Whats A Migraine Journal
- Keeping a migraine journal is not only beneficial to you, but it helps your healthcare provider with the diagnosis process. Your journal should be detailed and updated as much as possible before, during and after a migraine attack. Consider keeping track of the following:
- The date and time of when the migraine began specifically when the prodrome started, if youre able to tell its happening. Track time passing. When did the aura phase begin? The headache? The postdrome? Do your best to tell what stage youre in and how long it lasts. If theres a pattern, that may help you anticipate what will happen in the future.
- What are your symptoms? Be specific.
- Note how many hours of sleep you got the night before it happened and your stress level. Whats causing your stress?
- Note the weather.
- Log your food and water intake. Did you eat something that triggered the migraine? Did you miss a meal?
- Describe the type of pain and rate it on a one to 10 scale with 10 being the worst pain youve ever experienced.
- Where is the pain located? One side of your head? Your jaw? Your eye?
- List all of the medications you took. This includes any daily prescriptions, any supplements and any pain medication you took.
- How did you try to treat your migraine, and did it work? What medicine did you take, at what dosage, at what time?
- Consider other triggers. Maybe you played basketball in the sunlight? Maybe you watched a movie that had flashing lights? If youre a woman, are you on your period?
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.
Syndromes That May Be Associated With Migraine
Certain disorders occur more frequently among people with migraine or people, usually children, at a higher risk of developing migraine:
Cyclical Vomiting Syndrome In cyclical vomiting syndrome, an individual experiences attacks of severe nausea and vomiting lasting an hour or more for up to 10 days at a time. Between attacks, which occur on a regular cycle, the person has no symptoms of nausea or vomiting.
Benign Paroxysmal Vertigo In this syndrome, otherwise healthy children experience recurrent brief attacks of vertigo that come on without warning and resolve spontaneously without loss of consciousness. During the attacks, a child may have nystagmus , impaired balance or coordination , vomiting, pale skin, and fearfulness.
Benign Paroxysmal Torticollis Occurring in infants and small children, this syndrome causes the head to tilt to one side, with or without slight rotation, and stay tilted for minutes to days before spontaneously resuming its normal position. During the attack, the infant or child may be pale and irritable, seem uncomfortable or generally unwell, vomit, or in older children, have impaired balance or coordination.
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What Happens During A Migraine
Every migraine begins differently. Sometimes people get a warning that a migraine is on its way. A few hours or even days before the actual headache, people might feel funny or “not right. They might crave different foods, or feel thirsty, irritable, tired, or even full of energy. This is called a “premonition.”
Some people get auras. These are neurological symptoms that start just before the headache and last up to an hour. An aura is different in every person, but it often affects vision. For example, a person might:
- have blurred vision
- see spots, colored balls, jagged lines, or bright flashing lights
- smell a certain odor
- feel tingling in a part of their face
Once the headache starts, light, smell, or sound may bother people with migraines or make them feel worse. Sometimes, if they try to continue with their usual routine, they may become nauseated and vomit. Often the pain begins only on one side of the head, but it might eventually affect both sides. Trying to do physical activities can make the pain worse.
Most migraines last from 30 minutes to several hours some can last a couple of days.
Can You Prevent Complex Migraine
If you can link your migraine to environmental triggers like the smell of cigarette smoke or drinking red wine you can usually avoid these to prevent complex migraine. Stress may be more difficult to avoid, but not impossible.
To treat complex migraine, doctors may also prescribe medications that may help brain chemistry. You may need to try different treatments or combinations of treatments before you find one that may help reduce migraine days.
Examples of preventive treatments may include:
- antiseizure medications
- calcium channel blockers
If you rarely have migraine, doctors dont usually recommend the above treatments. Preventive medications are usually reserved for people who have migraine days frequently, which interfere with their daily activities.
Researchers have detected changes in three genes that may cause hemiplegic migraine or those that lead to weakness on one side if your body. Specifically, these genes are:
These genes help with nerve cell function in your brain. However, doctors havent defined how changes in these genes lead to migraine.
If you have a family history of complex migraine, youre more at risk of developing this type.
NORD defines the inheritance pattern as a 50 percent risk that a parent will pass the gene on to a child with each pregnancy.
However, many people with complex migraine dont have a family member with this migraine type.
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Migraine In Other Inherited Disorders
Migraine occurs with increased frequency in patients with mitochondrial disorders, such as MELAS . CADASIL is a genetic disorder that causes migraine with aura, strokes before the age of 60, progressive cognitive dysfunction, and behavioral changes.
