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 Ages Do Migraine Headaches Appear In Children
Although migraine headaches most commonly occur in teens and young adults, the attacks can start early in life and have been reported in about 3% of preschool-age children. Likewise, migraine headaches have been reported in babies and toddlers, and some researchers believe that colic may be a sign of migraine in newborns, or at least a warning sign of migraine attacks later in life. Migraine symptoms include nausea, vomiting and/or sensitivities to light and sound that can last for up to three days. However, these symptoms may not be as obvious or could be mistaken for other conditions when they appear in children.
Can You Outgrow Asthma
If you or your child have asthma, youll be relieved to know that it is possible to outgrow the symptoms.
Of the approximately 7 million U.S. children with asthma, about half of them will outgrow it once they reach adolescence. Even if an individual outgrows asthma, its important to remember that the respiratory tract will remain sensitive to asthma triggers for life.
In fact, theres a chance that people whose symptoms disappear will see them reappear in varying degrees when they enter their late thirties or early forties. Researchers dont fully understand why some individuals see a resurgence of symptoms, but they have noted that both old and new triggers can cause them in people with a history of asthma.
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Treating Migraine With Aura
When a person begins experiencing aura symptoms, it can be helpful to move into a quiet, dark room and close the eyes. Placing a cold compress on the forehead or the back of the neck may also help ease migraine pain.
There are three main areas of treatment for migraine with aura. These are as follows:
- lifestyle and trigger management
- acute treatments, such as medications to stop a migraine episode while it is happening or reduce its severity or duration
- These include analgesics, nonsteroidal anti-inflammatory drugs, gepants, and ditans.
Migraine Peaks In Adults Of Middle Age
Migraine is most commonly diagnosed in people between 25 to 55 years old, with some experts noting its peak between 30-39 years of age.1 It is at this time that it starts to decline every decade thereafter, although the impact is no less felt by patients. Interestingly, unlike those who deal with the primary headache disorder in childhood, the onset of migraine in adulthood is less likely to be associated with a genetic or familial causealthough it is still a possible explanation.4
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Other Ways To Stay Well In Later Life
Studies have shown that people who keep have more chance of staying healthy as they get older.
Even if your mobility isnt as good as it was or you find you get tired easily, there will be an activity you can do.
Keep to a healthy weight
Keeping to a healthy weight can lower your risk of asthma symptoms. Studies show that if youre very overweight, even losing a bit of weight, can make a difference to your asthma.
It can feel harder to shift the weight as you get older, particularly if youre less active than you were. Find out what support you can get.
If you smoke, youre more at risk from asthma symptoms and attacks, as well as COPD.
Giving up smoking not only lowers your risk, but it also means your medicines will be more effective.
Look after your mental health
If youre worried, down, or lonely, talk to someone about how you feel. Age UK has an Advice Line: 0800 169 2081.
Stress, anxiety and can all trigger asthma symptoms.
We all need a support network of friends, family and neighbours, says Dr Andy. Share your asthma action plan, so that anyone caring for you knows what to do if symptoms get worse and who to call for help. And tell your GP or asthma nurse how youre feeling too.
You can talk to a respiratory nurse specialist on our Helpline: 0300 222 5800 . Or you can WhatsApp them on 07378 606 728
Next review due December 2023
What Medicines Help Relieve Migraine Pain
For mild to moderate migraines, over-the-counter medicines that may help relieve migraine pain include:
- an acetaminophen, aspirin, and caffeine combination
People who have more severe migraines may need to try abortive prescription medicines. A medicine called ergotamine can be effective alone or combined with other medicines. Dihydroergotamine is related to ergotamine and can be helpful. Other prescription medicines for migraines include sumatriptan, zolmitriptan, naratriptan, rizatriptan, almotriptan, eletriptan, and frovatriptan.
If the pain wont go away, stronger pain medicine may be needed, such as a narcotic, or medicines that contain a barbiturate . These medicines can be habit-forming and should be used cautiously. Your doctor may prescribe these only if they are needed and only for a short period of time.
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What Is An Aura
An aura is a warning sign that a migraine is about to begin. An aura usually occurs about 30 minutes before a migraine starts. The most common auras are visual and include blurred or distorted vision blind spots or brightly colored, flashing, or moving lights or lines. Other auras may include changes in ability to speak, move, hear, smell, taste, or touch. Auras last about 20 minutes.
