Do persistent migraines require hospitalization?

Vascular migraine attacks last for several hours, even up to 1 or 2 days, mostly in the morning or during the day, and can occur daily or once every few weeks and years, and the average daily attack is called status migraine. Because there are various types of migraine attacks and various complications such as dizziness, vomiting, ophthalmoplegia, limb hemiplegia, severe headache, etc., these symptoms are not relieved for a long time, bringing a lot of pain to the patient, causing and aggravating the burden of thought. If vomiting is frequent, dehydration is obvious, or hemiplegia is aggravated and mistaken for thrombosis, ophthalmoplegia can be considered oculomotor palsy, etc., so patients with status migraine should be hospitalized promptly**.

The use of sedatives and antiemetics, rehydration, and the use of hormones and others** can provide short-term remission.

You should pay attention to a reasonable examination for migraines like this, and check whether there are any cerebrovascular abnormalities. The presence or absence of neuropathic pain can be appropriately ruled out as a cause of abnormal blood pressure. Pay attention to a reasonable check of neurology, cardiovascular and cerebrovascular medicine, to see the reason, symptomatic medication is better.

Pay attention to the maintenance of your diet. Take a proper rest, massage and acupuncture. Check the cause of the appropriate medication.

The problem of hospitalization can be treated reasonably, and it takes time to follow the doctor's instructions.

The goal of migraine is to reduce or stop headache attacks, relieve concomitant symptoms, and prevent headaches. **Including both drug** and non-drug**. Non-drug**mainly physical** can be used with magnetic therapy, oxygen therapy, psychological counseling, to relieve stress, maintain a healthy lifestyle, and avoid various migraine triggers.

Drug-induced ** is divided into episodic ** and prophylactic**. For best results, medication should usually be taken immediately at the onset of symptoms.

It is recommended to calm down and maintain a good work and rest.

Migraine is a kind of throbbing headache that is reversed, and it is the "big one" among many types of headaches. It is often preceded by flashes, blurred vision, numbness of limbs and other aura, about a few minutes to about 1 hour or so of the pain of one side of the head jumping and jumping, and gradually worsening, until nausea, vomiting, the feeling will be better in a quiet, dark environment or after sleep headache relief. Neurological and psychiatric dysfunction may occur before or during the onset of headache.

At the same time, it is a progressively worsening disease, often with increasing frequency. According to research, people with migraines are more likely than the average person to have a local brain injury, which can lead to a stroke. The more migraines they have, the larger the damaged area of the brain.

Long-term history of recurrent headache, normal interval, normal physical examination and family history of migraine are not difficult to diagnose. Ophthalmoplegia may be caused by an aneurysm, and arteriovenous malformations may be associated with migraine, and the diagnosis should be confirmed by a CT scan of the head or cerebral angiography. Complex migraine is often caused by an organic disorder and should be neuroimaging.

Occipital or temporal lobe tumors may also present with visual field defects or other visual symptoms in the early stages, but eventually with increased intracranial pressure as the disease progresses. Temporal occipital headache in older adults should rule out temporal arteritis, superficial temporal or occipital artery thickening like a rope, markedly diminished or absent pulses, and characteristic multinucleated giant cell infiltrates on arterial biopsy.

There are many causes of frequent migraines, which may be related to excessive stress, colds, and head diseases.

1. Excessive pressure: For people engaged in mental work, such as teachers, company employees, etc., they may have migraine symptoms due to long-term mental activities, and they may also be affected by family, work, study, and life pressure.

2. Cold: patients will also have migraine after a cold, especially when the body's immunity is low, it is easy to appear, and there will also be nasal congestion, runny nose, fever, chills and other related manifestations, you need to cooperate with the doctor to take cold medicine**, for the case of bacterial infection, if necessary, you can also give antibiotic drugs, such as cephalosporin or amoxicillin, for fever caused by cold, you can also give drugs to cool down or physical cooling, when the body temperature exceeds the degree, you can give ibuprofen drugs** , can play an antipyretic and analgesic effect, the specific medication should be in accordance with the doctor's instructions. Exercising more can enhance your physical fitness and disease resistance.

3. Head diseases: head diseases include a wide range of diseases, such as brain tumors, cerebral infarction, cerebral arteriosclerosis and other diseases, which will compress the cranial nerves and cause migraines. For cerebral arteriosclerosis, you can cooperate with doctors to take hypolipidemic and antiplatelet aggregation drugs**, such as simvastatin, atorvastatin, aspirin, etc., and also take drugs to improve cerebral circulation, such as nimodipine, flunarizine, etc., and revascularization or reconstruction can also be given for narrowed and occluded arteries**.

First of all, go to the hospital for a comprehensive examination to determine that it is not caused by other reasons The disease can take some nutritious and rooted medicine with the opening of the film I don't know how to ensure sleep ** Method to go to the hospital for examination The doctor will give you the corresponding **plan.

