3 Types of Migraine - What triggers them & How to avoid them? - Dr. Advait Kulkarni| Doctors' Circle

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Dr. Advait Kulkarni | Phone 📞 + 918310021492 (Online & in-person appointment can be booked online or by call) Consultant Neurologist | HSR Neuro Clinic, Bangalore, India
Three main types of migraine are migraine with aura, migraine without aura and chronic migraine. A typical migraine is associated with episodic headache which lasts more than four hours with sensitivity to light, sound or a tendency to vomit and typically one cannot work during these episodes. This is a migraine without aura but then what is migraine with aura? A few patients of migraine may be about 10 percent of patients experience certain symptoms before the onset of migraine typically the visual aura is most common where in the one part of vision patient cannot see or there are some sparking light, zigzag lines or certain disturbances in the vision which typically lasts for less than an hour, typically 10 to 15 minutes following which a patient experiences a typical throbbing headache which is severe enough to disturb one's daily activities. And the third one is the chronic migraine where a patient experiences these episodes more than 15 days in a month for consecutively more than three months and it is a very very disabling condition. So the mainstay of treatment of migraine along with the medicines which are given by your doctor is lifestyle management. What is most important is having food when you are hungry. When you're hungry you should not drink water or you should not simply eat something light because that will disturb your digestion and that might trigger migraine. When you're hungry you have to eat something solid like rice or roti and you should eat enough if you eat less that will also trigger mind. Second important thing is you should not drink water unnecessarily. If you drink too much of water that can also kill your hunger and that can also trigger migraine because all of us hear that we have to drink four to five liters of water but you have to be mindful about your thirst. You have to drink water as per your thirst and up to your thirst you should not ignore your thirst however excess of water is also not needed. Third important thing is sleeping early in the night. If you sleep very late and wake up late you are not following biological clock and that will disturb your biological hormones the sleep hormones. That is why sleeping early so that you feel fresh in the morning and completing your rest is most important. Being moderate in exercise as you know when you do over exercise when you feel too much tired after exercise the migraines might get triggered by over exercise. So being moderate in exercise, having your meals well when you are hungry and sleeping early and managing your stress by doing yoga, meditation, pranayama is very important. We strongly recommend a technique called anapana meditation where you focus on your natural breathing. Medications there are two types of medications the first is the rescue drugs which are the painkillers. Whenever the migraine attack is severe one has to take this painkillers prescribed by doctors and there are certain medications called preventive medications which are given to patients who experience more than four to five episodes of headache which are disabling in a month and these medicines your neurologist might ask you to take for three to six months or longer based on the attack frequency and severity. These preventive medications are said to be effective if they reduce the frequency of migraine by more than 50 percent. So understand that migraine is a cause and effect phenomenon. If you take care of the cause you can eliminate the effect that is the migraine. Thank you very much.
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