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Ask a doctor on the topic of Neurology

What are the symptoms of a migraine and how can it be treated?

Dear Doctor,

My name is Robert Keck and I have been suffering from severe headaches for some time now, which regularly incapacitate me. I have tried many different painkillers, but unfortunately they only provide temporary relief. I have heard that my symptoms could indicate migraines, as I also experience nausea, sensitivity to light, and sometimes even vision disturbances in addition to the headaches. These symptoms usually occur on one side and can last for several hours to days.

The headaches greatly affect my daily life and make it difficult for me to fulfill my professional and personal obligations. I am increasingly concerned about my health and wonder if there is an effective treatment to alleviate or even prevent my migraine attacks. Are there specific medications that help with migraines? Are there non-medication options to reduce the symptoms?

I would be very grateful if you could provide me with more information about the symptoms of migraines and possible treatment options. I hope that with your expertise, you can help me lead a normal life again soon, without constantly being plagued by headaches.

Thank you in advance for your support.

Sincerely,
Robert Keck

Louis Ackermann

Dear Mr. Keck,

Thank you for your detailed description of your symptoms. I am sorry to hear that you are suffering from severe headaches that are affecting your daily life. The symptoms you have described such as nausea, sensitivity to light, and vision disturbances could indeed indicate migraines. Migraine is a neurological condition characterized by recurrent headache attacks.

The exact cause of migraines is not fully understood yet, but it is believed that genetic factors, hormonal changes, environmental factors, and certain triggers may play a role. Common triggers include stress, lack of sleep, certain foods, alcohol, or strong smells.

When it comes to treating migraines, there are both medication and non-medication options. For acute treatment of migraine attacks, pain relievers such as ibuprofen, paracetamol, or triptans are often used. These medications can help alleviate the pain and reduce the symptoms. However, it is important not to overuse these medications to avoid medication overuse headaches.

For preventing migraine attacks, prophylactic medications like beta-blockers, antiepileptics, or antidepressants may be considered. These medications are typically taken regularly to reduce the frequency and severity of migraine attacks.

In addition to medication therapy, there are non-medication approaches to treating migraines. These include relaxation techniques such as progressive muscle relaxation or biofeedback, regular physical exercise, adequate sleep, and a healthy diet. Keeping a headache diary to identify and avoid possible triggers may also be helpful.

It is important that you consult with a neurologist to have your symptoms properly evaluated and to develop an individualized treatment plan. Your doctor can help you find the right therapy for you to alleviate your migraine attacks and improve your quality of life.

I hope this information is helpful to you and wish you all the best on your path to recovery.

Sincerely,
Louis Ackermann

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