Dr Boorgula Meher Thej -  Why migraine is harmful to health
                     
Migraine has a prevalence of about 15% of the 
population, with women(18%) being more affected  than 
men (8%). 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. 
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.