Young females are more susceptible to MIGRAINE!
Basically migraine is a very throbbing pulsatile headache,
Patients have recurrent attacks
Patients may present with severe throbbing headache unilaterally can be bilateral ( both side of head) but the common one is unilateral.
Patients may have nausea vomiting along with severe headache,
Patient’s have aura they aware as the attack is about to happen as I mentioned it’s episodic and recurrent
Patients will explain my headache get worsened by movements,
Patients are usually sensitive to light and noises
So what are triggering factors for migraine!
Exposure to light
Loud noise or music
Excessive exercise
During monthly
Deprivation of sleep
Travel
Contraceptive pills
Caffeine excessive intake of tea,
Eating food from restaurant if the food is not freshly prepared
So what’s the main mechanism behind this migraine?
Excessive dilatations of vessels of brain which cause migraine,
Patients may also have 3rd nerve palsy,
Pain is so severe sometimes patients get collapsed.
As we know it’s episodic and have relapses so we can prevent the next attack,
We can give following drugs:
Beta blockers
TCAs
Anticonvulsants
Candesartan
If a patient come with severe headache and symptoms are similar to the migraine I already explained,
Then I’ll give my patient!
NSAIDS
Coffee intake reduce the pain
Triptans
Selective ergotamine
Anti emetics .
If the headache is episodic I’ll prescribe preventative medicine.
Prevention is better than cure!
Thank you for reading take care yourself!
Dr.Gulnazmirza 2020
All rights reserved.
