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What Causes Migraines In Females

Are There Other Types Of Migraine That Occur In Children And Adolescents

What causes headache with neck & lower back pain in young women? – Dr. Mohan M R

Yes, other types are grouped as either complicated migraine or migraine variants.

Complicated migraines are migraines with neurological symptoms, including:

  • Paralysis or weakness of the eye muscles that keep the eye in its normal position and control its movement. This was previously called an ophthalmoplegic migraine.
  • Weakness on one side of the body. This is called a hemiplegic migraine.
  • Pain at the base of the skull as well as numbness, tingling, visual changes and balance difficulties . This is called basilar migraine.
  • Confusion and speech and language problems. This is called confusional migraine and may also occur after a minor head injury.
  • Migraine variants are disorders in which the symptoms appear and disappear from time to time. Headache pain may be absent. Migraine variants are more common in children who have a family history of migraine or who will develop migraine later in life. Migraine variants include:
  • Paroxysmal vertigo dizziness and vertigo that is brief, sudden, intense, and recurs.
  • Paroxysmal torticollis sudden contraction of the neck muscles on one side of the head that causes the head to tilt to one side.
  • Cyclic vomiting uncontrolled vomiting that lasts about 24 hours and occurs every 60 to 90 days.
  • Abdominal migraine pain in the belly, usually near the belly button . Pain usually lasts 1 to 2 hours.

What Are The Symptoms Of Migraines

The primary symptom of migraine is a headache. Pain is sometimes described as pounding or throbbing. It can begin as a dull ache that develops into pulsing pain that is mild, moderate or severe. If left untreated, your headache pain will become moderate to severe. Pain can shift from one side of your head to the other, or it can affect the front of your head, the back of your head or feel like its affecting your whole head. Some people feel pain around their eye or temple, and sometimes in their face, sinuses, jaw or neck.

Other symptoms of migraine headaches include:

  • Sensitivity to light, noise and odors.
  • Nausea and vomiting, upset stomach and abdominal pain.
  • Loss of appetite.
  • Feeling very warm or cold .
  • Pale skin color .
  • Euphoric mood.

What Is The Outlook For Children And Adolescents With Migraine

Treatment helps most children and adolescents with migraine. Fifty percent of children and adolescents report migraine improvement within 6 months after treatment. However, in about 60% of adolescents who experience their first migraine as an adolescent, the migraine may continue off and on for many years.

It should be noted that many of the medications listed in this handout have not been approved by the by the Food and Drug Administration for use in children and adolescents with headaches. This is a common practice in the field of medicine and is called off-label prescribing. It is one of the ways new and important uses are found for already approved drugs. Many times, positive findings lead to formal clinical trials of the drug for new conditions and indications.

Rehabilitation program. Some hospitals and/or other health care facilities offer inpatient headache management programs for children and adolescents; ask your doctor if their facility offers such programs.

Patients typically accepted into these programs are those who have a chronic daily headache , missed an excessive amount of school, have overused over-the-counter medications, and have headache pain that is controlling their lives. The staff of such programs can include psychologists, pediatric rehabilitation specialists, occupational and physical therapists as well as access to a child psychiatrist. Stress factors are an important focus of this program; not rapid changes in medications.

References

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Top Reason For Migraines In Femaleshormones

When youre a woman, and you experience migraines, one of the very likely culprits for this can be your hormones and fluctuations you experience in hormones.

Hormone levels in women are impacted by many things, including your menstrual cycle and pregnancy, as well as oral contraceptives and menopause.

Examples of specific causes of migraines in females that are related to hormones include:

  • During your menstrual cycle, your levels of both estrogen and progesterone go to their lowest levels, which can trigger a headache. Estrogen is a substance that controls the chemicals in your brain relating to how you sense pain.
  • During pregnancy, estrogen levels go up. Because of this, some women may actually experience a decline in headaches during pregnancy, but for other women, they may get migraines during pregnancy and in particular during the first trimester.
  • When a woman goes through perimenopause, which is a term for the years leading up to menopause, they often report having more headaches. Around two-thirds of women who have migraines say they get better as they approach or are in menopause.
  • Birth control pills, as well as hormone replacement therapy, can cause fluctuations in hormone levels. For women who have migraines relating to hormonal changes from birth control usually experience a migraine attack during the last week of the cycle. This is the time when the pills dont contain hormones.

