How to Manage Migraine

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How to Manage Migraine: Expert Tips by Dr. Sahil Kohli

Migraines are more than just headaches—they're a complex neurological condition that can disrupt your daily life. Characterized by throbbing head pain, sensitivity to light and sound, nausea, and even visual disturbances (auras), migraines affect millions of people worldwide.

Dr. Sahil Kohli, Additional Director – Neurology at Fortis Hospital, Gurugram, is a renowned neurologist with deep expertise in diagnosing and treating migraines. In this blog, he shares practical strategies to manage migraines effectively and improve your quality of life.

Understand Your Migraine Triggers

The first step in managing migraines is identifying what sets them off. Common triggers include:

  • Stress and anxiety
  • Hormonal changes
  • Certain foods (cheese, chocolate, caffeine, alcohol)
  • Sleep disturbances
  • Bright lights or loud noises
  • Dehydration

Keep a migraine diary to track when your migraines occur, their severity, duration, and possible triggers. This helps in creating a personalized prevention plan.

Lifestyle Changes for Migraine Prevention

Simple changes in daily routine can reduce the frequency and intensity of migraine attacks:

  • Maintain a regular sleep schedule
  • Eat balanced meals on time
  • Stay well-hydrated
  • Avoid skipping meals or fasting
  • Incorporate relaxation techniques like yoga, meditation, or breathing exercises
  • Limit screen time and avoid eye strain

Medical Treatment Options

Dr. Sahil Kohli recommends a two-part approach:

a. Acute Treatment

Medications taken at the onset of a migraine to reduce symptoms, such as:

  • NSAIDs (ibuprofen, naproxen)
  • Triptans (sumatriptan, rizatriptan)
  • Anti-nausea medications
b. Preventive Treatment

If you experience frequent or severe migraines, preventive medications may be prescribed:

  • Beta-blockers or calcium channel blockers
  • Antidepressants or anti-seizure medications
  • Newer therapies like CGRP inhibitors

All medications are carefully selected and monitored based on your medical history and migraine type.

Consider Botox or Advanced Therapies

In cases of chronic migraine (15 or more headache days per month), Botox injections or nerve block procedures can be highly effective. Dr. Kohli also evaluates patients for advanced treatment protocols based on the latest clinical guidelines.

When to See a Neurologist

If your migraines are:

  • Frequent or worsening
  • Not responding to over-the-counter medications
  • Associated with visual disturbances, weakness, or confusion
  • Affecting your ability to work or function

Dr. Sahil Kohli uses a comprehensive approach to treat migraines—balancing medication, lifestyle guidance, and long-term follow-up to ensure the best possible outcomes.

Conclusion

Migraine management is not one-size-fits-all. With the right diagnosis, a personalized plan, and expert guidance, it is possible to live a migraine-free life—or at least significantly reduce the burden they cause.

Take control of your migraines with expert care. Book your appointment with Dr. Sahil Kohli today.

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