What is a migraine like?

  There are two types of migraine: one is migraine without aura and one is migraine with aura.  The former commonly presents with: recurrent pulsating headache, usually unilateral (frontal, occipital or hemilateral head, with possible bilateral crossed attacks during the attack unpredictable pain is severe and can lead to limitation of movement, often accompanied by nausea, vomiting and/or photophobia without treatment symptoms can last from 4 to 6h to several days.  The latter manifests itself as a headache attack preceded by an aura, mostly visual: flashes of light, zigzag lines, partial or total loss of vision, other symptoms may be sensory abnormalities, dysarthria, vertigo, weakness, usually lasting 15-30 min. In acute migraine attacks, the patient is advised to rest in a quiet dark room, avoiding exercise and any activity such as reading and watching TV, taking aspirin and Paracetamol. High-dose, water-soluble medications should be used due to reduced absorption during gastric retention.  Regular medications such as paracetamol, tretinoin, and amitriptyline may be taken to provide temporary pain relief. If migraine attacks are too frequent and seriously affect work and daily life, the patient should be advised to keep a diary of the attacks. This can help identify triggers such as daily diet, hormonal changes, and life events such as stress and work strain. Avoiding triggers can reduce the frequency of attacks. Even if no clear triggers can be found, relaxation therapy can be beneficial.  With a lot of clinical validation, another effective treatment for migraine has been used to treat migraine through stellate ganglion block with good results, superior to medication and free from the side effects associated with long-term medication.