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The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
Thanks for your question.
Migraine can sometimes be severe requiring IV pain medications to control the headache.
This is most common cause.
However, there can be other serious possibilities:
1. high blood pressure
2. Brain tumor or aneurysm
3. intracranial bleeding
Although thse serious causes are less common, they should be considered in case of severe headaches.
Hence, it is better to to go to the local hospital ( A & E) for further evaluation.
In case, it is severe migraine, better pain medication can be used to control the headache.
so A & E wont laugh when you turn up with a headache
what tpe of pain relief should we use
No they wont laugh
this is the job of doctor to address the problem when not improved with miraleve
Sumatriptan nasal spray or subcutaneous injection can be used to effectively control the headache.
IV metoclopramide also can be used.
But, severe headache should not be neglected.