Who Gets Migraines What Are The Risk Factors
Its difficult to predict who may get a migraine and who may not, but there are risk factors that may make you more vulnerable. These risk factors include:
- Genetics: Up to 80% of people who get migraine headaches have a first-degree relative with the disease.
- Gender. Migraine headaches happen to women more than men, especially women between the ages of 15 and 55. Its likely more common in women because of the influence of hormones.
- Stress level. You may get migraines more often if youre high-stress. Stress can trigger a migraine.
When To Get Medical Advice
You should see a GP if you have frequent or severe migraine symptoms.
Simple painkillers, such as paracetamol or ibuprofen, can be effective for migraine.
Try not to use the maximum dosage of painkillers on a regular or frequent basis as this could make it harder to treat headaches over time.
You should also make an appointment to see a GP if you have frequent migraines , even if they can be controlled with medicines, as you may benefit from preventative treatment.
You should call 999 for an ambulance immediately if you or someone you’re with experiences:
- paralysis or weakness in 1 or both arms or 1 side of the face
- slurred or garbled speech
- a sudden agonising headache resulting in a severe pain unlike anything experienced before
- headache along with a high temperature , stiff neck, mental confusion, seizures, double vision and a rash
New Daily Persistent Headache
If you suddenly get frequent headaches, you may have NDPH. The symptoms of NDPH can mimic tension headaches or migraines, but NDPH occurs in people who dont have a history of headaches. Often, people with NDPH can remember exactly when the onset happened. Your doctor may need to run tests to make sure these headaches arent secondary that is, a symptom of a serious underlying condition.
Although daily headaches might not be the result of a dangerous problem, they can affect your quality of life and shouldnt be considered normal.
Progressive symptoms of more severe or frequent headaches, or any headache that is also associated with other neurological symptoms, should be evaluated by a physician, says Jonathan J. Russin, MD, a neurosurgeon at Keck Medicine of USC and assistant professor of clinical neurological surgery at the Keck School of Medicine of USC. Even using these criteria, the majority of headaches will not represent an underlying problem. An exception is a thunderclap headache, which refers to the sudden onset of the worst headache of your life. This type of headache should always be evaluated by a physician whether it is associated with other symptoms or not.
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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 youve 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 youre experiencing new or different side effects.
Sleep Loss And Insomnia
Because sleep deprivation is a common cause of morning headaches, people with insomnia also have a high risk of experiencing morning headaches. People with this sleep disorder struggle to fall asleep or to stay asleep. As a result, they often do not get sufficient sleep and may feel unrested or sluggish during the day.
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What May Cause Headache And Fatigue
Fatigue and headache are shared symptoms of many conditions. Not all of these conditions are considered serious. However, some may require lifestyle changes or ongoing treatment.
As you consider the reasons why you may be experiencing headache and fatigue, make sure to think about your lifestyle, including your sleeping patterns, diet, and any medications youre currently taking.
Here are 16 conditions and other factors that could cause both headache and fatigue:
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.
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Light Noise Or Smells Trigger Or Worsen Pain
In the throes of a migraine attack, the migraine sufferer tends to seek refuge in a dark, quiet place. Bright lights and loud noises can trigger a migraine or intensify the pain. The same is true of certain odors.
“Once you’ve already got a migraine, smells can seem more intense and make it worse,” Dr. Calhoun says. “But a smell can also trigger a migraine in someone who didn’t have one before walked past the perfume counter.”
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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What Can I Do To Prevent Migraines
One of the best ways to prevent migraines is to try to avoid the things that might trigger your attacks. Most people benefit from trying to get stable sleep, eating regular meals, drinking plenty of fluids to keep hydrated, and trying to manage stress. Taking regular exercise may also help prevent migraines since it helps with breathing, improving blood sugar balance and maintaining general wellbeing. Although you should take care not to engage in very strenuous activity that your body is not used to as this can sometimes act as a migraine trigger.
