Migraine headache

What is Migraine headache?

Migraine is a chronic neurological disease characterized by recurrent moderate to severe headaches often in association with a number of autonomic nervous system symptoms. The word derives from the Greek ἡμικρανία (hemikrania), "pain on one side of the head", from ἡμι- (hemi-), "half", and κρανίον (kranion), "skull".

Typically the headache affects one half of the head, is pulsating in nature, and lasts from 2 to 72 hours. Associated symptoms may include nausea, vomiting, and sensitivity to light, sound, or smell. The pain is generally made worse by physical activity. Occasionally an aura can occur with little or no headache following it.

Migraines are believed to be due to a mixture of environmental and genetic factors. Changing hormone levels may also play a role, as migraines affect slightly more boys than girls before puberty, but about two to three times more women than men. The primary theory is related to increased excitability of the cerebral cortex and abnormal control of pain neurons in the trigeminal nucleus of the brainstem.

Initial recommended management is with simple analgesics such as ibuprofen and paracetamol (also known as acetaminophen) for the headache, an antiemetic for the nausea, and the avoidance of triggers. Specific agents such as triptans or ergotamines may be used by those for whom simple analgesics are not effective. Globally, approximately 15% of the population is affected by migraines at some point in life.

Questions and answers on "Migraine headache"

I'm navong a ct scan on my brain today i'm wondering if the contrast thatb they are suong will cauxe me to have memory loss and that i had parents who we allergic to th econyrasting dye and I have a migraine headache shpu;d I go ahead and take the test or hold off from it ?

doctor1 MD

Hi,
Thanks for writing in.

A contrast CT scan will not cause any significant damage to you. Please inform the CT scan technician that your parents had allergy to the contrast so that they are alert when doing the CT scan. They will first give you a test dose of the contrast and ask you if you are...

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my 24 yr old son has migraine headaches then vomits then feels better after talking sumatriptan inj then later gets chills and sweats like crazy we have been to just about evry kind of dr and so many test amd mris still can not find anything can anyone help it is causing him to miss work alot and he can not afford to lose his job

doctor1 MD

consult a neurulogist as well as psychiatrist.

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i am 26 years.. male. today i go for medical check up in my company hospital.. and found my heart beat is 86 per minuts and my BP is 130/100... is it danger...??? our doctor tell me for check up my BP regularly... pls tell me all about it in details.. i am not smoke nor drink.. i have also migraine headache problem..

doctor1 MD

Hello, BP of 130/100 is high but there are other reasons to it.
Did you rested for about 5 -10 mins after reaching the doctor and then checked BP? because if not then your BP will show increased value
There is a entity called white coat hypertension in which BP goes high while checking BP but...

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I have daily headaches/migraines and have taken both amitriptyline and nortriptyline for them. Both work, but only for a few months each before I max out on the dosage. Would protriptyline be a good choice to suggest to my doctor since it is similar?

doctor1 MD

As all amitriptyline, nortriptyline and protriptyline are same group drugs and they benefited you for few months only, if i was your doctor i would have tried a different group of drug like SSRI group of drug.
also try yoga, meditation to treat your tension headache. Daily walk in park for 15-30...

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MRI of brain shows a few scattered foci of abnormal parenchymal flair hyperintensity seen nonspecific but may be related to micro vascular disease other differential diagnosis include vasculitis, edema, migraine headaches and demyelinating conditions -- could you elaborate on what this means

doctor1 MD

Hello

Few scattered foci of abnormal parenchymal flair hyperintensities in the white matter may be due to ischemic( decreased blood supply and oxygenation due to involvement of small blood vessels)changes in white matter of brain.

Ischemic changes generally occurs in conditions like...

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My results from a recent MRI without contrast indicate: minimal ischemic/gliotic changes vs findings related to migraine headaches . In an earlier part of the report, it is stated: there are a few dot-like foci of increased T2 signal in the deep periventricular white matter regions... ischemic changes also noted involving the central pontine region as well. The MRI was done to find the source of migraine headaches. Mary Ellen Drury

doctor1 MD

Hello,
Thank you for the query. I have gone through your query and understood your concerns. Ischemic changes indicates decreased blood supply to that area and by which you are having migraine headaches. I advice to take prophylactic treatment for this after consulting your doctor and for...

