I Get Migraines Right Before My Period Could They Be Related To My Menstrual Cycle
More than half of migraines in women occur right before, during, or after a woman has her period. This often is called “menstrual migraine.” But, just a small fraction of women who have migraine around their period only have migraine at this time. Most have migraine headaches at other times of the month as well.
How the menstrual cycle and migraine are linked is still unclear. We know that just before the cycle begins, levels of the female hormones, estrogen and progesterone, go down sharply. This drop in hormones may trigger a migraine, because estrogen controls chemicals in the brain that affect a woman’s pain sensation.
Talk with your doctor if you think you have menstrual migraine. You may find that medicines, making lifestyle changes, and home treatment methods can prevent or reduce the pain.
What Are The Types Of Headaches What Type Of Headache Is A Migraine
There are over 150 types of headaches, divided into two categories: primary headaches and secondary headaches. A migraine is a primary headache, meaning that it isn’t caused by a different medical condition. Primary headache disorders are clinical diagnoses, meaning there’s no blood test or imaging study to diagnose it. A secondary headache is a symptom of another health issue.
What Are The Four Stages Or Phases Of A Migraine Whats The Timeline
The four stages in chronological order are the prodrome , aura, headache and postdrome. About 30% of people experience symptoms before their headache starts.
The phases are:
It can take about eight to 72 hours to go through the four stages.
When Should I Seek Immediate Help Or Contact My Healthcare Provider
- You are experiencing the “worst headache of my life.”
- You are having neurologic symptoms that you’ve never had before, including speaking difficulty, balance problems, vision problems, mental confusion, seizures or numbing/tingling sensations.
- Your headache comes on suddenly.
- You have a headache after experiencing a head injury.
Schedule a visit with your healthcare provider if:
- The number or severity of your headaches increase or your headache pattern changes.
- Your medications no longer seem to be working or you’re experiencing new or different side effects.
A Look At Migraines And How They Are Related To Inflammation
Migraines are neurological in origin. Although they are not really a headache, headaches are one of their main symptoms. However, migraines can occur without the presence of a headache. What other symptoms do they have?
- Nausea and vomiting
- Pain on one side of the head, rarely both sides
- Sensitivity to light, sound, and certain odors
Some symptoms may occur up to two days before the onset of the above symptoms. These include:
- Food cravings
- Tiredness or low energy levels
- Repeated yawning
- Aura: seeing shapes or flashing light, visual blind spots, losing your vision, problems with speech, or a tingling or pins and needles sensation in your face, legs, or arms
Some symptoms may linger once a migraine is over. You may still experience a dull headache, moodiness, and extreme elation or exhaustion. It is different for everyone, and each migraine can be different for you personally.
What Symptoms Must You Have To Be Diagnosed With A Migraine
Migraine with aura . This is a headache, plus:
- Visual symptoms or vision loss.
- Sensory symptoms .
Migraine without aura . A common migraine is a headache and:
- The attacks included pain on one side of your head.
- You’ve had at least five attacks, each lasting between four and 72 hours.
Plus, you’ve experienced at least one of the following:
- Nausea and/or vomiting.
- Lights bother you and/or you avoid light.
- Sounds bother you and/or you avoid sounds.
How Can I Tell If I Have A Migraine Or Just A Bad Tension
Compared with migraine, tension-type headache is generally less severe and rarely disabling. Compare your symptoms with those in this chart to see what type of headache you might be having.
|Aura before onset of headache||x|
Note: Rebound headache may have features of tension and/or migraine headache. Adapted from a table produced by the American Council for Headache Education.
Although fatigue and stress can bring on both tension and migraine headaches, migraines can be triggered by certain foods, changes in the body’s hormone levels, and even changes in the weather.
There also are differences in how types of headaches respond to treatment with medicines. Although some over-the-counter drugs used to treat tension-type headaches sometimes help migraine headaches, the drugs used to treat migraine attacks do not work for tension-type headaches for most people.
You can’t tell the difference between a migraine and a tension-type headache by how often they occur. Both can occur at irregular intervals. Also, in rare cases, both can occur daily or almost daily.
Other Treatments To Block The Spg Nerve Signals Include:
Laser therapy, called Argus Neurostimulator, emits a laser through a probe to administer a nerve block. It is faster than traditional nerve blocks and equally non-invasive. This option is still undergoing studies to determine its effectiveness and safety.
SPG Neruomodulation is surgical neurostimulation of the nerve cluster. General anesthesia is required to implant the device through the mouth with the leads positioned on the SPG. Once implanted, the device is turned on for acute pain relief by placing a remote controller against the cheek on the affected side. Temporary side effects include numbness and pain in face, gums, teeth post-op, plus the typical risks of surgery.