CADASIL is inherited in an autosomal dominant fashion, and most patients with the disorder have an affected parent. Approximately 90% of cases result from mutations of the < INOTCH3< I> gene, located on chromosome 19. Patients with CADASIL have significant morbidity from their ailment, and life expectancy is approximately 68 years.
Migraine is also a common symptom in other genetic vasculopathies, including 2 autosomal dominant disorders: RVCL , which is caused by mutations in the TREX1 gene, and HIHRATL , which is suggested to be caused by mutations in the COL4A1 gene. The mechanisms by which these genetic vasculopathies give rise to migraine are still unclear.
What Treatments Are There For Migraine
There are two primary types of treatments for migraine: acute and preventive treatment. There is acute medication patients use during an attack to relieve pain and to stop the migraine from progressing. Preventive treatment, on the other hand, aims to reduce the frequency, severity, and length of attacks.
Acute treatments are taken when you are experiencing an attack and are designed to stop it before it gets worse. These include over-the-counter pain relievers, prescription medications, or devices that stop the pain.
Preventive treatments are designed to reduce the frequency, severity, and duration of attacks before they occur. These treatment options can be medical, such as medications or procedures, and non-medical, such as devices, lifestyle changes, trigger avoidance, behavioral therapy, or physical therapy.
Research has shown that behavioral treatment, such as stress management and biofeedback, can help reduce attack frequency and severity. Behavioral treatment is an important tool for managing the disease and can even work alongside other treatments to help patients achieve their treatment goals.
The American Migraine Foundation is committed to improving the lives of those living with this debilitating disease. For more of the latest news and information on migraine, visit the AMF Resource Library. For help finding a healthcare provider, check out our Find a Doctor tool. Together, we are as relentless as migraine.
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Treating Nausea And Preventing Vomiting
If you have nausea without vomiting, your doctor may suggest medication to ease nausea called anti-nausea or antiemetic drugs. In this case, the antiemetic can help prevent vomiting and improve the nausea.
Acupressure may also be helpful in treating migraine nausea. A showed that acupressure reduced the intensity of migraine-associated nausea starting as soon as 30 minutes, gaining improvement over 4 hours.
Economic Impact Of Migraine
The economic cost resulting from migraine-related loss of productive time in the US workforce is more than $13 billion per year, most of which is in the form of reduced work productivity. In the American Migraine Study, more than 85% of women and 82% of men with severe migraine had some headache-related disability. Migraineur men required 3.8 bed-rest days per year, whereas women required 5.6 bed-rest days per year.
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Types Of Headaches: Causes & How To Get Rid Of Them
There are different ways to headache malayalam meaning as primary, when they are not caused by another
headache definition and synonyms | Macmillan Dictionary
Informal Something, such as a problem, that causes annoyance or trouble. headachy adj. American Heritage® Dictionary of the English Language,
Bipoc Communities And Migraine
The prevalence of migraine among Black, Indigenous, and People of Color in the United States has not been well studied.
Of course, the prevalence of a disease doesnt tell the whole story. A paper in the Journal of the National Medical Association looked into the experience of headache among Black Americans and found that compared with white people with headache, African American headache patients are more likely to be diagnosed with comorbid depressive disorders report headaches that are more frequent and severe in nature have their headaches underdiagnosed and/or undertreated and discontinue treatment prematurely, regardless of socioeconomic status.
- Only 47 percent of Black individuals with headaches have an official headache diagnosis, compared with 70 percent of white individuals.
- Latinos with headaches are 50 percent less likely to receive a migraine diagnosis than white individuals.
- Only 14 percent of Black patients with headache receive prescriptions for acute migraine medications, compared with 37 percent of white patients with headache.
Dr. Kiarashi also noted that BIPOC communities were underrepresented in migraine and headache research, based on the sample of studies on headache and migraine that her team reviewed.
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Migraine Treatment And Home Remedies
There’s no cure for migraine headaches. But many drugs can treat or even prevent them. Common migraine treatments include:
You may ease migraine symptoms by:
- Resting with your eyes closed in a dark, quiet room
- Putting a cool compress or ice pack on your forehead
- Drinking plenty of liquids
Complementary and alternative treatments
Some people get relief with therapies they use in addition to or instead of traditional medical treatment. These are called complementary or alternative treatments. For migraine, they include:
- Biofeedback. This helps you take note of stressful situations that could trigger symptoms. If the headache begins slowly, biofeedback can stop the attack before it becomes full-blown.