There are four main categories of causes of migraines:

1. Endocrine and metabolic factors: migraine caused by this factor mainly occurs in women, and migraine occurs during puberty, occurs frequently during menstruation, and can be stopped or reduced after menopause or pregnancy;

2. Heredity: 60% of migraine patients have a family history, so if parents or siblings have migraine, the probability of migraine is very high;

3. Mental factors: long-term anxiety, depression, insomnia, mood swings, or irregular sleep may induce migraine;

4. Diet and medication: For example, cheese, monosodium glutamate or chocolate may induce migraine, and some drugs, such as contraceptive pills or vasodilators, may induce migraine. Avoiding these factors as much as possible may prevent migraines from occurring.

The ** of migraine mainly includes drugs ** and non-drugs **, and drugs ** include drugs during attacks and preventive drugs. Attacks are mainly treated with analgesics, including nonsteroidal anti-inflammatory drugs such as ibuprofen or acetaminophen, or specific pain relievers, such as ergotamine. Prophylactic medications include antidepressants such as amitriptyline or the antiepileptic drug valproic acid.

Non-pharmacological ** includes psychological counseling, psychological**, acupuncture, and lifestyle changes and avoidance of triggers.

Migraine is a condition caused by neurological and mental factors such as intracranial inflammation, hypoxia, hemorrhage, tumor, mechanical injury, cranial nerve, paranasal sinus lesion, etc., and is also known as "head wind" and "brain stroke" in traditional Chinese medicine. This is a migraine.

There is such a little story: the father let the two sons compete to climb the mountain, there are two roads leading to the mountain, one is flat and near, the other is dangerous and far away, the eldest son chose the big road, the younger son chose the small road, the result of the competition can be imagined, the eldest son won the game, when the father regretted to the younger son said that he lost the game, the younger son said: Although I lost the game, but, I won the life What is.

Heart: Who can see the greatness of the world, and the greatness of anyone's heart? Read Ming?

Got it? The human heart is the most difficult to read, sometimes we can't even control our own hearts, I don't know why, writing this, my fragile heart began to turn over again. Think about your former self, look at your former self, and find that there are many things that don't match your current self.

I don't actually like this world, and I don't want to live to watch every boring tomorrow, if it weren't for the hard work of my parents who raised me and your expectations for the future, maybe I would have let go of myself.

How to ** migraine?

The goal is to reduce or stop headache attacks, relieve concomitant symptoms, and prevent headaches.

**Including both drug** and non-drug**.

Non-pharmacological** includes massage, physiotherapy, biofeedback**, cognitive-behavioral**, and acupuncture.

Medications** include those used in the acute phase of headache attacks** and those used in the intermittent phase of headaches**.

Acute phase medications**.

The goal is rapid and continuous analgesia, reducing recurrence of headaches and restoring the patient's normal life.

**Medications include over-the-counter and prescription medications

Over-the-counter drug. Nonsteroidal anti-inflammatory drugs: Pain relievers such as acetaminophen, ibuprofen, naproxen, diclofenac, aspirin, and other combinations may be used.

Other drugs: metoclopramide, domperidone and other antiemetic and gastric motility drugs, not only can be accompanied by nausea and vomiting symptoms, but also conducive to the absorption of other drugs and headache.

Prescription triptans, such as sumatriptan, zolmitriptan, and rizatriptan, are effective when used at any time during the headache phase, but the sooner they are used, the better.

Ergotamines: Ergotamines** are not as effective as triptans for migraine, but are indicated for patients with prolonged attacks.

Prophylactic medications**.

The goal is to reduce the frequency of attacks, reduce the severity of attacks, reduce the loss of self-care ability, and increase the efficacy of acute attacks**.

Prophylactic** medications include over-the-counter and prescription medications

Over-the-counter drug. Nonsteroidal anti-inflammatory drugs: Aspirin reduces the frequency of migraine attacks, and naproxen may also be used.

Other medications: high-dose riboflavin, magnesium salt combinations, and coenzyme Q10 are also effective in preventing migraine attacks and may reduce the number of migraine attacks.

Prescription calcium antagonists: Prophylactic use of flunarizine may reduce the severity of migraines and reduce the number of migraine attacks.

Antiepileptic drugs: topiramate is effective for episodic and chronic migraine and may be effective for medication overuse headache. Divalproate Sodium valproate is effective for migraine prevention, but long-term use should pay attention to regular blood checks. Gabapentin may also be used.

Receptor blockers: such as propranolol, metoprolol, and bisoprolol.

Antidepressants: amitriptyline and venlafaxine.

Other medications: lisinopril and candesartan may be effective in migraine prevention**, but further evidence is needed.

1] Head and Facial Pain Group, Chinese Society of Pain. Guidelines for the prevention and treatment of migraine in China[J].Chinese Journal of Pain Medicine, 2016, 22(10):721-727