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HomeHealthShould I Go To Work The Day After A Migraine

Should I Go To Work The Day After A Migraine

Pay Attention To Advance Notice

Migraine Headaches and Caffeine Migraine Headache Relief Dr.Berg

The prodromal phase of a migraine, the first to occur, can alert you that a migraine attack is imminent. People may experience these or other symptoms:

  • Difficulty concentrating
  • Food cravings
  • Sensitivity to light, sounds, or smells

Getting to know premonitory symptoms like these and others is important, but remember that what you experience early on in a migraine is personal to you. Dizziness, irritability, ringing in the ears, seeing spots of light, and other symptoms are all worth paying attention to.

What Should I Do When A Migraine Begins

Work with your doctor to come up with a plan for managing your migraines. Keeping a list of home treatment methods that have worked for you in the past also can help. When symptoms begin:

  • If you take migraine medicine, take it right away.
  • Drink fluids, if you don’t have nausea during your migraine.
  • Lie down and rest in a dark, quiet room, if that is practical.

Some people find the following useful:

  • A cold cloth on your head
  • Rubbing or applying pressure to the spot where you feel pain
  • Massage or other relaxation exercises

When Should I Feel The Results

The effect of Botox is not felt immediately after the injections. It takes 7 to 10 days on average. The protein takes time to be transported to the zone where it becomes active. An increase in headaches and neck pain is sometimes seen during the first week after the injections. The effect from the previous treatment has worn off and the new treatment did not kick yet. Discuss this with your physicians to find solutions.

Read Also: Why Do Migraines Go Away After Vomiting

Can Migraine Be Worse During Menopause

If your migraine headaches are closely linked to your menstrual cycle, may make them less severe. As you get older, the nausea and vomiting may decrease as well. About two-thirds of women with migraines report that their symptoms improve with menopause.

But for some women, menopause worsens migraine or triggers them to start. It is not clear why this happens. , which is prescribed for some women during menopause, may be linked to migraines during this time. In general, though, the worsening of migraine symptoms goes away once menopause is complete.

The Most Common Side Effects

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Studies show that Botox for migraine treatment is well tolerated by patients. The most common Botox for migraine side effects include neck pain, headache, migraine, drooping eyebrows, eyelid drooping, muscular weakness, musculoskeletal stiffness, or muscle spasms.

Studies show that the side effects decrease progressively with each subsequent treatment session. This is great news for those of you who have experienced some of these side effects after your Botox treatment. If your doctor recommends that you continue the treatment, there is a good chance the side effects will improve with subsequent treatment.

If the Botox for migraine side effects do not disappear, discuss your symptoms with your doctor who might recommend reducing the dose of Botox for the next treatment, avoiding Botox treatments or trying Myobloc instead.

Read Also: How Common Are Visual Migraines

Is Having A Migraine A Reason To Miss Work

The poll shows that workers who arent informing their bosses may have good reasons for hiding their head pain. While most managers view migraines as a good reason for missing work, 38 percent were less amenable, saying migraines either only sometimes justify calling in sick or dont justify it at all.

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.
  • Youve had at least five attacks, each lasting between four and 72 hours.

Plus, youve 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.

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What Is Happening During A Migraine

A migraine can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. Its often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

What Medications Are Used To Relieve Migraine Pain

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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 :

  • Sumatriptan.
  • Butterbur.
  • 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 providers advice.

Read Also: Are Migraines A Symptom Of Pregnancy

What Are Some Ways I Can Prevent Migraine

The best way to prevent migraine is to find out what triggers your attacks and avoid or limit these triggers. Since migraine headaches are more common during times of stress, finding healthy ways to cut down on and cope with stress might help. Talk with your doctor about starting a fitness program or taking a class to learn relaxation skills.

Talk with your doctor if you need to take your pain-relief medicine more than twice a week. Doing so can lead to rebound headaches. If your doctor has prescribed medicine for you to help prevent migraine, take them exactly as prescribed. Ask what you should do if you miss a dose and how long you should take the medicine. Talk with your doctor if the amount of medicine you are prescribed is not helping your headaches.

Are There Different Kinds Of Migraine

Yes, there are many forms of migraine. The two forms seen most often are migraine with aura and migraine without aura.

Migraine with aura . With a migraine with aura, a person might have these sensory symptoms 10 to 30 minutes before an attack:

  • Seeing flashing lights, zigzag lines, or blind spots
  • Numbness or tingling in the face or hands
  • Disturbed sense of smell, taste, or touch
  • Feeling mentally “fuzzy”

Only one in five people who get migraine experience an aura. Women have this form of migraine less often than men.

Migraine without aura . With this form of migraine, a person does not have an aura but has all the other features of an attack.

Also Check: How To Get A Migraine

Use Blue Light Filters

Blue light from devices can also mess with your circadian rhythm, which in turn can disrupt your sleep, contributing to migraines. Fortunately, there’s software that filters out the blue light on your computer, tablet, or phone.

Windows 10 comes with its own blue light filter called “Night Light,” and MacOS has “Night Shift,” but you have to turn these on in your settings. Third-party blue light filter options include F.lux and Iris mini.

You can also try blue-light-blocking glasses. These may be especially handy at work if you’re dealing with a migraine.

Can Using Birth Control Pills Make My Migraines Worse

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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.

Read Also: How To Beat Migraines Naturally

The Impact Of Migraine On Work

Migraine is most common among adults of working age. It can impact working life but this can be significantly reduced if people with migraine are supported at work.

