Frequency of Depression in Migraine Headache


FREQUENCY OF DEPRESSION IN MIGRAINE HEADACHE

.

AUTHOR:BHURGRIGHULAMRASOOL,BILAWAL,SHAMIM-UR-REHMAN,RAJ KUMAR,ANISREHMAN.

SUMMARY:

In this prospective study migraineous patients were enrolled who wre manifested the symptoms of depression.There was considerable psychiatric morbidity there was necessay find out all migranes aand treated them symptomatically.It proved that we should not bypass the chaces of dpression in cases of migraine especially female patients.

Key words:migraine, depression,psychiatry,males, females,cluster ,tension.

INTRODUCTION:

"Migraine is a mysterious disorder characterized by pulsing headache (feeling of weightage,fullness over forehead),usually restrictedto one side,which comes in attacks lasting 4-48hours and is often associated with nausea,vomiting,sensitivity of light, and sound, vertigo,loosemotions and other symptoms."(Tripathi-2006)

"Migraine is very common type of headache,with a prevalance of 10-12%,migraine ranks 19th among disease" (cephalalgia 2004)

"migraine is a complex disorder inwich many psychological,inviromental,biochemical,neurophysiologic,and genetic factors play a role to tiger attacks. The diagnosis is based on headache characetrized and associated symptoms specified internationl headache society" (westermanCJetal 2003)

"The typical headache is unilateral,throbbing and may be severe.If untreated, the migraine attacks typically lasts 4 to 72 hours. The attacks are usually associated with nausea,vomitting, or sensitivity to sound,light and or movement.In addition to this, migraine with aura is characterized by transient focal neurological symptoms,which are usually visual,and may precede,accompany, or flow the headache attacks."(stewart WF et al 1994)

"Thereare two types of migraine headaches.The first migraine without aura(previously called common migraine) is severe,unilateral,pulsating headache that the typically lasts from 2 to 72 hours.These headaches are often aggrivated by physical activity and accompanied by nausea,vomiting,photophobia(hypersensitivity to light) and phonophobia (hypersensitivity to sound.Approximately 85% of patients with migraine do not have aura.In the second type migraine with aura (previously called classic migraine),the headache preceded by neurological symptoms called auras which can be visual, sensory,and or cause speech or motor disturbances. Most commonly these prodromal symptoms are visual, occuring, approximately 20 to 40 minutes before headache pain begins. In the fifteen percent of migraine patients whose headache is proceded by aura,the aura itself allows diagnosis.The headache itself in migraine with or without auras is similar.For both typesmigraines,woman are three folder more likely thanmen to experience either type of migraine.

Migraine-there is chance for family tenency,females are more affected than male,it develops unilateral,variables in onset,characterized by pulsating,throbing.Cluster-ther in family chance,males are more than females it develops during sleep,at behind or around head,characterized by sharp,steady.

Tension-Type-there is family history,it develops understress,bilateralcharacterized by dull,persistentent type.(Richard D etal 2006)

" Depression may means the symptom of feeling of said, meloncholic or low in spirit, or it may mean the syndrome of depression as characterized by low mood,lack of enjoyment, reduced energy and changes in appetite, sleep and libidpolic.(A.W.CLARE 1998)

"Clinically significant depression is often reffered to is as major cause of disability and of succide.Medically unexplained symptoms that may result from depression include chronic fatigue,chronic wide spread pain,weight loss and conginitive impairment (deprssive pseudodementia).Dpression comorbid with a medical condition magnifies any associated disability,diminishes adherence to medical treatment and rehiltation, and may even shortet life expectancy.Recent research suggests that patients who have a major depressive disorder soon after myocardial infarction or stroke die sooner than who do not even when disease severity is controlled.(lloyd& sharpe MC 2002).