Are There Any Special Considerations For Adults With Asthma
Many adults take several medications and/or use over-the counter medications, such as ibuprofen or aspirin, regularly. Work with your doctor to simplify your medication program as much as possible. Explore the possibility of combining medications or using alternate ones that will have the same desired effect. Be sure to discuss potential drug interactions with anything you take, including vitamins. Some asthma medications increase heart rate. If you have a heart condition, discuss those side affects with your health care provider. Older first generation antihistamines can cause men with enlarged prostates to retain urine. Oral steroids can make symptoms of glaucoma, cataracts and osteoporosis worse. Adults with arthritis may need special inhalers that are easier to operate. Anyone with asthma should consider getting an annual flu shot. Older adults also should talk with their doctor about getting a pneumonia vaccination. People with multiple medical conditions need to be aware of how their illnesses may affect one another.
This article was published by AAFA, copyright 1995. It can be accessed online at the following
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Headaches After Head Injuries Post
Headache immediately following a head injury usually clears after minutes or days but sometimes headaches may persist for months or rarely years. The long-term headaches are called post-traumatic or post-concussion headaches.
One can understand why headaches may follow a moderate or severe injury to the brain such as a concussion or laceration . What has been more difficult to understand and has presented an ongoing controversy are chronic headaches following mild head injuries.
Mild injuries of the brain are characterized as a concussion .
Because the neurological examination after mild head injury is normal and standard tests as well as imaging studies similarly fail to reveal abnormalities, many thought that the symptoms following mild head injury were psychological.
But microscopic studies have shown disruption of the nerve fibers in the brain due to the stretching or shearing forces of the trauma. Other subtle changes have been noted in brain functioning.
Unfortunately, people who experience post-traumatic headaches also experience other symptoms of the post-traumatic or post-concussion syndrome. There may be other neurological symptoms such as dizziness, ringing in the ears, vague blurring of vision, psychological symptoms occur such as depression, anxiety, personality change, disturbance in sleep, and impairment libido.
What Are The Symptoms Of Migraine
The main symptoms of migraine are an intense, throbbing or pounding headache often affecting the front or one side of the head, nausea and sometimes vomiting , and an increased sensitivity to light smells and sound. The throbbing headache is often made worse by the person moving.
Other symptoms of migraine might include poor concentration, feeling hot or cold, perspiration , and an increased need to pass urine. This can occur before, during or after the migraine attack.
People might also experience stomach aches and diarrhoea.
It is common for people to feel tired for up to two or three days after a migraine.
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How Do I Know If My Child Really Does Have Asthma
A doctors work-up will start with a medical history including symptoms and family history. A physical exam will also be done. Pulmonary function testing with spirometry can provide information about lung function and severity of the asthma. A chest X-ray may be ordered to help visualize the lungs. Allergy testing can be done to determine if allergies play a role in symptoms. Additional tests may be done to investigate other causes of symptoms.
Headache And Migraine Types For Older Patients
Although migraine may diminish late in life, there still remains numerous other variations of headache disorders that can be diagnosed in patients. For instance, typical migraine aura without headache is a migraine subtype that is often observed in elderly patients and comes with visual and sensory disturbances as well as other hallmark symptoms.
Medication overuse headache is a secondary disorder that may also affect up to one-third of elderly patients with migraine-like complications. Interestingly, researchers have found that those with new onset headaches in their later years may have an even greater risk when compared with those who have been living with migraine for the majority of their adult life.1,8
In addition to migraine, the elderly may experience so-called hypnic headaches which are age specific to this population. These headaches regularly awaken patients from sleep at specific times in the night and can last for up to an hour symptoms typically include dull pain but do not have other strong migraine symptoms .9 Tension-type headache and chronic daily headache are other disorders that are also typical in the geriatric population.
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Managing Your Asthma Well In Later Life
Continue to have regular asthma reviews
Whether youve had asthma all your life or youve been diagnosed with it as an older adult, an asthma review helps you stay on top of any changes in your symptoms.
You can make sure your asthma action plan is up to date, review your asthma medicines, and check youre taking the lowest dose possible to stay well and avoid side effects.
Track your symptoms
Keeping track of your symptoms makes it easier to spot any changes. Write down your symptoms in a diary, notebook, or on your phone and take it along to your next appointment.
Remember to make a note of anything you were doing that day or any triggers you came across you may notice youre sensitive to new things that were not a problem before.
