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Headache

 Headache:

Headache

Headache is a very common problem. Every person suffers from headaches at some point in their life. Headache is not a disease but a symptom. There are many types of headaches such as migraines, tension-type headaches, cluster headaches, etc. Frequent headaches can make daily family and work-life depressing. Acute headaches also increase the risk of depression.

There can be many causes of headaches. The most common causes of headaches are fatigue, lack of adequate sleep, stress, drug reactions, colds, sinusitis, headaches, toothache, eating too many cold drinks or foods too fast. Headaches are divided into primary and secondary categories to facilitate diagnosis. Migraines, tension headaches, etc. fall into the primary category, while head injuries or tumors, infections, etc. fall into the second category.

Treatment for headaches depends on the cause, but in all cases, painkillers are used.

The survey found that about half of all adults suffer from headaches in a given year. Of these, 1.8 billion are patients with tension-type headaches, which is about 21.6% of the total population. Then the location of the migraine. About 748 million people (11.6%) suffer from migraines.


What is a migraine? Why?

Migraine is a special type of long-term headache. It is derived from the Greek word ‘hemicrania’, which means hemiplegic pain. However, it can cause pain on both sides of the head. There may also be other neurological symptoms associated with the pain. The exact cause of the migraine is not yet known. However, it is thought that the effects of chemicals called serotonin and CGRP cause abnormal dilation of blood vessels in the epidermis of the brain and stimulate the adjacent trigeminal nerve. This causes headaches.


What causes migraine pain to start?

Insomnia, excessive sleep, or changes in sleep time.

Excessive physical and mental stress.

Long travel, change of weather.

Very bright light, loud sound, strong fragrance.

Long time watching television, using computer or mobile phone.

Excessive intake of chocolate, cheese, coffee, alcohol, testing salt.

Irregular eating, constipation.

Birth control pills and nitrate drugs etc.


The way you understand migraine:

Migraine patients have some specific symptoms of headache. Two-thirds of patients have the following symptoms, known as 'common migraine'.

Usually migraine headaches.

Shake your head

Moderate to severe headaches.

Frequent headaches.

Nausea or vomiting.

Unable to tolerate light or sound.

Increased pain in labor.

The duration of pain is 4 to 72 hours.

One-third of patients with these symptoms may have some pre-existing symptoms of migraine. Before the onset of pain, the patient may have hallucinations or a flash of light in front of the eyes. Sometimes there is a tingling sensation in the face or hands and feet or difficulty speaking, which is known as ‘classical migraine’.

Apart from this, some rare symptoms may be observed in migraine patients; Such as loss of vision (retinal migraine) during headache, dizziness, and imbalance (bacillary migraine), numbness of one side of the body (hemiplegic migraine), frequent abdominal pain, and vomiting in children (abdominal migraine), etc.

How much testing is necessary?

Usually, no special examination is required. Migraines can be diagnosed by accurate detailed history and analysis of physical symptoms. However, if the type of headache changes abruptly or there is constant pain in the same area of the head or there are severe neurological symptoms, such as fainting, convulsions, or numbness of the limbs, the necessary tests, such as a CT scan of the head or MRI, are performed. Whether there are complications, it needs to be checked.


What is the treatment for migraine?

Treatment of migraine varies according to the long-term and the condition of the patient. Lifestyle changes and regular medication play an important role in curing and controlling the disease. There are basically two types of drugs used; Painkillers and preventative. Medications such as paracetamol, aspirin, diclofenac, and ibuprofen may be taken when the headache starts. Metoclopramide, domperidone-like drugs are effective in reducing nausea. If the headache does not subside, various medicines can be taken on the advice of a doctor. These drugs have many side effects, so do not take them without advice. For those whose normal life is disrupted due to recurrent headaches, there are some preventative medications. Chronic migraine sufferers, for whom the medication is less effective, may benefit from meditation, yoga, acupuncture, etc. In addition, botulinum toxin, CGRP monoclonal antibody, and a device called 'Cephali' have added new dimensions to migraine treatment.


Migraine Prevention:

Identify the causes of migraine pain and avoid them. If necessary, write down in a diary the symptoms of the headache.

Eat and sleep moderately at certain times of the day.

Do not work in intense or low light. Avoid harsh sun and extreme cold.

Avoid loud and noisy environments.

Do not use a computer, TV, or mobile phone for a long time.

Practice regular light exercises every day.

Drink more and more water. Eat green and yellow vegetables, potatoes, dates, calcium, and vitamin D-rich foods regularly.

When the headache starts, rest in a dark and quiet room and if necessary, wrap an ice pack or cold cloth around your head.


Last word:

Migraine is a type of neurological disease that can be cured through proper treatment and healthy living. But remember, not all headaches are migraines. Headaches can also occur due to myopia, sinusitis, bleeding in the brain, or tumors. He should take the advice of a specialist doctor.

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