"It is widely accepted that the limbic system has a role in control and expression of emotion.These structures from a reverbrating (papez) cercuit inwhich inputs from various cortical areas,especialy those involving in perception, are fed in together with other inputs from the brain system and spinal cord.Output is mainly from the hypothelmus,through releasing hormone, and the reticular formation and autonomic nuclie of the brain stem. The hypothelmus plays a part in hormonal disturbabce in depression.The reticular formation and autonomic nuclie contol aroused and autonomic function,both of which are often altered in depression.The limbic system also contains sructures involved in the control of memory,depressed patients often express their disorder in terms of adversely disorted recollection of past events.The limbic system may act as a regulatory system for emotional states.Noradrenergic and 5HT neurones abuond in these areas of the brain,and the system’s close link with the LHRA axis provides a pictures how disturbance of these systems might be linked in depression."(cantopher1991).

‘Types of depression.Major depression-It is probably one of the most common forms of depression,lack of interest,walk around with weight of world on his or her shoulder, hopeless atate,lack of interest in sexual activity and less appetite and weightloss.

Atypical Depression-individuals somtimes experience of happiness, but fatigue,oversleeping,overeating weightgain.typical depressio can last for months or a suffer may live with it forever.

Psychotic Depression-Individual of psychotic dpression begin to hear and see imajinory things-sound,voicesand visual that donot exist.

Dysthymia-Individual characterized by sad,blue,or meloncholic.it is a condition that people are not even aware of but just live with daily,feel life is unimportant,dissatisfied,frightened and simply donot enjoy their lives.

Manic depression:It is highly exuted,emotional disorder people who suffer from manic depression have an extremely high rate of succide."(Any Berhman 2004)

METHODS:

We interwiewed after informed consent one hundred and two patients reporting atMedical and the psychiatric outpatients Department at Muhammad Medical College Mirpurkhas sindh,between March 2007 to to April 2008.These patients were screened for presence of depression symptoms in concomittently with migraine/half headache in head.Depressive symptoms were measured through depression scale and clinical interview,weeping,lonlelessness,sadness,confusion main questions were asked during interviewed in cases of migraine.

RESULTS

:There were thirty seven males (36.27%)and sixty five females (63.72%)who were examined during attacks of headache,17(45.9%)patients were manifested depressive symptoms and 43 (66.1%)females were developed symptoms of depression in cases of migraine.

Case Processing Summary

 

Cases

Included

Excluded

Total

N

Percent

N

Percent

N

Percent

Total cases of study * Presence of depression in migraineous female patients

43

42.2%

59

57.8%

102

100.0%

Femal patients in study * Presence of depression in migraineous female patients

43

42.2%

59

57.8%

102

100.0%

Male patients in study * Presence of depression in migraineous female patients

37

36.3%

65

63.7%

102

100.0%

Total cases of study * Presence of depression in migraneous male patients

17

16.7%

85

83.3%

102

100.0%

Femal patients in study * Presence of depression in migraneous male patients

17

16.7%

85

83.3%

102

100.0%

Male patients in study * Presence of depression in migraneous male patients

17

16.7%

85

83.3%

102

100.0%

DISCUSSION:

It was proved that females were more than male in our study.There were 66.1% females,45.9% male depressive symptoms in diagnostic cases of migraines.Majority females patients were malnourished and weeping during taking history and these were main parameters considered depressive symptoms in cases of migranious patients.From summary tables and diagrames it was proved that females were more affected than male in this study.It means that depressive symptoms were more presence in females during interview in this stydy.

"A recent research findings indicated that treatment for both migraine and major depression may benefit patients with both disorder.Astudy was conducted on people with migraine or sever headahes aged between 25to 55.When their psychiatric combordity was assed,resaercher found that the risk of migraine in individuals with pre-existing mjor depression was three times highet than in individuals with no history of major depression.More ever major depression the risk of major depression in people with pre-existing migraine was more than fivefold hiher than in people with no history of headaches.However there were no relation between major depression and other types of severe headaches"(MrMARY Ayres2003)

"Many migraines sufferes have noticed that at times,migraine and depression seems to go together and there is strong evidence to support this,However it is not known whether treating migraine affects depressive symptoms or treating depression affects migraine symptoms"(MMA2008)

"Throbbing migraine headaches and major depression may be related.Infact having one may increase the occurance of other.Migraine sufferers were five times more likely that the headache-free individuals to develop major depression in the study conducted by the Henrry ford Health system.Those who started the study with depression were three times more likely to develop migraines.With major depression was more at risk of suffering a first time migraie than non-dopressed individuals. And people who live with migrains seems to br more at risk for an initial bout of depression.Both disorders are biological linked,possibility with brain chemical or hormones."(PT Staff 2007).

