Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. There are triggers for migraine like sun exposure, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Migraine attacks can be managed by simple painkillers like paracetamol but in resistant cases drugs like Sumatriptan may be needed. For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. You may not need preventive medicines as you have headache only once a week. Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke.
4. Exercise daily (aerobics and cardiovascular)
5. Identify your headache trigger and try to avoid it.
6. Do pranayam daily.
7. Acupuncture treatment has shown some benefits in migraine.
You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem.
Consult again for further queries.
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