, meal times , and exercise.
I can also recommend protecting your eyes whenever you can. Watch computer screen use… glare and not blinking enough cause eye strain. I have a few pages on this already:
What Is Migraine With Aura
In some cases, people with migraines have specific warning symptoms, or an aura, prior to the onset of their headache. These warning signs can range from flashing lights or a blind spot in one eye to numbness or weakness involving one side of the body. The migraine aura may last for several minutes, and then resolves as the head pain begins or may last until the headache resolves. For patients who have never had an aura, it can be frightening and can mimic the symptoms of a stroke.
- Eye pain
What is an episodic migraine?
The International Headache Society defines episodic migraine as being unilateral , pulsing discomfort of moderate-to-severe intensity, which is aggravated by physical activity and associated with nausea and/or vomiting as well as and/or phonophobia .
Other migraine headache symptoms and signs of migraines
What is the difference between a migraine vs. tension headache?
A tension headache is described as being bilateral and the pain is not pulsating, but feels like pressure or tightness. While severity can be mild-to-moderate, the headache is not disabling and there is no worsening of the pain with routine physical activity; additionally, there is no associated nausea, vomiting, photophobia, or phonophobia.
How long does a migraine last?
A migraine headache typically lasts for several hours up to several days.
You May Like: What Piercing Is For Migraines
B Herbs And Supplements
There are also herbs and supplements that are excellent for migraine. ;Be aware that these are not necessarily safer than drug options. ;You should still discuss them with your doctor to make sure they are right for you, and to make sure that they won’t react with other drugs or conditions that you have. ;Read this article for a quick primer on herbs for headache.
Understanding Migraines And How To Treat Them
Mayfair Jun 28, 2021
Migraines are much more than a bad headache. For many people who suffer from them, theyre debilitating. You can be held up in bed for days, desperate for some form of relief from the relentless throbbing in your head, neck, or face.;;
Migraines are;one of the most common types of headaches in Canada. They are;a neurological disease that causes a variety of symptoms, most notably a throbbing, pulsing headache on one side of the head.;They often;get worse with physical activity, lights, sounds, and smells, and;can last anywhere from a few hours to several days.;
Recommended Reading: What Piercing Is For Migraines
How Can I Tell If I Have A Migraine Or Just A Bad Tension
Compared with migraine, tension-type headache is generally less severe and rarely disabling. Compare your symptoms with those in this chart to see what type of headache you might be having.
|Aura before onset of headache||;||x|
Note: Rebound headache may have features of tension and/or migraine headache. Adapted from a table produced by the American Council for Headache Education.
Although fatigue and stress can bring on both tension and migraine headaches, migraines can be triggered by certain foods, changes in the body’s hormone levels, and even changes in the weather.
There also are differences in how types of headaches respond to treatment with medicines. Although some over-the-counter drugs used to treat tension-type headaches sometimes help migraine headaches, the drugs used to treat migraine attacks do not work for tension-type headaches for most people.
You can’t tell the difference between a migraine and a tension-type headache by how often they occur. Both can occur at irregular intervals. Also, in rare cases, both can occur daily or almost daily.