People with migraine often need very little help from their employer, but this small amount of support can be decisive in enabling them to work effectively with migraine.

Not receiving support from their employer can have very serious consequences for people with migraine.

25,000,000It is estimated that the UK population loses 25 million days from work or school each year because of migraine

47%Migraine/chronic headache was found to be the second most frequently identified cause of short-term absence for non-manual employees

£2,250,000,000Absenteeism from migraine alone costs £2.25 billion per year in the UK

I grew tired of questions and comments such as – I dont understand why a headache is lasting more than a day?, have you ever been told that you shouldnt be working full time?

I have a desk-based job which brings up its own difficulties. Visual disturbances come fast and ready when you stare at a computer all day.

Poor Positioning Or Posture Can Cause Tension

A lot of us quickly pivoted to working from home, and we dont have the ideal office setup, says Hamilton. That can mean poor positioning or posture, which can increase the likelihood of a migraine-related or tension-type headache, she says. When youre on your laptop, you can end up hunching forward more, which can lead to tension in your neck and shoulders.

Optimizing the ergonomics of your home office to make it more comfortable and to encourage better posture can go a long way, says Hamilton. Ideally, you want to have a setup where you are able to take an upright posture so youre able to look straight ahead at your computer if you can, she says. That may mean adjusting your desk or table or using books or other props to get optimum positioning, she adds. This can help you avoid the position where your head is forward and your shoulders hunched, says Hamilton.

Even if your posture is great, taking breaks to stretch is a good idea, especially for your shoulder and neck muscles, she adds.

Also Check: Do Migraines Cause Fever

Can Migraines Be Prevented

You can’t prevent every migraine. But learning your triggers and trying to avoid them can help. Take a break from activities that might start a migraine, such as using the computer for a long time. If you know that some foods are triggers, skip them. Some people find that cutting back on caffeine or drinking a lot of water can help prevent migraines.

Make a plan for all the things you have to do especially during stressful times like exams so you don’t feel overwhelmed when things pile up. Regular exercise also can reduce stress and make you feel better.

The more you understand about your headaches, the better prepared you can be to fight them.

How Are Migraines Diagnosed

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To diagnose a migraine, your healthcare provider will get a thorough medical history, not just your history of headaches but your familys, too. Also, they’ll want to establish a history of your migraine-related symptoms, likely asking you to:

  • Describe your headache symptoms. How severe are they?
  • Remember when you get them. During your period, for example?
  • Describe the type and location of your pain. Is the pain pounding? Pulsing? Throbbing?
  • Remember if anything makes your headache better or worse.
  • Tell how often you get migraine headaches.
  • Talk about the activities, foods, stressors or the situations that may have brought on the migraine.
  • Discuss what medications you take to relieve the pain and how often you take them.
  • Tell how you felt before, during and after the headache.
  • Remember if anyone in your family gets migraine headaches.

Your healthcare provider may also order blood tests and imaging tests to make sure there are no other causes for your headache. An electroencephalogram may be ordered to rule out seizures.

Read Also: How Common Are Visual Migraines

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 dont 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

What If Migraine Symptoms Return Before 12 Weeks

For some people, Botox does not last the full 12 weeks, which is the standard treatment timeline. In general, insurance companies do not approve Botox sooner than 12 weeks. You have two options. You can ask your doctor to write to the insurance company requesting approval that Botox be administered to you sooner. You can speak to your doctor about doing nerve blocks and trigger point injections a few weeks before the next Botox treatment to provide you the necessary relief. My doctor does nerve blocks/trigger point injections 2 weeks before Botox and 2 weeks after Botox for some patients while they wait for the treatment to kick in.

Nerve blocks are procedures during which a mixture of a local anesthetic and a steroid are injected in the area around the nerves. Although an occipital nerve block is one of the most common procedures, continue to experiment with your neurologist/headache specialist until you find the combination of nerves/trigger points which provide the most relief for you.

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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.

References

What Are The Side Effects Of Migraine Treatment

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Preventive medication does not always stop the headaches completely and medications may lead to certain side-effects.

  • Topiramate may cause diarrhoea, nausea, weight loss, memory difficulties and concentration problems.
  • Triptans can cause sleepiness, tingling sensations, tightness in the throat and chest, flushing.
  • Ergotamines can cause nausea,
  • Beta-blockers can cause depression, fatigue, nausea, low blood pressure, dizziness
  • Calcium channel blockers can lead to constipation, weight gain, low blood pressure, dizziness
  • Tricyclic antidepressants can cause to dry mouth, weight gain, low libido, sedation

Read Also: Popular Migraine Medications

What To Expect With Botox For Migraine

Botox involves regular injections administered every three months into approximately 31 proven injection sites, divided across 7 specific head and neck muscle areas. It is a preventive treatment, meaning it is meant to stop migraine attacks before they even begin.

We see many members in our post comments about feeling nervous about their upcoming Botox injections. I hope this article helps to alleviate those fears.

Age Can Play A Role Your Symptoms

Symptoms of the postdrome phase vary from person to person, and may also vary in adults, adolescents, and children. Migraine hangover symptoms in adults tend to last a little longer – up to a full day – than symptoms in younger folks.

Common Migraine hangover symptoms in adults include

  • Sensitivity to light and/or sound
  • Mood changes, like sudden unhappiness
  • Head pain
  • Numbness or tingling

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