Migraine is a neurological disease which is well known for the severe
headaches that is the primary symptom. This medical condition causes
headaches that can last from a few hours to three or even four days, which
are accompanied by gastrointestinal problems like nausea, vomiting,
sensibility to light (photophobia) and noise (phonophobia). A recent study
shows that one third of the people who have headaches have a preceding
aura. The aura is a perceptual incommodes experience before a headache
(for example people who suffer from epilepsy have the same feeling before
a seizure).
This medical condition is spread world wide in the population and its
characteristics are inconsistent. The exact reason which announces a
headache varies widely. The simplest treatment, meaning the appliance of
warmth or cold on the hurting area, does not have effect on everyone and
it can make the symptoms worse, the same is with the drugs for this
medical condition that can work for a patient but on the other hand may
not work. Some types of headaches are not characterized by pain, or if
they are, the pain is located
in different parts of the body except the head. The pain is one of
the several symptoms related to disorders of the serotonergic control
system, which is a dual hormone-neurotransmitter with many receptors. The
two types of headache: with aura and common Migraine (without aura) have a
genetic factor, while other types are caused by hormone organ disease or
injury. These conditions usually appear in females, however, the
pre-pubertal Migraine affects in the same measure boys and girls, as it is
correlated with the hormonal cycling.
Migraine - Symptoms
It is well known that the signs and symptoms of this medical condition
vary a lot among patients. There are four common phases of an attack, but
it is not necessarily for everyone who has a Migraine to experience
them:
The prodorm – occurs hours or even a few days before the headache.
The probability to experience this phase is about 40% to 60%. In this
phase you may confront yourself with: altered moods, excessive
sleepiness, irritability, depression or euphoria, fatigue, yawning,
stiff muscles (especially in the neck zone), constipation or diarrhea, a
big quantity of eliminated urine, desire for certain types of food.
The aura phase – is the phase that precedes the headaches. The
attack begins after 60 minutes from the end of the aura. Patients may
experience visual, sensory or motor symptoms, auditory or olfactory
hallucinations, dysphasia (language disorder caused by the brain),
tingling or numbness and vertigo
(which is a type of dizziness).
The pain phase –
a common headache is moderate to severe, unilateral, throbbing, and can
be aggravated by physical exercises. The pain is not
necessary unilateral, it can also be bilateral, or can be become
generalized. The pain lasts
from four to seventy-two hours in an adult and one to forty-eight hours
in children. The pain may be
accompanied by nausea, hyperexcitability (meaning photophobia,
phonophobia and osmophobia), blurred vision, diarrhea, polyuria,
sweating.
The postdrome phase – is the ultimate phase, when the headache
washes out and the patient can feel tired, irritated can have a lack of
concentration and mood changes.
Migraine – Treatment
The conventional treatment for Migraine is focused on three principal
factors:
Avoiding the factors that may lead to a Migraine.
The symptomatic control
Preventive drugs
People who suffer from headaches usually have their own methods
of making the pain go away
like hot or cold showers directed on the hurting zone, taking a nap in a
dark and quiet room and so on that prove to be more useful than medication
in some patients. Minor vascular headaches are associated with bad sleep
habits, irregular meals, unusually hard work and hormonal fluctuations of
the menstrual periods. Patients can try to identify and avoid the factors
which promote this medical condition, factors such as: alcohol, caffeine,
irregular meals, and bad sleep habits. For patients who have headaches
because of the changing weather, there is a treatment named “Valsalva
maneuver”. All you have to do is to hold you nose and push the air in your
mouth back to the ears; this popping of the air helps you to open your
Eustachian tubes, which by regular opening and closing helps you maintain
a normal equalize the barometric pressure. Many patients take drugs like
paracetamol (also known as acetaminophen), ibuprofen,
aspirin and
many other analgesics that are nonsteroidal anti-inflammatory drugs for
the headaches that can help them reduce their pain. Triptans
are known to effectively relieve severe pain, and
diminish the sensibility to light, sound and different smells.
Ergots have been on the market before triptans; the effects are the
same as those of the triptans in treating Migraines but it is less
expensive than the first mentioned drug. Butalbital combinations are
combinations of the sedative butalbital with paracetamol or aspirin that
may result useful in different cases of headaches. Opiates, another
category of drugs, are based on the combination of narcotics, especially
codeine, but it used only when the patients are allergic or can not take
ergots and triptans for different reasons. Another technique is the
preventive medication that can prevent, reduce the frequency and duration
of the headaches:
Cardiovascular drugs such as beta blockers (which are used for the
treatment of high blood pressure and coronary artery diseases) can also
reduce the frequency and severity of the condition.
Certain antidepressant drugs help preventing all types of
headaches.
Botulinum toxin type A also known as Botox is another helping hand
in the fight with Migraines.
Acupuncture may help a part of the patients, as they do not react in
the same manner to the medication or different therapies.
Other drugs (triptans) that can be useful combating the Migraines
are: