Migraine is a severe headache that can last for hours or days. They frequently affect only one side of the head, resulting in moderate to severe palpitations, tremors, or severe pain. Migraine, a fairly disabling condition, is treated with rapid and preventive medications..


Dr. Meher Thej AIIMS has treated numerous migraine patients in his career. According to him, the pain of a single migraine headache usually only lasts for a few hours or days. But it will affect your health in many ways.


According to Dr. Boorgula Meher Thej, Migraine is a chronic condition characterized by episodic attacks of disabling headaches. Migraine pain is usually associated with other symptoms such as nausea, dizziness, and excessive sensitivity to light, noise, and smell. Numerous Migraine patients with chronic migraines will have additional problems that increase their tendency to headache: These covers depression, anxiety, other pain syndromes such as fibromyalgia, localized pain in the head and neck structures and conditions that cause 'metabolic' stress such as sleep apnoea or postural orthostatic tachycardia syndrome. Only about 20% of migraine sufferers experience an aura, usually before the onset of the headache (but usually not). Most aura is visual, consisting of a combination of positive visual events (floaters, flashes of light, zig-zag patterns, and so on) and negative phenomena (loss of vision blind spots). Many sufferers also experience sensory aura, often with tingling and numbness spread on one side of the body on the hands, face, lips, and tongue. Weakness, dyspepsia and other aura symptoms are rare.


According to Boorgula Meher Tej, Thunderclap Headache and Persistent Worsening Headache are the other two common headache patterns (other than throbbing headache). Subarachnoid hemorrhage, Cerebral venous sinus thrombosis (CVST), Reversible cerebral vasoconstriction syndrome, Carotid/vertebral artery dissection, Pituitary apoplexy, Intracerebral hemorrhage/haematoma, Hypertensive encephalopathy, and Idiopathic thunderclap hemorrhage these are all causes of Thunderclap headache, and Raised cerebrospinal fluid (CSF) pressure (tumor, abscess, CVST, idiopathic intracranial hypertension), Low CSF volume (post-lumbar puncture, spontaneous CSF leak), Meningitis (acute/chronic), Hypoxia/hypercapnia, Substance abuse/withdrawal, Systemic inflammatory conditions, including temporal arteritis, are all causes of persistent worsening headache.

How to relieve Migraine pain
Migraine is the common cause of recurrent, severe headache. It is often difficult to identify specific triggers in patients suffering from chronic severe headaches. There are some first-line medications for migraines of mild to moderate severity. Pain relievers such as aspirin, paracetamol, ibuprofen, naproxen, diclofenac, phenazone, and tolfenamic acid can help. There are also other treatments available, such as Paradoxically it’s often the case that as chronic headaches start to boost with treatment, triggers become more obvious. Dietary regularity in relation to food, hydration, sleep, and stress is always helpful in reducing the tendency to migraine; Recognizing that this is helpful is simple, but making the expected changes in modern busy lives can be difficult. Migraine prophylaxis points to reduce migraine frequency, severity and disability and improve quality of life.Chronic migraine patients require prophylactic therapy to reduce the frequency of migraine attacks.

According to Dr. Meher Thej AIIMS, some patients with low-frequency EM can be managed without prophylactic treatment with effective acute therapy (i.e. drugs taken during the prodrome or the migraine attack to abort it), but patients with Chronic Migraine invariably require prophylactic treatment. While acute therapy aims to abort a migraine attack, prophylactic treatment, once initiated, aims to prevent the attacks, reducing the frequency, severity, and associated disability of the headache and reliance on acute treatment, which may contribute to concurrent Medication-overuse headache(MOH).


About Dr. Boorgula Meher Thej
Dr. Boorgula Meher Thej is a neurosurgeon. He trained at AIIMS, New Delhi. He has experience in Neuro Oncology, Skull-Base Vascular Neurosurgery, Paediatric Neurosurgery, Functional-Epilepsy Surgery, Spine Surgery, and Neurotrauma. Boorgula Meher Thej's mission in life is to have a successful neurosurgical career involving all the aspects of neurosurgery, serve people, and grow himself.