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Will lowering stress levels help in preventing migraine?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have migraine after work and usually after a big presentation or important meeting. Is there anyway I can avoid this maybe by taking less stress? What would you recommend?

Answered by Dr. Abhaya Kant Tewari

Hello,

Welcome to icliniq.com.

Migraine is very common, and it occurs quite often in the letdown period of busy, hectic schedules. It can be very easily treated and prevented with medications. As you have not mentioned the sequence of the headache or any aura, feeling of fatigue, and photophobia, etc., before the onset of headache, I presume, and the headache is throbbing.

The treatment modality is multi-pronged first SOS treatment when the headache occurs and prophylactic medication for very frequent migraineurs, or a combination of both. Stress does precipitate it, and it frequently happens during let down, e.g., as you get a headache after the presentation. But it is not only stress which precipitates headaches, but meditation may help. Stress is the most often part of life. Excessive worrying about it is not going to lead you anywhere. A judicious mix of work pressure and relaxation has to be achieved. I suggest SOS treatment for you.

Probable diagnosis

Migraine.

Treatment plan

Tablet Rizatriptan 10 mg SOS as soon as the headache starts (nasal spray is also available as an alternative e.g. Sumatriptan nasal spray). Inform me the effect after first use.

Preventive measures

Avoid bright lights, flickering lights. Use sunglasses and hats/caps for sunlight. Get adequate sleep. After the first time use lye in the bed after Rizatriptan. Maintain a migraine diary- note the day you get a migraine, activity of the day, the severity of headache on the scale of 1 to 10, and relief after taking medicine.

Regarding follow up

Review after 15 days.

Answered byDr. Abhaya Kant Tewari

Medically reviewed byDr. Vinodhini J.

Published At December 27, 2020
Reviewed AtJuly 3, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Abhaya Kant Tewari
Dr. Abhaya Kant Tewari

Neurology

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