"The overall frequency of recurrent headaches didnot very significantly with age, but girls had headaches are common soatic complaints among Norwegian adolescents,especially among girls"(ZwartJA etal 2004).

"Researchers survey 949 woman with migraine about their history of abuse,deprssion and headaches characteristics,forty percent of woman had chronic headache more than 15 headaches in month,and 72%reported very severeheadache related diability.Physically and sexually abuse was reported in 38%of the womanand 12%reportedboth physical and sexual abuse in the past.The association between migraine and depression is well established, butthe mechanism is un certain.The study found woman with migraine who had major deprssion were twice as likely as a child.If thebabuse coninued age 12 ,the woman with migraine were five times more likely to report depression"(science dily2007).

"Major depression increased the risk of depression,migraine as well same.This bidirectional association,with each disorder increasing the risk for onset of other,was not observed in relation to other severe headaches,both were considered direcly proportional to eachother."(NBreslaw,et al 2003)

It was proved that migraine type of headache bases of depression if it untreated,same mechanism follow the severe cases of depression could lead to migraine type headache.Females were more affected than males.No doubt migranous corelated to depression.

REFERENCES:

Any Behrman (2004)electroboy:a memoir of mania;published by Random House ,16sep2004 types of depression,medical review board.

Nbreslau,schultz,stewart,RBS lipton (2000)’headache and major depression is association specefic to migraine? Neurology 2000 54,308.American Academy of neuology.

Mrs marry ayres ;to relieve the burden of headache by facilitating informed awareness and encouraging resaerch’

Mary kay betz ;having headache-advisor.

N breslau RB lipton stewart 2003,;comorbidity of migraine and depression investigating potential etiology and prognosis,neurology 2003,60-13-12 American Acadamy of neurology.

Science daily(sept-6-2007)’childhood abuse is more common in woman with migraine who suffer depression than in woman with migraine alones’American Acadamy of Neurology.

Zwart JA,Dyb,Hotman TZ,Stovener LJ,SandT 2004’The prevalences of migraine and tension-type among adolsent in Norway.Cephalalgia2004 May,24(5).373-9

K.Dtripathi2003’migraine drug therapy,essentials of medical pharmacology,5th edition,

DP Headache classification subcommittee of the international headache society.2nd edition cephalalgia 2004,24:1-160

Western CJ,Rosina AF,Deveris vde coteau pa,’The prevalences and manifestation of hereditory hemmorrhage telangiectasia,a family screening.AM J Genet A2003 116 324-28.

Stewart WF, Schechter,AR rasssmussin BK’migraine prevalence, a review of population-based studies-neurology 1994-44 817-23.

Richard .Dhowland,marry j,mycek,2006’drugs used in treatment of migraine’,pharmacology,lipponcottes illustered.

A.W,Clare 1998’clinincal medicine,parveen kumar 4th edition psychological medicine

Lloyd GG SHRPEMC Davidson’s priniples and practics of medicine 19th edition 2004 affective mood disorder

T Cantopher Neurology of depression neuroanatomy of depression medicine digest 1998 7-8.

 



Buy Fioricet, Tramadol, Carisoprodol
February 20, 2010 | Tags: , , | No Comments »

Migraine


 

Migraine is a form of headache associated with vascular contraction. It makes patient hypersensitive and is identified by throbbing pain either in one-side of headache or in whole. It is caused by contraction in blood vessels and other chemical changes in brain. Migraine headaches hit most of the people in the age-group of 25-35. But it can occur in adult as well as child.