Headaches And Women: What Do Hormones Have To Do With It

5 Things to Know About Migraines and Finding Relief ...

A bad headache can ruin your workday, strain your relationship with family members and affect your ability to exercise. In the U.S., headaches cause 112 million sick days each year. While one-third of the population gets headaches, women suffer more than men do.

Changes in hormones could be among the reasons women have more headaches than men do.

These hormone-related headache triggers include:

  • menstruation
  • menopause

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What Medicines Help Relieve Migraine Pain

For mild to moderate migraines, over-the-counter medicines that may help relieve migraine pain include:

  • aspirin
  • acetaminophen
  • an acetaminophen, aspirin, and caffeine combination
  • ibuprofen
  • naproxen
  • ketoprofen

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.

How Are Migraine Headaches Treated In Children And Adolescents

Basic lifestyle changes can help control a migraine. Whenever possible, avoiding the known triggers can help reduce the frequency and severity of migraine attacks.

Biofeedback and stress reduction. Biofeedback helps a person learn stress-reducing skills by providing information about muscle tension, heart rate, and other vital signs as a person attempts to relax. It is used to gain control over certain bodily functions that cause tension and physical pain.

Biofeedback can be used to help patients learn how their body responds in stressful situations, and how to better cope. Some people choose biofeedback instead of medications.

Other stress reduction options include counseling, exercising, and yoga.

Vitamins, minerals, and herbal products. These products have shown some effectiveness in migraine. They include magnesium, riboflavin, and coenzyme Q10.

Medications. Headache medications can be grouped into three different categories: symptomatic relief, abortive therapy, and preventive therapy. Each type of medication is most effective when used in combination with other medical recommendations, such as dietary and lifestyle changes, exercise, and relaxation therapy.

Important: If symptomatic relief medications are used more than twice a week, see your doctor. Overuse of symptomatic medications can actually cause more frequent headaches or worsen headache symptoms. This is called rebound or medication overuse headache.

Abortive medications include:

  • Triptans

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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.

What Triggers A Migraine

Womens Wellness: What women need to know about migraines

Knowing what triggers the migraines is often as important as knowing what causes it. The following are some common triggers that cause migraines.

  • Hormonal shifts.
  • Exposure to smell or light.
  • Change in sleeping pattern.
  • Changes in the weather condition.
  • Certain drinks and food.
  • Missed meals.
  • Stress or anxiety.

It helps a lot to know what triggers your headache. Your awareness could prevent those migraines from bothering you at the wrong time.;

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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 :

  • 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.

Types And Causes Of Common Headaches

The most common types of headaches are tension and migraine headaches. Tension headaches strike when the muscles in the head and neck tighten. Migraines come on when supersensitive nerve endings in the brain create pain.

But what makes the muscles tense, or causes some nerve endings in the brain to become so sensitive? That’s not as well understood. Those causes of headaches can vary from person to person. But some triggers are common.

Tension headaches are often set off by:

  • stress
  • hunger
  • caffeine withdrawal
  • abrupt cessation of medications that contain caffeine, such as some pain-relieving medications like ibuprofen or acetaminophen
  • weather changes
  • food and drinks, such as chocolate; processed foods that contain monosodium glutamate ; or alcohol

Many of those triggers for tension headachesespecially stress, hunger, fatigue, and lack of sleepcan also set off a migraine headache. But nailing down causes of headaches in the migraine category is a little trickier; the headaches may stem from many factors, or combinations of factors. The particular combination is specific to an individual. Potential culprits include

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Can Stress Cause Migraines

Yes. Stress can trigger both migraine and tension-type headache. Events like getting married, moving to a new home, or having a baby can cause stress. But studies show that everyday stresses ;not;major life changes cause most headaches. Juggling many roles, such as being a mother and wife, having a career, and financial pressures, can be daily stresses for women.

Making time for yourself and finding healthy ways to deal with stress are important. Some things you can do to help prevent or reduce stress include:

  • Eating healthy foods
  • Being active
  • Doing relaxation exercises
  • Getting enough sleep

Try to figure out what causes you to feel stressed. You may be able to cut out some of these stressors. For example, if driving to work is stressful, try taking the bus or subway. You can take this time to read or listen to music, rather than deal with traffic. For stressors you can’t avoid, keeping organized and doing as much as you can ahead of time will help you to feel in control.

