How to cope with a strong migraine?

Before curing a migraine, you need to determine whether the underlying signs of the disease are consistent with your condition. When migraine, a typical symptom is an intense headache. Attacks from case to case are becoming stronger. At the same time, during the interictal period the patient does not feel any manifestations of diseases of the nervous system.

How to identify a migraine and what specialist should I contact?

According to statistics, only in 20% of cases before the attack the patient feels predecessors( aura):

• flickering light or fog before the eyes;
• tingling in the limbs;
• numbness;
• speech impairment.

Symptoms may disturb a patient within an hour. At the end of the condition, the symptomatology completely disappears, and in an hour there is a severe headache, which can accompany vomiting, nausea, photophobia. In other cases, a migraine attack begins suddenly and lasts from 4 hours to 3 days

What should a patient do if a migraine occurs? If the patient has seizures repeatedly, it is necessary to consult a specialist to determine the cause. The question arises: "Which doctor treats migraines?".

Tip! Since migraine attacks and all the predecessors are related to neurological pathology, you should seek help from a neurologist or a headache specialist - a cephalothologist.

Treatment of attacks

Before you cope with migraine, diagnose and establish an accurate diagnosis. The complex therapy includes the following measures:

• normalization of work and rest;
• rejection of bad habits;
• drug therapy during an attack;
• prescribing drugs during the inter-rush period.

What if I have a severe migraine? Firstly, it is necessary to be in a quiet darkened room, put a cold compress and wrap it around so that the bandage squeezes the head somewhat. With an attack, non-steroidal anti-inflammatory drugs( Ketorol, Aspirin with Paracetamol, Ibuprofen, Diclofenac) help. It is desirable to administer the drugs intramuscularly, since during an attack, vomiting is possible. To prevent it, enter Cerucal, Metaclopromide, Meterazin or Pipofelfen.

If pain does not stop, recommend a combination of medications( Sedalgin, Pyatirchatka, Pentalgin).If ineffectiveness of pain medication prescribe ergotmin preparations, which have a strong vasoconstrictive effect( Kofergot, Digigergot).

Preparations of ergotamine should not be taken during pregnancy, kidney and liver diseases, cardiovascular and cerebral vascular lesions, and peripheral vessels. During an attack in a hospital setting, prescribe Dexamethasone, hydrocortisone intravenously. Possible introduction of an anticonvulsant drug Valproate Na. To stop the attacks of moderate severity appoint triptans( Rizatriptan, Zomig, Imigran, Noramig).

Seizures are effectively reversed by dihydroergotamine. In severe cases, prescribe narcotic analgesics in combination with antiemetic drugs. In the complex therapy of an attack, intravenous fluid, sedatives( Relanium) is mandatory.

Treatment in the interstitial period

The disease is treated not only in the period of acute attacks. To find out how the migraine is treated, you need to consult a neurologist. Prevention, first of all, consists in elimination of all factors that provoke an attack. The main components of prevention:

• proper nutrition;
• normal sleep;
• elimination of stressful situations;
• correction of hormonal status;
• exclusion of coffee and alcohol.

Recommend non-pharmacological methods. Among them, there are auto-training, relaxation and acupuncture, soothing massage. The appointment of medications in the interictal period is recommended for prolonged, often recurring attacks, which are difficult to stop. For the purpose of prophylaxis prescribe:

• beta-blockers;
• non-steroidal anti-inflammatory drugs( Diclofenac, Ketorol, Dolaren, Naproxen);
• calcium antagonists( verapamil);
• antidepressants( amitriptyline);
• antiserotonin agents( Metisergide);
• of valproic acid( Depakin).
• nootropics( Bilobil, Gingko Biloba);
• vascular agents( Omaron);
• phytopreparations( Phytosed).

Preventative treatment must be a course and not less than 2 months. All medicines are prescribed by a doctor. The patient himself must pay attention to the symptoms that precede the attack. During predecessors, it is recommended to use drugs prescribed by a doctor to reduce the intensity of pain.

Is migraine cured?

Many patients suffering from headaches ask a question, whether it is possible to cure a migraine? In neurology cases are known when the disease stopped without the prescription of medications during the interictal period. Usually, this self-healing occurred after a change in the hormonal status( after menopause or pregnancy).It is not always possible to completely get rid of the disease. Saving the sick from suffering only adequate treatment and lifestyle changes.