Occurring with recurrent pain accompanied by vomiting, visual disturbances etc, Migraine is quite inexorable in nature. Migraine can be as frequent as happening daily and can even attack only for times a month. Approximately 15% of population gets afflicted by Migraine at some point of time in their life and people with family history of Migraine are more prone to receive the disease.

Migraines with Aura are headaches which are triggered by aura inclination. Aura which actually sets due to neurological manifestation can start before 5-40 minute before the headache. Aura signifies getting hypersensitive to flashing lights and pinning sounds and can creates blurred vision and sometimes even hallucinations. Patient suffering from migraines with aura may also suffer from non-aura migraines. Non- Aura Migraine is the most common form of migraine headache among majority of migraine patients. Migraine without aura is a very severe, recurrent and throbbing headache often affecting one side of head and eyes and generally accompanied by nausea and vomiting. It highly affects your routine schedule and can continue from 4 hours to three days time period.

Migraines are caused by unusual blood supply in blood vessels of brains. It may be rapid contraction that at first decreases the blood flow in brain blood vessels causing aura and in consecutive spasm blood supply increases due to relaxation in arteries and this give initiation to migraine pain. Chemical imbalance in brain may also aggravate migraine headaches. Migraines are caused by contraction of blood vessels in brain and hence migraine are- stress and tensions, certain food (such as chocolates, nuts, appetizers, and alcohol) , birth control pills, skipping meals, sleep disorders, caffeine, medications, hypertension, menstrual cycle or hormonal changes.

Migraine symptoms: are usually similar to headache though gets more severe and are experienced differently between patients. Throbbing, pulsating ad recurrent pains in head accompanied by nausea and vomiting are the pertinent migraine symptoms experience mostly by all the migraine patients. It makes patient hypersensitive to sounds and lights and can even result into visionary disorder such as hallucinations. Migraine also highly affects your physical movement and gives you big deal of uncomfortably level even in slightest movement or bending.

Ginger an important component of Indian cuisines hold extra natural powers to sustain human health. Ginger (Sunthi), botanically known as Zingiber officinale is used widely in Ayurvedic Medicine to provide treatment to array of disease. Ginger supplements helps highly in beating several kind of headaches including Migraines. An efficient anti-depressant, Ginger supplement soothes mind and give brain calmness and relief.





Butalbital Blog
February 9, 2010 | Tags: , , | No Comments »

Painful Headaches And Its Treatment


Headaches are common but usually do not represent a serious illness. Even when headaches do not have a serious cause, they may be quite painful and disrupt your daily activities.

There are many different causes of headache. The pain in different types of headache varies in intensity, location, and duration. Another important feature that helps distinguish among different types of headache is the quality of the pain: whether it is sharp, dull, constant, intermittent, or pounding. Additional symptoms may accompany a headache such as dizziness, numbness or weakness, changes in vision, difficulty with balance, eye, ear, or facial pain, cold symptoms, and even fever

All these factors help determine whether or not a headache needs emergency treatment. Ultimately, the cause of the headache determines the best treatment. Headache can affect anyone, of any race, socioeconomic status, age, and gender. Stress and anxiety are reported to trigger some peoples headaches. Others find no apparent reason for theirs.

The most common types of headache are known as tension-type, while the next most common are called migraine. What most people consider to be a mild headache is most often tension-type headache or a mix of tension-type and migraine.

Headache is caused by irritation or injury to pain-sensing structures of the head. The structures that can sense pain include the scalp, the muscles of the neck and head, major arteries and veins in the head, the sinuses, and the tissues that surround the brain.

Headache may occur when these structures suffer compression, spasm, tension, inflammation, or irritation. The brain has no nerve endings so the brain itself cannot “hurt.”

Research into the mechanisms of various headache types continues, and new theories arise frequently. Specifically, the causes of mild tension-type headache are not completely understood, and debate continues regarding the cause.

