Understanding Migraines

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Neurology

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Last updated: Mar 24, 2025

What is a Migraine?

A migraine is more than just a headache - it's a complex neurological condition that can cause severe, debilitating symptoms lasting hours to days.

Common Symptoms

  • Intense, throbbing head pain (usually on one side)
  • Sensitivity to light and sound
  • Nausea and vomiting
  • Visual disturbances (aura)
  • Dizziness
  • Fatigue

The Migraine Phases

  1. Prodrome (Pre-headache)

    • Mood changes
    • Food cravings
    • Neck stiffness
    • Yawning
  2. Aura (Not experienced by all)

    • Visual phenomena
    • Numbness/tingling
    • Speech difficulties
  3. Headache Phase

    • Intense pulsating pain
    • Peak symptoms
    • Duration: 4-72 hours
  4. Postdrome

    • Lingering fatigue
    • Mild confusion
    • Weakness

Common Triggers

  • Stress
  • Hormonal changes
  • Certain foods and drinks
  • Sleep disruption
  • Environmental factors
  • Strong smells

Treatment Options

Acute Treatment

  • Over-the-counter pain relievers
  • Prescription medications (triptans)
  • Anti-nausea medications

Preventive Treatment

  • Beta-blockers
  • Calcium channel blockers
  • Anti-seizure medications
  • CGRP antagonists
  • Botox injections

Lifestyle Management

  • Regular sleep schedule
  • Stress management
  • Trigger avoidance
  • Exercise
  • Proper hydration

When to Seek Medical Help

  • Severe, unusual headaches
  • Neurological symptoms
  • Headaches that worsen
  • New onset after age 50

Prevention Strategies

  • Keep a migraine diary
  • Identify and avoid triggers
  • Maintain regular routines
  • Practice stress reduction
  • Stay well-hydrated

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