Dont ignore symptoms like breathlessness, says Dr Andy. Its easy to think that feeling a bit more breathless is just another sign that youre not as fit as you used to be.
But if youre feeling out of breath climbing stairs or walking uphill, see your GP to get it checked out. Breathlessness can be a sign that your asthma is not well controlled. It could also be a sign of another health condition.
Act quickly if symptoms get worse
To cut your risk of an asthma attack, take action as soon as you notice symptoms getting worse. As we get older, asthma attacks can be more severe and take longer to recover from.
Check your inhaler technique
What Types Of Migraine Occur In Children And Adolescents
There are two main types. A migraine without an aura occurs in 60% to 85% of children and adolescents who get a migraine. A migraine with an aura occurs in 15% to 30%. In young children, migraine often begins in the late afternoon. As the child gets older, migraine often begins in the early morning.
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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.
Migraines In The Elderly Is It Really Brain Trauma
Migraines are some of the worst pain a human being can ever experience. It can cause severe throbbing pain or a pulsing sensation, usually on just one side of the head. Its often accompanied by nausea, vomiting, and extreme sensitivity to light and sound.
A migraine attack causes significant pain for hours to days and can be so severe that the pain is disabling. The best thing that can be said about a migraine is at least you a warning that an attack is on the way.
Warning symptoms can include flashes of light, blind spots, or tingling on one side of the face or in your arm or leg.
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Spacers For Asthma Medication
It is recommended that all people with asthma, regardless of age, use a spacer when taking medication via a metered-dose inhaler .
Spacers help to improve the delivery of asthma medication to the lungs and minimise side effects from medications. Talk to your doctor or pharmacist about spacers and how they might help you manage your asthma.
which demonstrate how to use a puffer and spacer.
Can Migraines Be Prevented Or Avoided
Medicine to prevent migraines may be helpful if your headaches happen more than 2 times a month. You may want to consider this medicine if your headaches make it hard for you to work and function. These medicines are taken every day, whether you have a headache or not.
Preventive medications for migraines can include prescription drugs often used to treat other ailments. Anti-seizure medicines, antidepressants, medicines to lower blood pressure, and even Botox injections are some of the preventive medications your doctor may prescribe. Calcitonin gene-related peptide inhibitors can also help prevent migraines. They do so by blocking a gene-related peptide in your sensory nerves. This peptide is known to increase during a migraine attack, so blocking it can help prevent migraines.
There are also a number of non-medical treatments designed to help minimize migraine pain and frequency. One is an electrical stimulation device, which has been approved by the FDA. It is a headband that you wear once a day for 20 minutes to stimulate the nerve linked to migraines. Another non-medical treatment is counseling aimed at helping you feel in more control of your migraines. This counseling works best when paired with medical prevention of migraines, as well.
Migraine Symptoms In The Elderly
While the usual migraine symptoms recur for patients of just about any age, there are some unique ones that can present more often for elderly persons:4,5
- Bilateral head pain
- Pins and needles sensation in the hands or face
- Runny nose or teary eyes
- Speech disturbances
Curiously, migraine aura tends to increase with age and often presents without headache. This correlates with other studies that show that visual aura and other disturbances are more common in older headache patients. Even a majority of those who develop migraine-related visual disturbances do so after the age of 50 years and frequently do not have any prior history of headache.6,7
As previously noted, the most commonly-reported symptoms of migraine tend to dissipate with age, but they are still experienced in high percentages. Light and sound sensitivity as well as nausea accompany at least 75% of attacks in the elderly, while dizziness, vomiting and pressure- or stabbing-like pain are less frequent.2,3,8
Lastly, much like children with migraine, attacks in the elderly are shorter in lengthlasting anywhere between 15-60 minutes on average.
What Is Migraine Aura Without Headache
For most people, a headache follows the aura. But some people dont get the headache they just get the aura, says Dr. Digre. That is what is known as migraine aura without headache.
Migraine aura without headache is not very common. Only about 4% of people with migraine have aura without headache. It commonly occurs in two age groups: young adults in their 20s and 30s, and older adults between 40 and 60 years old.
People who have migraine with aura with headache, sometimes will lose their headache as they get older. So the headache part goes away, and the aura continues, says Dr. Digre. Almost 40% of people whove had migraine with aura in later life will get aura without headache.
Migraine aura without headache is sometimes referred to as ocular migraine, a common misnomer. Ocular migraine is not even in the International Classification Of Headache Disorders, explains Dr. Digre, It doesnt exist.
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