Quick Answer
Preventive is discussed after 4——8 weeks of diary shows the true burden —— not on day one.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Migraine treatment is not one pill. At Kathmandu Neurology Clinic, Dr. Jitendra Prasad Yadav (NMC 8029) applies ICHD-3 and diary-based review (frequency, duration, photophobia/nausea, medication days) before discussing options.
Acute care emphasizes stewardship: audit all analgesics, caffeine and triptans for overuse (=—10——15 days/month suggests contributor), and counsel on timing and limits. Preventive discussion follows 4——8 weeks of diary when migrainous days remain high or disability persists —— choice is tailored to history, contraindications and comorbidity (anxiety, insomnia, neck pain). Lifestyle regularity (sleep, hydration) and comorbidity treatment are part of the plan.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for migraine.
Follow-up with the same neurologist tracks days/month trend. No preventive works instantly; no outcome is guaranteed.
See /neurology-topics/chronic-migraine-ichd3, /conditions/migraine and /services/migraine-care.
Migraine vs Other Headaches — Quick Comparison
| Feature | Migraine | Tension-Type |
|---|---|---|
| Pain | Throbbing, often one-sided | Pressure, band-like, bilateral |
| Severity | Moderate–severe | Mild–moderate |
| Other | Nausea, photophobia, aura | No nausea/vomiting, mild photophobia only |
Table for comprehension — see Migraine guide → for full criteria.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
Migraine is a neurological condition; headache is one feature. Associated symptoms and functional impact are important for diagnosis.
Aura refers to visual, sensory, or speech symptoms that precede the headache in some people. Both types are migraine; the presence of aura may influence management discussion.
Frequency may improve with systematic evaluation of types, contributors, and individualized planning, but outcomes vary.
Using pain medication on 10+ days per month can trigger daily headache. Reduction or cessation under medical supervision may help break this cycle.
Migraine typically presents as moderate-severe throbbing headache with nausea and/or sensitivity to light or sound, worsened by routine activity. Duration 4–72 hours. Dr. Jitendra Prasad Yadav (NMC 8029) uses ICHD-3 criteria plus your headache diary (frequency, aura, medication days) and red-flag screen to distinguish …
FAST: Face droop, Arm weakness, Speech change, Time to emergency. TIA (transient deficit that resolves) is also an emergency — 10–20% have stroke within 90 days. At the clinic, secondary prevention (antiplatelet/anticoagulant, blood pressure, statin, diabetes control) and rehabilitation planning follow hospital dischar…
More: All FAQs → · Ask Dr. Jitendra →
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Medical Disclaimer
Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.
References & Review
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
- International Classification of Headache Disorders, 3rd edition (ICHD-3).
- Harrison's Principles of Internal Medicine — Neurology sections.
- American Academy of Neurology guidelines for selected conditions (where applicable).
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.