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Migraine

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Migraine

Diagnosis

    The diagnosis of migraine without aura, according to the International Headache Society, can be made according to the following criteria, the "5, 4, 3, 2, 1 criteria":

    5 or more attacks

    4 hours to 3 days in duration

    2 or more of - unilateral location, pulsating quality, moderate to severe pain, aggravation by or avoidance of routine physical activity

    1 or more accompanying symptoms - nausea and/or vomiting, photophobia, phonophobia

Signs and symptoms

    The prodrome, which occurs hours or days before the headache.

    The aura, which immediately precedes the headache.

    The pain phase, also known as headache phase.

    The postdrome.

Triggers

    Allergic reactions

    Bright lights, loud noises, and certain odors or perfumes

    Physical or emotional stress

    Changes in sleep patterns

    Smoking or exposure to smoke

    Skipping meals

    Alcohol

    Menstrual cycle fluctuations, birth control pills, hormone fluctuations during the menopause transition

    Tension headaches

    Foods containing tyramine (red wine, aged cheese, smoked fish, chicken livers, figs, and some beans), monosodium glutamate (MSG) or nitrates(like bacon, hot dogs, and salami)

    Other foods such as chocolate, nuts, peanut butter, avocado, banana, citrus, onions, dairy products, and fermented or pickled foods.  

Management

Acetaminophen(panadol)

Paracetamol or non-steroidal anti-inflammatory drug (NSAIDs) (Ponstan)

Ergotamine(cafergot)

muscle relaxant

Anxiolytics (Erispan )

Additional triggers

  1. Insomnia(including menopause syndrome, physical or mental stress due to work or schooling
  2. Premenstrual Syndrome (usually along with dysmenorrhea)
  3. Getting in the habbit of not drying hair out immediately right after showering
  4. Women were not cared well during the very first month after delivering.
  5. Allergic rhinitis or Nasosinusitis
  6. Some young men have headache and   hypertension simultaneously. 
1.Treatment:
   Treat insomnia,then headache improves.
        Treat dysmenorrhea,and  headache of premenstrual syndrome  can be eased

        Treat  allergic rhinitis or nasosinusiti

        Treat  headache of women,and then flank pain can  fade away.

        Treat  headache of the young men,and  hypentension won't emerge anymore.

 

 

  References: Wikipedia, the free encyclopedia

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