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Migraine: types, causes, symptoms, diagnosis, and treatment

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Migraine:  types, causes, symptoms, diagnosis, and treatment

With the increasing population, the competition level is also increasing in every field whether it’s a student life or working life. In personal life also stress level is increasing day by day which ultimately leads to various diseases. In this group of diseases, migraine is one the most common diseases these days. As per data, 15% of the total population is suffering from migraines. In which many of them are unaware of migraine and they might think that they are suffering from just a simple headache and do not visit the doctor for a consultation which then results that they suffer a lot!

Migraine

Migraine is much more than a bad headache which involves severe recurring pain and comes with nausea, vomiting, and sensitivity to light. For some people, it occurs with a warning sign called aura that happens before or with a headache.

Migraine

Types of Migraine

There are various types of migraines and the most common are of two types-migraine with aura (called classic migraine) and migraine without aura (called common migraine). Aura is a specific warning sign that happens just before a migraine begins such as seeing flashlights.

Other types of migraine are:

Silent Migraine

Silent migraine is also called migraine without head pain or acephalgic migraine. In this type, there are aura symptoms but not the headache.

Hemiplegic Migraine

In hemiplegic, neurological, or sensory changes on the one side of the body is temporary ie., temporary paralysis. Headache is associated with numbness, weakness, tingling sensation, loss of sensation, etc. Sometimes there is a headache and sometimes not.

Retinal Migraine

In this type of migraine, a person may experience a temporary or complete loss of vision in one of the eyes that may last for a minute or for months along with pain behind the eye and this pain spreads to the rest of the head.

Chronic Migraine

Chronic migraine occurs at least 15 days per month. Pain is severe and symptoms may change frequently. Those who are suffering from chronic migraines should take headache pain medications for 12 to 15 days.

Migraine with brainstem aura

In this type, the symptoms are slurred speech, loss of imbalance, which occurs before headache. When a headache occurs it affects the backside of the head. These symptoms are associated with unable to speak properly, ringing sounds in the ears and these usually occur suddenly.

Status migrainosus

It is the most severe and rarest type of migraine that lasts for more than 72 hours. In symptoms, headache and nausea are mostly seen.

Causes of Migraine

Though the cause of migraine is idiopathic (not known) but various other factors play a major role like genetic and environmental. Various changes in the brainstem and its interactions with the trigeminal nerve causes pain that might be involved. This imbalance secretes brain chemicals like serotonin which regulates pain in the nervous system.

Other common factors that increase migraine are:

Hormonal imbalance

Changes in estrogen levels such as before or during menstrual periods, menopause, and pregnancy increases headache. Oral contraceptives also worsen migraine symptoms.

Caffeinated drinks

Caffeinated drinks include alcohol like wine, beer, and others like coffee.

Stress

Stress causes migraine and triggers the symptoms.

  • Sensory stimuli  Flashlights increase migraine symptoms and a strong smell of paint thinners, perfumes are triggering it.
  • Sleep changes  Disturbed sleep triggers symptoms of migraine in many people.
  • Weather changes or barometric pressure triggers migraines.
  • Medications like vasodilators such as nitroglycerin are also a factor to aggravates symptoms of migraine.
  • Foods  Salt and processed foods also trigger migraines.

Symptoms of migraine

Migraine affects children, teenagers as well adults, and its symptoms are divides into four stages. But not everyone will suffer from all these stages.

Prodrome

These occur one or two days before the onset of migraine and includes:

  • Constipation
  • Changes in mood
  • Food cravings
  • Stiffness in neck
  • Excessive urination
  • Retention of fluid
  • Yawning frequently

Aura

Aura may occur before or during migraines. These are considered as the reversible symptoms of the nervous system. Its symptoms begin gradually and stay for several minutes and last up to 60 minutes.

Symptoms include:

  • Loss of vision
  • Seeing several shapes and flashes of light
  • Weakness in the face and one side of the body
  • Speaking difficulty

Attack

These symptoms last for 4 to 72 hours if it is left untreated. However, the symptoms mainly vary from person to person but might strike several times in a month.

  • During an attack person may experience:
  • Pain on one side of the head and can occur on both sides
  • Throbbing pain
  • Sensitivity to light and sound
  • Nausea
  • Vomiting

Post drome

After an attack, the symptoms will be confusion and might feel drained. Movement of the head might increase pain.

Diagnosis

If any person is suffering from these Migraine symptoms, then for proper diagnosis doctor consultation is necessary. By taking a medical history and as per the symptoms as well as neurological examination, the doctor will advise these tests. So don’t wait because it is left untreated then many other problems will also arise.

Magnetic Resonance Imaging (MRI)

With the help of a powerful magnetic field and radio waves, it produces detailed images of the brain as well as blood vessels. This is very helpful in finding neurological-related problems.

Computerized Tomography (CT) scan

 Series of X-rays provides detail of cross-sectional images of the brain. It will help in diagnosing migraines.

Treatment for Migraine

A general treatment is given for stopping symptoms and reducing the frequency as well as the severity of episodes. Treatment includes:

Pain-relieving medications  It is also called acute treatment and these medications are given during migraine attacks and stop symptoms.

Preventive medications These medications are given for regular use, often daily and these will reduce the frequency or severity of symptoms.

Conclusion

Migraine is a headache that involves severe recurring pain and comes with nausea, vomiting, and sensitivity to light. Hormonal imbalance, sleep changes, weather changes, stress are the causes of migraines. Symptoms include headache, nausea, vomiting, loss of vision, throbbing pain, etc. Diagnosis is done through MRI and CT scan for proper starting proper further treatment. In this mostly pain-relieving medications are given.

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