Studies are ongoing for treatment of both migraine and cluster headaches. Since cluster headaches are so decidedly unpleasant and happen to be one of my primary migraine triggers, I will do just about anything to stop an attack before it gets out of control. I have applied to participate in the SPG Neuromodulation study to test the effectiveness of this device at aborting cluster headachs. The closest research site is still waiting on approval to begin recruitment. However, there is a study based at the University of Ohio that is recruiting volunteers. For more information, you can visit the study’s page at ClinicalTrials.gov or a description of the study at the Autonomic Technologies website.1,2
How Can I Tell If I Have A Migraine Or A Sinus Headache
Many people confuse a sinus headache with a migraine because pain and pressure in the sinuses, nasal congestion, and watery eyes often occur with migraine. To find out if your headache is sinus or migraine, ask yourself these questions:
In addition to my sinus symptoms, do I have:
If you answer “yes” to two or three of these questions, then most likely you have migraine with sinus symptoms. A true sinus headache is rare and usually occurs due to sinus infection. In a sinus infection, you would also likely have a fever and thick nasal secretions that are yellow, green, or blood-tinged. A sinus headache should go away with treatment of the sinus infection.
What Are The Potential Complications Of Face Swelling
Complications associated with facial swelling can be progressive and vary depending on the underlying cause. Because facial swelling can be due to serious diseases, failure to seek treatment can result in complications and permanent damage. It is important to visit your health care provider when you experience swelling or other unusual symptoms. Once the underlying cause is diagnosed, following the treatment plan outlined by your doctor can lower your risk for potential complications of these conditions including:
- Difficulty breathing or respiratory arrest from anaphylactic shock
- Loss of sight from orbital
- Skin or other tissue removal, such as due a serious infection or malignant condition
- Spread of infection to other parts of the body, including the blood
Can Using Birth Control Pills Make My Migraines Worse
In some women, pills improve migraine. The pills may help reduce the number of attacks and their attacks may become less severe. But in other women, the pills may worsen their migraines. In still other women, taking birth control pills has no effect on their migraines.
The reason for these different responses is not well understood. For women whose migraines get worse when they take birth control pills, their attacks seem to occur during the last week of the cycle. This is because the last seven pills in most monthly pill packs don’t have hormones; they are there to keep you in the habit of taking your birth control daily. Without the hormones, your body’s estrogen levels drop sharply. This may trigger migraine in some women.
Talk with your doctor if you think birth control pills are making your migraines worse. Switching to a pill pack in which all the pills for the entire month contain hormones and using that for three months in a row can improve headaches. Lifestyle changes, such as getting on a regular sleep pattern and eating healthy foods, can help too.
Are Migraine Headaches More Common In Women Than Men
Yes. About three out of four people who have migraines are women. Migraines are most common in women between the ages of 20 and 45. At this time of life women often have more job, family, and social duties. Women tend to report more painful and longer lasting headaches and more symptoms, such as nausea and vomiting. All these factors make it hard for a woman to fulfill her roles at work and at home when migraine strikes.
Why Do Puffy Eyelids Occur During A Migraine Attack
The pain sensors in the covering of the brain are often affected by migraine, and these nerves are related to the autonomic system, which then causes the autonomic symptoms. Puffy eyelids, like many other migraine symptoms, do not occur in every one or with each migraine.
Eyelid puffiness is thought to be more common in cluster headache, so when it occurs with migraine, the person may be misdiagnosed with migraine instead of cluster headache. Since puffy eyelids are associated with things like allergies and tiredness, it is a symptom that people may not associate with migraine and therefore, not report it to their doctor.1
Questions For Diagnosing The Cause Of Face Swelling
To diagnose the underlying cause of face swelling, your doctor or licensed health care practitioner will ask you several questions related to your symptoms. You can best help your health care practitioner in diagnosing the underlying cause of face swelling by providing complete answers to these questions:
- What is the exact location of the swelling?
- Describe the swelling. When did the swelling start? Does it come and go or is it constant?
- Did you eat any foods or come in contact with any unusual substances preceding the swelling?
- Are you are experiencing any pain, , or other symptoms?
- Provide your full medical history, including all medical conditions, surgeries and treatments, family history, and a complete list of the medications and dietary supplements that you take.
What Medications Are Used To Relieve Migraine Pain
Over-the-counter medications are effective for some people with mild to moderate migraines. The main ingredients in pain relieving medications are ibuprofen, aspirin, acetaminophen, naproxen and caffeine.
Three over-the-counter products approved by the Food and Drug Administration for migraine headaches are:
- Excedrin® Migraine.
- Advil® Migraine.
- Motrin® Migraine Pain.
