Treatment of Headaches and Migraines

There are many types of headaches. Migraine is one of them. About 15 percent of people in the world suffer from migraine headaches. Migraines are one of the leading causes of absenteeism or reduced performance in school and work.

During the second episode of the special program ‘Matha Nee Mathavyatha’ organized by SKF on the occasion of Migraine and Headache Awareness Week, participants learned about various aspects of migraine pain.

The topic of this episode was ‘Headache and Migraine Treatment’. Dr. Associate Professor of Neurology Department of the National Institute of Neurosciences and Hospital, Dr. Md. Touhidul Islam Chowdhury.

Prothom Alo’s Facebook page, YouTube channel, and SKF’s Facebook page broadcasted the program live on September 7, 2023.

First of all, it was known about the type of headache. There are two types of headaches. Primary and secondary headaches. There is no specific cause of the primary headache. Primary headaches include tension headaches and migraines.
Migraine sufferers are sensitive to a variety of stimuli. Some people find that their headache increases when they are in the sun or under stress.

A primary headache is a neurovascular problem. That is, the pain of migraine begins due to the sensitivity of the nerves and blood vessels of the brain. This pain starts on one side of the head. Hemicrania is the term used to describe this condition.

Throbbing pain in the head. The pain can sometimes stop suddenly and start again after a few days of rest. Migraine pain can last anywhere from four hours to 72 hours in some cases.

There is no specific cause of the primary headache. Primary headaches include tension headaches and migraines. Migraine sufferers are sensitive to a variety of stimuli.

 Sensitivity to light or sound, vomiting, or nausea may accompany the pain.  If someone experiences this problem five or more times consecutively, it is indicative of migraine pain.

The patient’s information and disease history must be known when treating migraine. At what age the pain start, whether there are any other symptoms, what actions increase the pain, what actions reduce the pain, whether any other family member is suffering from this pain, what medicine reduces the pain—to get a detailed idea about these,

There are two types of migraine treatments. One is immediate treatment, and the other is preventive treatment.

Immediate treatment involves immediate pain relief. Preventive treatment takes measures to prevent pain.

In this case, if migraine triggers, i.e., the reasons that cause pain, can be found and avoided, it is possible to get rid of migraine pain completely. To achieve this, individuals may need to make significant lifestyle changes.

Immediate pain relief may require painkillers, such as paracetamol or Enesis, along with anti-emetics such as Naproxen for seven days or less. There is no specific time frame for preventive treatment. Treatment continues for three to six months, or one year for some.

At this time some medicines have to be taken. By knowing the patient’s age, sex, profession, any other diseases, such as: pressure, diabetes, heart problems, whether there are any side effects of any medicine, doctors decide the appropriate medicine for the patient. The dose of this medicine is started small and increased slowly.

Doctors can understand the level at which medicine reduces the patient’s pain. New methods have emerged to treat migraines. FDA-approved procedures include transcutaneous nerve stimulation, Botox injections, and relaxation therapy. If long-term treatment does not relieve migraine pain, one can use this type of treatment.

During Corona, individuals with migraine problems can seek healthcare through telemedicine. And at this time, everyone should try to stay cheerful out of worry, anxiety, and depression. Because migraine pain can increase for all these. One of the symptoms of Corona is a headache. Migraine pain has nothing to do with coronary headaches.

In addition to migraine pain, there are other headaches that require medical treatment. Sometimes it is seen that someone suddenly has a severe headache, and vomiting starts with it.

And if someone has an intercerebral hemorrhage in the brain, they get a headache. Again, with a headache, there is a change in body posture, or the pain increases when you move, or sometimes it changes with time.

In these cases, doctors conduct tests on an urgent basis. Doctors should conduct a CT scan or MRI in addition to routine investigations.

Immediate treatment is necessary if a disease, such as a brain tumor or a blood vessel problem, is detected.

At the end of the program, Dr. Md. Tauhidul Islam Chowdhury answered migraine- and headache-related questions from the audience.


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