Headache is a very common condition in people's daily life. There are many reasons for headache. It may be caused by cardiovascular and cerebrovascular diseases, it may be caused by nerve compression caused by cervical spondylosis, or it may be caused by problems with human blood pressure. Headaches can also be divided into different types. Some people have headaches on the left side and want to vomit, which is very likely caused by migraine. Let's explain in detail what causes headache and vomiting on the left side. If you experience symptoms of headache and nausea on the left side, you must first determine the specific cause. The most common cause is left-sided migraine. If the blood pressure is measured normally, you can take medications such as ibuprofen or diclofenac sodium to relieve this symptom. If high blood pressure occurs, it can be treated by taking antihypertensive drugs such as amlodipine. If the symptoms persist, a head CT scan can be performed to rule out the possibility that the condition is caused by cerebral hemorrhage. treat [Treatment policy] The goal of treatment is to relieve or end headache attacks, relieve associated symptoms, and prevent headache recurrence. It is divided into attack treatment and preventive treatment. [Drug treatment] 1. Commonly used drugs during the attack period: ① Non-specific analgesics: such as non-steroidal anti-inflammatory drugs (NSAIDs) and opioids. ② Specific drugs: such as ergot preparations and triptans. Nonsteroidal anti-inflammatory drugs (NSAIDs): such as acetaminophen, naproxen, ibuprofen, etc. Opioids: such as pethidine. Ergot preparations: ergotamine and dihydroergotamine (DHE), can terminate acute attacks of migraine. Triptans: Commonly used drugs include sumatriptan, naratriptan, rizatriptan, zolmitriptan, and almotriptan. 2. Prevention and treatment: ① β-adrenergic receptor blockers, such as propranolol and metoprolol; ② Calcium ion antagonists, such as flunarizine and verapamil; ③ Antiepileptic drugs, such as valproic acid, topiramate, and gabapentin; ④ Antidepressants, such as amitriptyline, imipramine, and fluoxetine; ⑤ 5-HT receptor antagonists, such as pizotifen. Among them, propranolol, amitriptyline and valproic acid, three structurally unrelated drugs, are the mainstays of preventive treatment. If one drug is ineffective, another can be used. [Other treatments] The main thing is to strengthen education so that patients can understand the pathogenesis and treatment measures of migraine, help patients establish scientific and correct prevention and treatment concepts and goals, maintain a healthy lifestyle, and find and avoid various migraine triggers. Triggering factors include mental stress, psychological pressure, lack of sleep, noise and strong smells; food and drinks such as cheese and red wine. |
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