Bumrungrad Health Briefs #37: Effective Migraine Management Through Expert Care at Bumrungrad

Effective Migraine Management Through Expert Care at Bumrungrad

Migraine is a common and often debilitating neurological condition affecting millions worldwide. Characterized by intense, throbbing headaches, migraine can significantly impact daily life. At Bumrungrad International Hospital, we are committed to helping patients recognize and understand their condition for effective management and treatment.

Symptoms of Migraine

Migraine presents with varying symptoms that can differ from person to person. The most common symptom is an intense headache, typically localized to one side of the head, although it can occur on both sides. This headache is often accompanied by:

  • Nausea and vomiting: Many individuals experience stomach discomfort and may vomit during a migraine attack.
  • Sensitivity to light and sound: Bright lights and loud noises can exacerbate the pain and discomfort.
  • Aura: Some people experience visual disturbances such as flashing lights, blind spots, or zigzag patterns before the headache begins.
  • Other sensory disturbances: Tingling or numbness in the face or extremities can also occur.

Recognizing these symptoms early can help in seeking timely treatment.

Causes of Migraine

The exact cause of migraine remains a subject of ongoing research, but several factors are known to contribute. Genetic predisposition plays a significant role, as migraine often runs in families. Environmental triggers, such as stress, lack of sleep, and dietary habits, can also precipitate an episode. Hormonal changes, particularly in women, are another common trigger. Additionally, certain foods and drinks, like aged cheese, alcohol, and caffeine, can provoke migraines.
Researcher identified calcitonin gene-related peptide (CGRP) as a significant factor in the development of migraines. CGRP is a small protein found in the sensory nerves of the head and neck where it plays a crucial role in pain transmission. During a migraine attack, levels of CGRP increase, leading to inflammation and pain.

Treatment Options for Migraines

Effective migraine management typically involves a combination of lifestyle modifications, medications, and alternative therapies. Over-the-counter pain relievers, such as ibuprofen or aspirin, may provide relief for mild migraines. For more severe cases, prescription medications, including triptans and anti-nausea drugs, can be effective. Preventive treatments, such as beta-blockers, antidepressants, or anti-seizure medications, may be prescribed for frequent attacks. Additionally, newer drugs include anti-CGRP medication that are very effective and pose fewer side-effects.

At Bumrungrad International Hospital, our Neurology Department offers a range of treatment options tailored to each patient's needs. Our specialists use the latest diagnostic tools and treatment modalities to ensure optimal outcomes. Lifestyle changes, including regular exercise, adequate sleep, and stress management techniques, can also help reduce migraine frequency and severity.

If you or a loved one suffers from migraines, expert care at Bumrungrad’s Neurology Department can make a significant difference.

Let us help you manage and overcome the challenges of living with migraines.

Contributed by Dr. Wanakorn Rattanawong

 Dr. Wanakorn Rattanawong|Bumrungrad International Hospital

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