Be cautious when taking over-the-counter pain relieving medications. Sometimes overusing them can cause analgesic-rebound headaches or a dependency problem. If you’re taking any over-the-counter pain medications more than two to three times a week, report that to your healthcare provider. They may suggest prescription medications that may be more effective.
Prescription drugs for migraine headaches include:
Triptan class of drugs :
- Co-enzyme Q10.
Drugs to relieve migraine pain come in a variety of formulations including pills, tablets, injections, suppositories and nasal sprays. You and your healthcare provider will discuss the specific medication, combination of medications and formulations to best meet your unique headache pain.
Drugs to relieve nausea are also prescribed, if needed.
All medications should be used under the direction of a headache specialist or healthcare provider familiar with migraine therapy. As with any medication, it’s important to carefully follow the label instructions and your healthcare provider’s advice.
What Questions Should I Ask My Healthcare Provider
- Will my child grow out of their migraines?
- What medications do you recommend for me?
- What should I change about my lifestyle to prevent my migraine headaches?
- Should I get tested?
- What type of migraine do I have?
- What can my friends and family do to help?
- Are my migraines considered chronic?
A note from Cleveland Clinic
Migraine headaches can be devastating and make it impossible to go to work, school or experience other daily activities. Fortunately, there are some ways to possibly prevent a migraine and other ways to help you manage and endure the symptoms. Work with your healthcare provider to keep migraines from ruling your life.
Last reviewed by a Cleveland Clinic medical professional on 03/03/2021.
Swollen Face In The Morning: Causes And Treatments
Waking up with a swollen face in the morning can ruin your plans for the day. You may have an important meeting ahead but you cannot go looking like a puffer fish. Exactly what causes this problem? Why do you have facial swelling in the morning? The truth is that it can indicate underlying medical conditions, especially if you have other problematic symptoms as well. It may not be that serious if it happens occasionally, but you may still consider talking to your doctor about your condition. Let’s find out more about some common causes of facial puffiness.
What Tests Are Used To Find Out If I Have Migraine
If you think you get migraine headaches, talk with your doctor. Before your appointment, write down:
Your doctor may also do an exam and ask more questions about your health history. This could include past head injury and sinus or dental problems. Your doctor may be able to diagnose migraine just from the information you provide.
You may get a blood test or other tests, such as CT scan or MRI, if your doctor thinks that something else is causing your headaches. Work with your doctor to decide on the best tests for you.
What Are Some Migraine Risk Factors And Triggers
Some things make you more likely to get migraine headaches . Other things may bring on a migraine .
Common migraine risk factors include the following:
- Family history: You are much more likely to have migraines if one or both of your parents had migraines.
- Sex: Women are more likely than men to have migraines.
- Age: Most people have their first migraine during adolescence, but migraines can start at any age, usually before age 40.
Common migraine triggers include the following:
- Food and drink: Certain food and drink may cause migraines. Dehydration and dieting or skipping meals may also trigger migraines.
- Hormone changes: Women may experience migraines related to their menstrual cycles, to menopause, or to using hormonal birth control or hormone replacement therapy.
- Stress: Stress may trigger migraines. Stress includes feeling overwhelmed at home or work, but your body can also be stressed if you exercise too much or don’t get enough sleep.
- Senses: Loud sounds, bright lights , or strong smells may trigger migraines.
- Medicines: Certain medicines may trigger migraines. If you think your migraines might be related to your medicine, talk to your doctor. Your doctor may be able to prescribe a different medicine.
- Illness: Infections, such as the cold or the flu, may trigger migraines, especially in children.
Foods that may trigger migraines:
- aged, canned, cured, or processed meat
- aged cheese
- soy sauce
Suffering From Swollen Lymph Nodes And Headaches
Swollen lymph nodes that appear with a headache, while not always a medical emergency, could be compared to the double warning of flashing lights and a siren. It’s a signal from your body that it’s time to pull over unless you want to run the risk of getting into worse trouble!
Not a disease in itself, swollen lymph nodes with a headache is typically a warning of a more serious condition. Swollen lymph nodes are what most of us call swollen glands and when accompanied by a headache can signify the beginnings of serious illness such as tonsillitis, West Nile virus, chronic fatigue syndrome.
Even more worrying is that these symptoms can indicate severe, life-threatening illnesses like AIDS, anthrax, and mononucleosis. However, if you have this condition don’t panic…yet!
The human body has some miraculous defense mechanisms in that whenever we become ill, it warns us of impending trouble with various symptoms such as your lymph nodes being swollen. In fact, one of the body’s first lines of defense is to warn us with pain or swelling – think of it as a kinda of early warning system for your body.
