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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Migraine is a complex disorder characterized by recurrent episodes of a headache, most often unilateral and in some cases associated with visual or sensory symptoms collectively known as an aura that arise most often before the head pain but that may occur during or afterward . Migraine is most common in women and has a strong genetic component.
Signs and symptoms
Typical symptoms of migraine include the following:
1.Throbbing or a pulsatile headache, with moderate to severe pain that intensifies with movement or physical activity
2.Unilateral and localized pain in the frontotemporal and ocular area but the pain may be felt anywhere around the head or neck
3.Pain builds up over a period of 1-2 hours, progressing posteriorly and becoming diffuse
4.Headache lasts 4-72 hours
5.Nausea (80%) and vomiting (50%), including anorexia and food intolerance, and light-headedness
6.Sensitivity to light and sound
Features of migraine aura are as follows:
1.May precede or accompany the headache phase or may occur in isolation
2.Usually develops over 5-20 minutes and lasts less than 60 minutes
3.Most commonly visual but can be sensory, motor, or any combination of these
4.Visual symptoms may be positive or negative
5.The most common positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border
Physical findings during a migraine headache may include the following:
*Cranial/cervical muscle tenderness
*Horner syndrome (ie, relative miosis with 1-2 mm of ptosis on the same side as the headache)
*Tachycardia or bradycardia
**Hypertension or hypotension
*Hemisensory or hemiparetic neurologic deficits (ie, complicated migraine)
*Adie-type pupil (ie, poor light reactivity, with near dissociation from light)
Homoeopathic constitutional treatment cures this malady completely since it goes to the root of the disease and removes this tendency permanently.
Some of Homoeopathic remedies used for treating migraine are Belladonna,Spigelia,Sanguinaria,Glonoine,Natrum mur,Phosphorus, Tuberculinum, Iris versicolor,medicine should be strictly selected based on symptom similarity only to get permanent cure.
The attack of asthma is severe if
The patient is breathless at rest, is hunched forwards,talks in words rather than in sentences(infants stop feeding),is agitated,drowsy,or confused,has bradycardia or has a respiratory rate of more than 30/mt.
Wheeze is loud or absent.
Pulse is more than 120/mt( greater than 160/mt in infants)
PEF is less than 60% of predicted or personal best,even after initial tratment.
The patient is exhausted.
The response to initial treatment is no prompt and sustained for at least 3 hours.
There is no improment within 2-6 hours after oral glucocorticoid tratment is started.
There is further deterioration.
Mild attacks ,defined by a reduction in peal flow of less than 20%,nocturnal awakning and increased use of B2- agonist, can usually be treated at home if the patient is prepared and has a pesonal asthma management plan.
Moderate attack may require and severe attack usually require care in hospital /nursing home.