Is it necessary to go to the hospital for migraines?

Today, I will share with you the knowledge of whether it is necessary to go to the hospital for migraines. If it happens to solve the problem you are facing, don't forget to follow this website. Let's start now! How to treat migraines? The treatment goal for migraines is to reduce or terminate the headache attacks, alleviate accompanying symptoms, and prevent headache recurrence. Treatment includes both medication and non-medication approaches. Non-medication treatment mainly involves physical therapy, such as magnetic therapy, oxygen therapy, and psychological counseling, to relieve stress, maintain a healthy lifestyle, and avoid various migraine triggers. Medication treatment is divided into treatment during the attack period and preventive treatment. For optimal effectiveness, medication should be taken immediately when symptoms start.

How to quickly and effectively relieve migraines? 1. Cold stimulation: When experiencing a migraine attack, you can use cold water to stimulate the affected area. For example, take an ice pack out of the refrigerator, wrap it in a towel, and place it on the forehead. This can help alleviate and improve the headache to a certain extent.

2. Head massage: Massaging the head can help relieve headaches. The temples are important acupoints for relieving headaches, so massage the area around the temples. 3. Hot compress: For some older individuals who may not tolerate cold compress, you can use hot water to wet a towel, wring it slightly, and place it on the area where the headache is severe. This can also provide a good relief effect.

4. Massage: Massage can quickly relax the nerves. You can knead the temples, as long as the temples are relaxed, the symptoms of migraines can be effectively relieved. During the massage, you can gently apply pressure or massage in circular motions, as long as it feels comfortable. 5. Breathing adjustment: Headaches caused by psychological factors are often related to tension, irritability, or other negative emotions. In such cases, you can use breathing techniques to adjust. This can have a good effect in relieving headaches.

6. Maintain a good mood: During a migraine attack, it is important not to become anxious or worried. Instead, try to maintain a calm and peaceful mindset. Listen to soothing music, close your eyes, and relax. This can help alleviate headaches. Do you need to go to the hospital for migraines? Definition of the disease:

Migraine is a common recurring headache disorder characterized by severe throbbing pain on one or both sides of the head, often occurring on one side, and may be accompanied by symptoms such as nausea, vomiting, and sensitivity to light and sound. In the academic community, it is defined as a chronic neurovascular disease.

Epidemiology: Migraines often begin in adolescence, with a small percentage occurring in childhood, and peak in incidence during middle age. Migraine is more common in women, with female patients being 2 to 3 times more prevalent than male patients. Migraines often have a genetic background and are more common in populations with epilepsy, depression, asthma, anxiety, stroke, and other neurogenetic diseases.

A survey conducted in 2013 showed that the prevalence of migraines in China was 9.3%, which is also very high globally. Therefore, it is a common disease that ranks third in global disease burden and sixth in disability, causing significant burden on society, economy, and individuals. Types of the disease:

The academic community has a very detailed classification of migraines, mainly used for academic research. Based on the main clinical manifestations of headaches, they are classified as migraine without aura, migraine with aura, chronic migraine, etc., with the first two types described in detail in terms of symptoms.

Chronic migraine refers to attacks that meet the characteristics of migraines for more than 15 days per month, continuously for 3 months or more, and at least 8 days per month. The diagnosis of this type of headache needs to exclude headaches caused by other reasons, especially headaches caused by medication overuse.

There are also some clinically rare types of migraines: Brainstem aura migraine, also known as basilar-type migraine, as the name suggests, the aura symptoms of this type of headache originate from the brainstem and can be very severe, such as sudden slurred speech (dysarthria), dizziness, tinnitus, difficulty hearing or partial loss of vision (visual field defect), unsteady walking or ataxia, and even sudden loss of consciousness in severe cases. However, this type of migraine usually does not have symptoms of weakness in movement.

Hemiplegic migraine, as the name suggests, presents symptoms similar to "hemiplegia," with weakness in one side of the body, along with visual, sensory, and speech abnormalities as aura symptoms. Retinal migraine manifests as repeated reversible monocular visual disturbances, including flickering, dark spots, and even blindness, but eye examinations are normal. The difference between this type of migraine and brainstem aura migraine is that visual symptoms are limited to one eye.

Hello: 1. Typical Migraine 1) Several hours to a day before the aura occurs, patients may feel discomfort in the head, drowsiness, irritability, depression, hunger, or decreased urine output. 2) Visual aura is the most common. It can be dark spots, bright lights, strange colors, or more complex hallucinations. Aura can also occasionally manifest as abnormal sensations in the throat, tongue, lips, or limbs on one side of the body, numbness on one side, slight paralysis on one side, or difficulty speaking.

3) Headache: After the aura subsides, headaches occur quickly. The headache is throbbing or pulsating, often accompanied by loss of appetite, nausea, and vomiting. Patients have pale complexion, listlessness, photophobia, and phonophobia. The headache can last for several hours to over ten hours and returns to normal after sleeping the following day.

2. Common Migraine: The aura can manifest as temporary and mild visual blurring, but most of the time it does not occur. The way the headache progresses is the same as in the previous type. The headache can occur on either side and occasionally starts as bilateral. It is also accompanied by other symptoms such as nausea and vomiting. The duration of the headache is generally longer, lasting for 1-3 days.

3. Special Type Migraine: 1) Ophthalmoplegic Migraine: Patients generally have a history of common migraines. In one migraine attack, when the headache gradually subsides after 1-2 days, paralysis of the eye muscles on that side occurs. 2) Hemiplegic Migraine: Patients initially experience slight paralysis and numbness on one side, and may also have difficulty speaking. Several tens of minutes later, headaches occur on the opposite or same side, and the symptoms on one side persist until the headache subsides and disappear after one to several days, or even leave residual symptoms.

3) Basilar Artery Migraine: Aura symptoms include bilateral visual impairment, dizziness, dysphagia, abnormal sensation in the mouth and upper limbs, bilateral tinnitus, and bilateral ataxia. Sleepiness and drop attacks may also occur. The duration of the aura period is on average 20-30 minutes, followed by headaches mainly radiating from the occipital area to the back of the neck, often accompanied by nausea and vomiting. The headache lasts for several hours to one day and is relieved after sleeping.

4) Migraine Equivalent: Some migraine patients may periodically experience certain symptoms without headache or alternating with headaches. There are many subtypes, but each patient generally only exhibits one type. 1) Flashing dark spots. 2) Hemiplegia and numbness on one side. 3) Abdominal migraine.

4) Recurrent dizziness. 5) Psychological migraine. Simple methods: Ice pack therapy: Place it on the area where the headache is prominent. Compression pain relief: Can use an elastic band to apply pressure. If medication is used, in the early stage of the attack, ergotamine and caffeine can be used (follow the instructions and do not exceed the recommended dosage, as it has toxic side effects. Cannot be used for special types of migraines).

During the attack period: Sumatriptan 12mg subcutaneous injection or 100-200mg oral. Chlorpromazine 12.5mg slowly intravenously infused with 20ml of saline solution. Analgesics can be used as needed. If it is during the interictal period: Propranolol, amitriptyline, or valproic acid can be used. If one medication is ineffective, another one can be tried. Preventive treatment requires long-term medication, and attention should be paid to the side effects of the medication.

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