How Can Migraines Be Prevented

9 Migraine Triggers during Menopause
  • Identifying and then avoiding migraine triggers should reduce the frequency of your migraine attacks.
  • Recalling what was eaten prior to an attack may help you identify chemical triggers and make the necessary dietary changes to avoid these triggers in the future.
  • Women who get migraines during their menstrual periods typically find relief during pregnancy and after menopause. Hormonal treatment of migraines has not been satisfactory, however. Generally, becoming aware of the menstrual cycle patterns as they relate to the onset of the headaches can help you take preventive action against the headaches.
  • Stress management and coping techniques, along with relaxation training, can help prevent or reduce the severity of the migraine attacks.
  • Migraine sufferers also seem to have fewer attacks when they eat on a regular schedule and get adequate rest.
  • Regular exercisein moderationcan also help prevent migraines.

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Treatment Menstrually Related Migraine

As you review these, remember that all medications have side effects, and you should discuss them with your doctor.

In general, MRM can be effectively managed with strategies similar to those used for non-MRM. Behavioral management is an important concept in menstrual as well as nonmenstrual migraine. Menstruation is one of many factors that put women at risk for migraine disease. Hormonal changes are just one of many potential trigger factors.

Most women living with menstrually related migraine are treated with acute medications. When attacks are very frequent, severe, or disabling, preventive treatment may be required.

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 its the sixth most disabling disease in the world.

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What Are Migraine Triggers

Triggers are certain changes in the environment or in the body that can make a person more likely to get a migraine. People are often affected by multiple triggers, but not everyone experiences the same thing.

Triggers include:

  • Hormonal changes in girls
  • Certain medicines

Some food including: chocolate, certain fruits and nuts, yeast, yeast, MSG, processed meats and pickled foods can be a trigger for migraine. The chance of migraine increases when a trigger food is combined with other triggers.

What Questions Should I Ask My Healthcare Provider

Causes For A Migraine Headache
  • 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

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Availability Of Data And Materials

The data supporting the conclusions of this article are held electronically in Department of Senile Neurology, Shandong Provincial Hospital Affiliated to Shandong University, Shandong, China. They are still being analyzed for further publications. These data will be made publicly available finally, and some of them can be obtained upon request to the corresponding author now.

The Overuse Of Medication

Ironically, taking;medication for chronic headaches can actually cause the recurrence of them. This type of headache is known as a rebound headache and is most often caused by taking certain medications daily to relieve headaches and then stopping them abruptly. Medications such as:;

  • Opiate painkillers like hydrocodone or tramadol;
  • Tricyclic antidepressants including Elavil ;
  • Migraine medications called triptans including Sumatriptan or Rizatriptan ;
  • NSAIDs or non-steroidal anti-inflammatories like Ibuprofen or Naproxen Sodium;
  • Caffeine;or combination;medications containing caffeine including the prescriptions;Cafergot; and;Fioricet; as well as over-the-counter combination medicines like;Excedrin Migraine ;

Medication overuse headaches are typically the result of using headache relief medications like the above for longer than 10 days. Treatment usually involved tapering the medication until it is discontinued, at which point the rebound headaches subside, and the normal headache pattern returns.;;

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Causes Of Hormonal Headaches

Headaches, especially migraine headaches, have been linked to the female hormone estrogen. Estrogen controls chemicals in the brain that affect the sensation of pain. A drop in estrogen levels can trigger a headache. Hormone levels change for a variety of reasons, including:

Menstrual cycle: Levels of estrogen and progesterone fall to their lowest levels just prior to menstruation.

Pregnancy: Estrogen levels rise in pregnancy. For many women, hormonal headaches go away during pregnancy. However, some women experience their first migraines during early pregnancy and then find relief after the first trimester. After giving birth, estrogen levels fall rapidly.

Perimenopause and menopause: Fluctuating hormone levels in perimenopause cause some women to have more headaches. Approximately two-thirds of women who experience migraines say their symptoms improve as they reach menopause. For some, migraines actually worsen. This may be due to the use of hormone replacement therapies.

Oral contraceptives and hormone replacement therapy: Birth control pills and hormone replacement therapy can cause hormone levels to rise and fall. Women whose migraines come as a result of hormonal changes while on the pill typically have migraine attacks during the last week of the cycle, when the pills do not have hormones.

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