What is migraine headache?
Migraine headache is a type of headache which occurs due to blood vessels dilating in the brain. Some women with migraine may experience all or some of the symptoms below:
- Moderate to severe throbbing or pounding pain which could affect the whole head or only one side
- Sensitivity to light and noise
- Blurring of vision, tunnel vision or blind spots
- Nausea , vomiting or stomach upset
- Fatigue and dizziness
- Fever (rare)
- Aura symptoms such as experiencing seeing bright flashing dots, lights, jagged or wavy lines
I suffer from migraine and I plan to get pregnant. What should I do about my migraine? Will it get worst?
- Changes in your sleeping or eating habits
- Try to avoid low blood sugar by eating complex carbohydrates and having frequent smaller meals
- Take a panadol
- Apply ice pack to your head
- Lie down in a quiet, dark room to avoid further aggravating your migraine
- Have a cold shower
- Relaxation technique such as mediation or yoga
- Panadol is the first line and safe to use during pregnancy
- Codeine based analgesia may be prescribed by your doctor if the headache is too severe
- Anti nausea medication such as metoclopromide could be given as well
- Sumatriptan is an effective medication for migraine. It is a serotonin antagonist that causes constriction of the blood vessels in the brain. Hence, theoretically it could interfere with blood flow through the placenta leading to growth restriction.3 Human experience with usage of sumatriptan during pregnancy has been reassuring. However, it should be avoided if possible and only used if other medication fails.
- You should avoid ergotamine during pregnancy.
When should I see my doctor regarding my migraine headache?
- If the headache is persistent, last several hours or severe
- If the headache is different compared to your usual headache
- If your also have fever or blurring of vision