A common theory involves nerve endings in the head that are irritated by tight muscles in the neck, face, and scalp, along with irritation to the arteries and veins nearby. The events that trigger mild headache vary widely among people who get headaches. Each person seems to have his or her own pattern.

Common headache triggers stress, before, during, or after menstruation, muscle tension in the back and neck, exhaustion, hunger, and medications (Many drugs designed to relieve pain can actually cause headache when the drug is stopped after a period of prolonged use.)

Other causes of headache include household hazards such as carbon monoxide poisoning: If the headaches are recurrent or worse each morning or if more than 1 person in the household experiences the same type of headache, there may be an excessive level of carbon monoxide in the air.

Carbon monoxide poisoning comes from faulty heaters or stoves that do not have proper exhaust to the outside of the house. If you suspect carbon monoxide poisoning, leave the building immediately and do not return until the levels of carbon monoxide are checked.

Headache associated with eye pain and vomiting: These headaches often indicate an eye disease called glaucoma and warrant immediate medical attention, or vision can be permanently harmed. Headache that occurs with neck stiffness or pain, light sensitivity, fever, and confusion: These types of headaches could mean meningitis. This is a true medical emergency and needs immediate attention.

Mild headache symptoms are unlikely to need immediate medical attention. These mild symptoms include mild head pain that is aching, squeezing, or band like, on both sides of the head, generally above the level of the eyebrows.

These headaches can occur often and may appear at predictable times. People who have these types of mild headache often know the triggers and symptoms of their headaches in great detail, because the pattern repeats itself for each episode.

Common headache types include tension-type headache is thought to be the most common headache type. It occurs more often in women than in men. Attacks can be occasional or more frequent. Symptoms include tight, or pressing, mild to moderate head pain, which may be on both sides.

Migraine is the second most common headache type. These are classified according to whether or not they include an aura (a visual disturbance, weakness, or numbness that occurs 1-2 hours before the onset of the headache). Migraines with this aura are called classic, while those without are called common. Migraine is more common in women than men. It is often one-sided, throbbing, of moderate to severe intensity. The headache may be accompanied by nausea, vomiting, and sensitivity to light.

Cluster headache is a less common headache that occurs in men more often than women. With a cluster headache, there is intense pain that is generally on one side and located around the eye or temple.

A bloodshot eye, tearing, runny nose, and eyelid drooping or swelling on the same side of the face may also occur. The headaches tend to occur in “clusters,” sometimes daily or every few days over a period of weeks to months. After such a “cluster” of headaches, there may be symptom-free periods of years before another cluster of headaches occurs.

Consult a doctor about your headache and find out what can be done for pain relief in these situations: you have a chronic medical illness such as high blood pressure, heart disease, heart attack or stroke, diabetes, or liver problems, you are not obtaining relief with over-the-counter pain medications.

Consult a doctor about your headache if you are taking any other prescription or nonprescription medications, there is any change in the normal pattern of your headache, you have a new type of headache that you never had before, you have pain in your face or eyes, and if you have a very severe headache.

Although headaches are very common, they may be a sign of serious disease that warrants immediate medical attention. Go to an emergency department if any of the following symptoms occur.

Severe pain, pain that develops very rapidly, a change in concentration or ability to think, a change in level of alertness, altered speech, weakness, numbness, or difficulty walking, changes in vision, headache with a stiff neck or neck pain, or if light hurts your eyes, worst headache of your life, headache with dizziness, room spinning, or falling to one side, headache from an injury or blow to the head, and headache with fever (over 100.4F or 38C when taken by mouth).

Treating a mild headache will usually involve over-the-counter pain medications. There are many different medications marketed for control of headache pain. The pharmaceutical companies spend millions of dollars each year to advertise their products. However, many “special” headache remedies are no better than simple acetaminophen, ibuprofen, or aspirin. In addition, stress reduction and rest may be helpful.

Doctors usually recommend over-the-counter pain medications for mild headache. If these medications do not adequately treat your headache, consult a doctor for further recommendations.

Although relatively safe, over-the-counter pain medicines all have potential side effects. Inappropriate use may have serious consequences. Always read the label and follow the recommended dosage.