- Cognitive behavioral therapy . A specialist can teach you how actions and thoughts affect how you sense pain.
- Supplements. Research has found that some vitamins, minerals, and herbs can prevent or treat migraines. These include riboflavin, coenzyme Q10, and melatonin. Butterbur may head off migraines, but it can also affect your liver enzymes.
- Body work. Physical treatments like chiropractic, massage, acupressure, acupuncture, and craniosacral therapy might ease headache symptoms.
Talk to your doctor before trying any complementary or alternative treatments.
What Does An Attack Look Like
There are four distinct phases of a migraine attack: prodrome, aura, headache, postdrome. You dont have to experience all the phases. In fact, only about 20% of people with migraine have an aura. Understanding the phases can help you manage the disease better.
The prodrome and aura phases usually occur before the headache develops. Prodrome may precede the migraine attack by several hours or even days. Typical prodrome symptoms include extreme tiredness and yawning, irritability or moodiness, difficulty concentrating, and food cravings. About 75% of people with migraine experience a prodromebut often they dont recognize it as the beginning of an attack. Aura is rarer and usually begins just before the headache starts. Most people experience changes in their vision, while others notice tingling, numbness or trouble speaking.
These symptoms can serve as a warning sign and allow you to take acute medication before the headache begins. Identifying and treating a migraine early can even help prevent further symptoms in some people.
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Migraine Characteristics And Treatment
Migraine is characterized most often by unilateral head pain that is moderate to severe, throbbing, and aggravated by activity. It may also be associated with various visual or sensory symptoms, which occur most often before the headache component but which may occur during or after the headache these are collectively known as an aura. Most commonly, the aura consists of visual manifestations, such as scotomas, photophobia, or visual scintillations .
The head pain may also be associated with weakness. This form of migraine is termed hemiplegic migraine.
In practice, however, migraine headaches may be unilateral or bilateral and may occur with or without an aura. In the current International Headache Society categorization, the headache previously described as classic migraine is now known as migraine with aura, and the headache that was described as common migraine is now termed migraine without aura. Migraines without aura are the most common, accounting for more than 80% of all migraines.
The diagnosis of migraine is clinical in nature, based on criteria established by the International Headache Society. A full neurologic examination should be performed during the first visit, to exclude other disorders the findings are usually normal in patients with migraine. Neuroimaging is not necessary in a typical case, but other diagnostic investigations may be indicated to guide management.
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.
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> > > Eliminating Migraines And Headaches Forever
Other symptoms of migraines are dizziness and slurred speech. You might also feel like you might pass out. You might also experience sensitivity to light and sound. If you start feeling these symptoms for the first time, then you should definitely go home and get some light and sound blockers to prevent them from happening.
Many migraine sufferers also experience changes in vision. If you have these symptoms along with nausea or vomiting, then you definitely need to visit a doctor and get tested for glaucoma. Glaucoma is sometimes referred to as the little black book because it causes vision changes in the eye. These vision changes could be anywhere from halos and blind spots to tunnel vision.
What Are Rebound Migraines
Women who use acute pain-relief medicine more than two or three times a week or more than 10 days out of the month can set off a cycle called rebound. As each dose of medicine wears off, the pain comes back, leading the patient to take even more. This overuse causes your medicine to stop helping your pain and actually start causing headaches. Rebound headaches can occur with both over-the-counter and prescription pain-relief medicines. They can also occur whether you take them for headache or for another type of pain. Talk to your doctor if you’re caught in a rebound cycle.
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Alternative And Complementary Therapies
In addition to medications, lifestyle changes can help you avoid certain triggers, potentially preventing some migraine attacks. Practicing relaxation exercises, such as yoga and meditation, may ease migraine pain.
While the evidence isnt definitive, some people with migraine have found that home remedies and alternative therapies such as acupuncture and biofeedback are effective. Consult with your healthcare provider to find an approach that works for you.
According to MedlinePlus, you should see your doctor if there are changes in your headache pattern, if treatments youve been using stop working, if your headaches are more severe when youre lying down, or if you have bothersome side effects from your medication.
You should call 911 if you have problems with speech, vision, movement, paralysis, or loss of balance, particularly if youve never had these symptoms before with a migraine. If your headache starts suddenly, it may be an emergency.