Best neurologist in shalimar bagh - Why migraine is harmful to health

 

    Migraines have a lifespan in about 15% of the population, affecting women (18%) compared to men (8%). Migraines are acute, recurring headaches that can last for hours or days. They often affect one side of the head, causing moderate to severe palpitations, tremors, or severe pain. Migraine, a fairly disabling condition, is treated with acute and preventive medications.

Dr. Shailesh Jain handled many cases of migraines in his 15+ years of career. He said, the pain of a single migraine headache usually only lasts for a few hours or days. But this will affect your health in many ways.

According to Dr. Shailesh Jain AIIMS Neurosurgeon, migraine is a chronic condition characterized by episodic attacks of disabling headaches. Migraine pain usually lacks other characteristics such as nausea, dizziness, excessive sensitivity to light, noise, and smell. Hunger, disturbances of bowel function, etc. Numerous Migraine patients with chronic migraines will have additional problems that increase their tendency to headache: These covers depression, anxiety, other pain syndromes such as fibromyalgia, localized pain in the head and neck structures and conditions that cause 'metabolic' stress such as sleep apnoea or postural orthostatic tachycardia syndrome. Only about 20% of migraine sufferers experience a headache, usually before the onset of the headache (but usually not). Most aura is visual, consisting of a combination of positive visual events (floaters, flashes of light, zig-zag patterns, and so on) and negative phenomena (loss of vision blind spots). Many sufferers also experience sensory aura, often with tingling and numbness spread on one side of the body on the hands,  face, lips, and tongue. Weakness, dyspepsia and other aura symptoms are rare.

There are two typical patterns of headache such as Thunderclap headache and persistent worsening headache. Thunderclap headache causes Subarachnoid haemorrhage, Cerebral venous sinus thrombosis (CVST), Reversible cerebral vasoconstriction syndrome, Carotid/vertebral artery dissection, Pituitary apoplexy, Intracerebral haemorrhage/haematoma, Hypertensive encephalopathy, Hypertensive encephalopathy, and Idiopathic thunderclap haemorrhage (Call–Fleming syndrome). Persistent worsening headache causes Raised cerebrospinal fluid (CSF) pressure (tumour, abscess, CVST, idiopathic intracranial hypertension), Low CSF volume (post-lumbar puncture, spontaneous CSF leak), Meningitis (acute/chronic), Hypoxia/hypercapnia, Substance abuse/withdrawal, Systemic inflammatory conditions, including temporal arteritis.

How to relieve Migraine pain 

Migraine is the usual source of recurrent, severe headache. When patients have chronic severe headaches, it is often  difficult to acknowledge specific triggers. There are some drugs of first choice for migraines of mild or moderate severity. Aspirin, paracetamol, ibuprofen, naproxen, diclofenac, phenazone and tolfenamic acid can help to ease your pain. Also there are other treatments as well, such as,  Paradoxically it’s often the case that as chronic headaches start to boost with treatment, triggers become more obvious. Dietary regularity in relation to food, hydration, sleep, and stress is always helpful in reducing the tendency to migraine; Recognizing that this is helpful is straightforward, but it can actually be more difficult to make the expected changes in modern busy lives. Migraine prophylaxis points to turn down migraine frequency, severity and disability and improve quality of life. Chronic migraine patients require prophylactic therapy to lessen the frequency of migraine attacks, but presently available evidence-based prophylactic treatment options for chronic migraine are topiramate and onabotulinumtoxinA.

Some patients with low-frequency EM can be managed with effective acute therapy(i.e. drugs taken during the prodrome or the migraine attack to abort it) without prophylactic treatment, but patients with Chronic Migraine invariably require prophylactic treatment. While acute therapy aims to prevent a migraine attack, once initiated, the goal of prophylactic treatment is to stop the attacks, reducing the frequency, severity, and associated disability of the headache and reliance on acute treatment, Which may contribute to concurrent MOH(Medication-overuse headache). 

About Dr. shailesh jain 

Dr. Shailesh Jain is the Best neurologist in shalimar bagh. He is a principal consultant neurosurgeon and stroke interventionist at Max Hospital Shalimar Bagh and runs his own Arihant Neurospine clinic in Rohini and Pitampura. 

You can Book an appointment for any kind of spinal cord Treatment as well as Brain Treatment.