Even nonprescription pain medicines can be dangerous if taken improperly or if taken for headache that is caused by certain diseases (such as bleeding or stroke). Potential problems include overdose, overuse, cross-reactions with other medications (especially with blood thinners), and toxic effects on various organs (especially the liver).

Acetaminophen (brand names include Tylenol, Aspirin Free Anacin, and Feverall, for example) is a safe and very effective pain reliever and should be considered the first-line treatment of headache.

Although acetaminophen has few cross-reactions with other medications, avoid taking with alcohol and sleeping medicines (barbiturates and benzodiazepines such as Valium). If acetaminophen alone is inadequate, some people report that the addition of caffeine to the acetaminophen provides more relief from pain (examples include Excedrin and Aspirin-Free) and is a reasonable choice for those people who can tolerate caffeine well.

Unless advised by a doctor, people with liver diseases such as cirrhosis or hepatitis, and heavy drinkers, should avoid acetaminophen. Drinking a cup of caffeinated coffee with a pain reliever can provide the same caffeine effect. By increasing the production of stomach acid, caffeine helps the body absorb headache medicines more quickly.

Aspirin is another common pain reliever. Its most common side effects are stomach upset and increased risk of bleeding. Aspirin is a type of “nonsteroidal anti-inflammatory drug.” People with stomach ulcers or on blood thinners such as warfarin (Coumadin) should not take aspirin.

Alcohol use increases the risk of bleeding. Heavy drinkers should not take aspirin because of the risk of bleeding from stomach irritation or ulcer formation. People older than 60 years and those with kidney problems should not take aspirin unless advised by their doctor.

Aspirin is commonly prescribed by doctors after a stroke without bleeding and can prevent another stroke. Taking aspirin for undiagnosed severe headache may be dangerous. The severe headache could come from a bleeding stroke and taking aspirin may make the bleeding worse.

Nonsteroidal anti-inflammatory drugs known as NSAIDs include such medications as ibuprofen (Advil and Motrin, for example) and naproxen sodium (Aleve and Naprosyn are commonly known brand names). These medications are often used for headache. The side effects are similar to those of aspirin.

It is important not to take aspirin and other NSAIDs together because the side effects are additive meaning they build on each other and become worse than one taken alone. The same warnings about age, kidney disease, stroke, and alcohol problems apply to other NSAIDs as well as to aspirin.

Homeopathic, herbal, and other remedies that are not tested for safety or regulated by the Food and Drug Administration (FDA) can be potentially dangerous and are not recommended. Without FDA regulation there is no control over the quality, dose, or ingredients. Scientific studies that document safety and effectiveness are not required prior to the sale of these unregulated products.



Buy Butalbital online apap caffeine
January 31, 2010 | Tags: , , | No Comments »

Aromatherapy for Headache


Headache is a condition of pain in the head sometimes neck or upper back pain may also be interpreted as a headache. Most people with headaches can feel much better by making lifestyle changes, learning ways to relax, and occasionally by taking medications. There are two types of headaches: primary headaches and secondary headaches. Primary headache accounts for about 90% of all headaches. There are three types of primary headache: tension headache, cluster headache, and migraine. Tension headache is the most common type of primary headache. Episodes usually begin in middle age and are often associated with the stresses, anxiety, and depression. Cluster headaches occur daily over a period of weeks, sometimes months.

Migraine headaches are the second most common type of primary headache. An estimated 28 million people in the United States (about 12% of the population) will experience migraine headaches. Migraine is a neurological disease that can cause a wide range of symptoms during an attack. Attacks are often recurrent and tend to become less severe as the migraine sufferer ages. Secondary headaches are caused by associated disease. The associated disease may be minor or serious and life threatening. When headaches occur three or more times a month, preventive treatment is usually recommended. Regular exercise, such as swimming or vigorous walking, can also reduce the frequency and severity of migraine headaches. Aromatherapy is an alternative treatment for reducing any type of headaches.