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I am 48 and have always been very fit, active and healthy. Over the last year I have had an increased incidence of migraine headaches, and over the last 6 months my weight keeps increasing no matter how much I exercise or control my diet. I started taking supplements for perimenopause, they are natural. I have had blood work and it is not my thyroid and I am not menopausal. I am very frustrated. My weight is up 15 pounds in less than a year.

doctor1 MD

hello madam thanks for the query

firstly regarding your wt gain is jus course every women goes thru during peri menopausal state due to estrogen imbalance and your headaches particularly migraine is exacerbated by any stress specailly ur pre menopausal state itself is a stress top on dat your wt...

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Recent questions on  Migraine headache

doctor1 MD

My daughter has many issues with several doctors following her. I am wondering if the issues could all be related to one issue? She was diagnosed with Celiac disease not by blood test but because of fat malabsorption. She also has overactive bladder with a thickened bladder wall and she taking Ditropan. She has recently begun with what seems to be migraine headaches and possibly a few episodes of abdominal migraines. She was hospitalized for 2 days and other things were ruled out. Most importantly she is 7 1/2 and only weighs 34 pounds even though she has been strictly gluten free for 3 years.

doctor1 MD

I got my first depo shot on feb 13, 2014..n Missed my second shot in may 18,2014 still havent went to get it cause it makes my bones ache. Here it is june 4th and ive been bleeding since ive got my first shot Now its Brown discharge somedays, my period goes off and then come back on every other day.. Ive been nauseated, stomach cramping, vomiting and migraine headaches,lower back pain, etc... Im starting to wonder am I pregnant...took a hpt bout 6 days ago, its was Negative...what do you think of my situation..I just gave birth to a baby boy Nov of 2013...and ive been having unprotected sex before I got on the depo shot and stil is now..

doctor1 MD

I am a 34 year old female, with episodes of chronic migraine headaches which present themselves with an onset of what seems to be an epileptic seizure in my abdominals. The stomach involuntarily contracts for a period of 30 to 45 seconds, subsides for a few minutes, and then occurs again until vomiting results. The following day or two I have symptoms of a migraine headaches, vomiting for 12 ro 24 hours, followed by nausea, sensitivity to light and sound, and in one instance I had an episode where I could not speak or write. My doctor thinks I have abnormal migraines, however, the symptoms occur three days prior to my menses- and when I am under a great deal of stress. I have been experiencing these abdominal migraines or abdominal epileptic seizures- which ever they are called- for a period of 23 years approximately every cycle. They get worse if I eat dairy, yellow cheese, meat, wheat, sugar, onions, and too much chocolate, or smell chemicals, diesel fuel, or bleach. I have received an endoscopy which came back normal, I was tested for Celiacs disease, and that came back normal. I feel frustrated because I cannot get a definitive answer about this condition. I just want an answer about this condition which with my current insurance, I cannot get the tests necessary to diagnose whatever I have. I would be happy to volunteer for a medical study for Abdominal Epilepsy or Migraines if it could lead to a diagnosis. I think this could help me to lead a more normal life, and possibly treatment for this condition. What is your advice for me, considering this has effected every aspect of my life, family, career and health.

doctor1 MD

My right side of my brain felt frozen for about 20 minutes. That was yesterday and I had it maybe once or twice before. I used to get migraine headaches on the right side of my head, but after the age of 65 they I stopped getting them. I am now 71 yrs old. Please advise. Thank you

doctor1 MD

Doctor, I have experienced some strangeness for two days now. I have had 2 TIA's in the past with slurred speech and numbness on the left side of my body. I awoke this AM with a numb arm on my right side. I have a headache now. I have symptoms of...

doctor1 MD

Hello doctors, Ive been experiencing a type of lightheadedness/lateral head pressure/fog for some years now (the room is never spinning so it's not vertigo , atleast not typical vertigo). It will come on randomly, often with months in between...

doctor1 MD

I have been suffering from migraine headache from last 10 years. tab. Vasograin had been a good solution for me and I have been taking 12 to 15 tablets a month. I would like to know whether there is a better substitute for tab vasograin as I have...

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