A primary part of the body’s immune system, lymph tissues, or glands as we commonly call them, are bean shaped masses of tissue located in our armpits, necks, and groin areas. They trap invading organisms and contain lymphocytes which destroy foreign bodies and other harmful cells.
Whats A Migraine What Does A Migraine Feel Like
A migraine is a common neurological disease that causes a variety of symptoms, most notably a throbbing, pulsing headache on one side of your head. Your migraine will likely get worse with physical activity, lights, sounds or smells. It may last at least four hours or even days. About 12% of Americans have this genetic disorder. Research shows that it’s the sixth most disabling disease in the world.
What Is The Prognosis For People With Migraines
Migraines are unique to each individual. Likewise, how migraines are managed is also unique. The best outcomes are usually achieved by learning and avoiding personal migraine triggers, managing symptoms, practicing preventive methods, following the advice of your healthcare provider and reporting any significant changes as soon as they occur.
What Types Of Headache Are Serious Or Dangerous
All headaches are unpleasant and some, such as headache from medication misuse, are serious in the sense that when not tackled properly they may never go away. However, a few headaches are signs of serious underlying problems. These are uncommon – in many cases very rare.
Dangerous headaches tend to occur suddenly, and to become progressively worse over time. They are more common in older people. They include the following:
Possible Causes Of Swollen Face In The Morning
It usually happens due to edema, a condition in which fluids accumulate in the muscles and tissues. However, many other factors contribute to this problem. Here are some of the conditions.
1. Allergic Reaction
Also called allergic shock, anaphylaxis refers to the most severe form of allergy that could be fatal. You may require immediate medical attention after you develop an allergic reaction to a particular allergen, such as shellfish, nuts, bee stings, etc. Some people develop anaphylactic reaction after taking penicillin and aspirin. The most common symptoms of anaphylaxis include stomachache, wheezing, shortness of breath, slurred speck, itchy skin, anxiety, confusion, coughing, and facial swelling.
You develop sinusitis when the air-filled spaces within the bones around your nose become infected. The lining of the mucus membranes of the sinus becomes inflamed due to this type of bacterial infection. This leads to pain around the cheekbones and eyes with some facial swelling. You will also develop upper respiratory infection and headache when you have acute sinusitis.
7. Thyroid Problems
8. Cushing’s Syndrome
10. Unhealthy Lifestyle
Certain lifestyle factors can make you have a swollen face. Some common factors include smoking, excessive alcohol intake, obesity, and hypertension. Lack of vital elements, vitamins, and minerals may also lead to swollen face.
11. Other Causes
I’m Pregnant Can My Migraines Still Be Treated
Some migraine medicines should not be used when you are pregnant because they can cause birth defects and other problems. This includes over-the-counter medicines, such as aspirin and ibuprofen. Talk with your doctor if migraine is a problem while you are pregnant or if you are planning to become pregnant. Your doctor might suggest a medicine that will help you and that is safe during pregnancy. Home treatment methods, such as doing relaxation exercises and using cold packs, also might help ease your pain. The good news is that for most women migraines improve or stop from about the third month of the pregnancy.
Who Is At Risk And How Long Do Migraines Last
Women are three times more likely to get migraines than men. However, anyone at any age can develop migraines. People with a family history of migraines are more prone to getting them. They generally affect those in the age range of 15 to 55. In the USA, 39 million men, women, and children have migraines, and worldwide 1 billion have migraines.
Most migraines last for around four hours. If they do not respond well to care, they can last for up to 72 hours or even as long as a week.
To learn more about the connection between head and neck injuries and migraines .
Migraines Connected To Lifestyle And Hormones
Female hormones play a large role in migraines and may be why more women than men get them. It is likely that the drop in estrogen levels that happens a few days before the normal menstruation cycle begins leads to an increase in the chance of developing a migraine. Some women find great relief from migraines when menopause begins while others begin to get migraines at this time in their life.
Environment and lifestyle can also be a trigger for migraines. This can include:
- Weather changes
- Certain odors
- Food – aged cheeses, caffeine, MSG, nitrates, and aspartame to mention just a few
Each person is different when it comes to finding out what triggers migraines. When your brain perceives your particular trigger, it begins setting you up for a migraine. You may get a migraine within two hours or as long as two days after the event. Blood vessels in your forehead begin to swell, causing nerve fibers to release a chemical that leads to pain and inflammation. As this happens, the blood vessels enlarge even more and make the pain much worse. This chain-reaction goes on for a few hours until it reaches a threshold called central sensitization. This causes the pain-nerve cells to be stuck in the on position and even the slightest movement can lead to pain, including the pulse of blood in your brain. This can even affect your intestinal system. You may feel nauseous, vomit, and get diarrhea. Your hands and feet get cold and you lose the color in your face.