Essential oils such as Camomile, Rosemary, Peppermint and Lavender are used to treat symptoms of headaches. Use lavender and rosemary oils in a blend to relieve the stiff neck so often associated with a headache. Apply massage oil to the forehead, to the base of the skull and to the both sides of temples using circular pressure with fingertips. One must massage with rose oil in facial oil to lift the spirit, relieve from a headache and calm the nerves. The essential oil from ginger is useful in fighting the nausea of migraine headaches. Never rub the eyes after using any essential oils. If one gets essential oil in the eye, rinse them very well with cold water. Use rose oil in your next facial oil to calm your nerves, lift your spirit and relieve your headache.



Fioricet blog, know more about fioricet
January 28, 2010 | Tags: , , | No Comments »

What About Aura & Migraine Pain?


Migraine without aura is a common migraine without aura but exhibits the same symptoms as a classic migraine except that it does not exhibit any aura.

People who primarily suffer from migraine with aura may also have attacks of migraine without aura. Headache with the features of “migraine without aura” usually follows the aura symptoms. Less commonly, the aura may occur without a subsequent headache or the headache may be non-migrainous in type.

Migraine with aura is a classical migraine preceded by an aura before the attack. The aura occurs for about 10-30 minutes and then is usually followed by a headache. It is quite similar to a common migraine except in the aspect of the aura.

About 15% of migraine sufferers have a early warning that the headache is coming on. This change in brain function is called an “aura”. It is usually a visual symptom, such as an arc of sparkling (scintillating) zig-zag lines or a blotting out of vision or both. The aura is due to changes that take place in the cortex, the outer layer of the brain. This slowly spreading depression of nerve cell activity is believed to account for the pattern of development of the typical aura.

Auras set in about 20-30 minutes before the migraine attack. Some patients also describe the presence of a strange odor, before the onset of a migraine. They also experience a tingling sensation in an arm or leg.

In the classic migraine aura, symptoms build up gradually and move slowly from one visual region or one part of the body to another. For example, the migraine aura sufferer may first notice a black spot in the field of vision. This black spot is often surrounded by flashing lights or bright zig-zag lines as mentioned.

What starts this sequence of events that leads to the aura and migraine? The answers to thisquestion are not fully understood. Migraine sufferers have an inborn susceptibility to factors that normally do not trigger headaches.

In people with migraines, changes in body chemistry, such as menstruation, certain foods, and dozens of environmental influences, such as a change in weather, may trigger a migraine attack. A migraine trigger is any factor that, on exposure or withdrawal, leads to the development of an acute migraine headache. Triggers may be categorized as behavioral, environmental, infectious, dietary, chemical, or hormonal. In medical literature, these factors are known as ‘precipitants.’

Neither type of migraine denotes a life-threatening disorder but, they can be chronic and recurrent, thus interfering with a person’s daily lifestyle.

Both migraine types have the usual pain, nausea, vomiting and intolerance to light and sound, which is worsened by any physical activity.

Treatment? The treatment for migraines begins with simple painkillers for headache and anti-emetics for nausea, and avoidance of triggers if present. Specific anti-migraine drugs can be used to treat migraine. Homeopathic Drugs and Special all natural ingredient products such as those at the Centre for Pain Relief in Burlington, New Jersey have proven effective. If the migraine condition is severe and frequent enough, preventative drugs might be considered.

The most commonly used “reversal” medicines are triptans. Triptans work by boosting the effects of the brain chemical serotonin, which reduces the severity and duration of an attack. Propranolol, a beta blocker, and Topiramate have proven effective for migraine sufferers as well.

When it comes to treatment however, “Migraine is the most misunderstood, misdiagnosed, and mistreated condition in medical practice,” states Dr. Seymour Diamond, M.D., who is the executive chairman for the National Headache Foundation and director of the Diamond Headache Clinic in Chicago.

As always, talk to your doctor about whether or not you have with Aura or without Aura to find the medication that works best for you.



Tramadol ultracet
January 22, 2010 | Tags: , , | No Comments »