Keeping a diary of your migraines can be a useful way to record when and where you experience attacks, check for any patterns, and try to identify your triggers. Take the diary when you see your GP so you can communicate your symptoms with them and they can find the best way to help you.
Headaches All The Time
Everyone has had a headache at one time or another. Some can experience a headache in the middle of your forehead or on both sides at the same time, or they can start at one point and travel to another side of your head providing you with a pounding pain or a dull ache. You can have a headache for several days or for less than an hour. Fortunately, there are many ways to handle having a headache that don’t require any major medical assistance. Some may ask: what if I have headaches all the time
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Treatment Of Migraine With Aura
A comprehensive treatment plan is required for migraine with aura to help take control and reduce your attacks.
Reducing migraine is especially important for migraine with aura due to the potential risks from frequent and severe auras over an extended period of time. Studies have shown an association between migraine with aura and stroke. If you experience migraine with aura and take oral contraceptives your risk may be even higher. This is something to speak to your doctor or specialist about.
Unfortunately good treatment results can be difficult to achieve in severe cases of migraine. Migraine globally is undertreated and poorly managed.
Rarely does a miracle solution present itself as a miracle pill or cure. More often it is the result of an educated partnership between patient and doctor which results in a comprehensive evaluation and adjustment of behavioral, dietary and lifestyle factors which are supported where appropriate with acute and preventative treatments.
Let me know your aura symptoms in the comments below.
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What About Ocular Optical & Ophthalmic Migraine
You might have heard about ocular migraine, optical migraine or even ophthalmic migraine. These are terms which may be used to describe your migraine condition by others but they are not formally recognized migraine classifications by the International Headache Society or the International Classification of Headache Disorders.
Often these are terms used by individuals or doctors who are not aware of the ICHD classifications . The terms are essentially translated to eye or eye-related migraines which isnt a particularly helpful diagnosis. The reality is many general doctors may not aware of the globally recognized standard of migraine classifications.
There is no classification for ocular, optical or ophthalmic migraine under the current ICHD-3. When someone claims they have an ocular, optical or ophthalmic migraine, then sees a qualified doctor to get an official ICHD diagnosis it is likely to fall into one of the four types of migraine with aura discussed above.
Which type of migraine with aura will depend on the symptoms experienced and diagnosis from your doctor. Below is a symptom & classification table to help you get a headstart.
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How Is Chronic Migraine Treated
Treatment of chronic migraine is focused on managing lifestyle choices and headache triggers, managing migraine attacks and providing preventive treatments to reduce migraine attacks.
Lifestyle changes include:
- Beginning treatment for any existing mood disorder or sleep problem.
The typical treatment plan for managing migraine attacks includes:
- Treating migraine attacks early when pain in mild begin with a simple pain killer and slowly increase the dose as needed to the max tolerated dose, unless the headache is severe at the start or will become severe. In such cases add a triptan to the above medication to improve efficacy. Avoid use of opiates if possible. Your doctor will devise a treatment plan to avoid worsening chronic headache by overusing medications.
- Treat associated side effects, such as nausea.
- Consider other treatment techniques, including transcranial magnetic stimulation and transcutaneous supraorbital nerve stimulation.
Preventive treatment is aimed at reducing the number of headaches. Preventive treatments include:
- Beta blockers, such as propranolol , atenolol and metoprolol
- Angiotensin blockers, such as candesartan
- Tricyclic antidepressants, such as nortriptyline , amitriptyline
- Anticonvulsants, such as topiramate , sodium valproate
- Calcitonin gene-related peptide , such as galcanezumab , fremanezumab , erenumab
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
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The American Migraine Foundations Guide To Triggers & How To Manage Them
The sudden onset of migraine means a dark room, bed, and a cool towel for most of us. While these seem to come out of nowhere, many will find that there are usually some signs that a migraine attack is on its way. These signs can reveal a pattern in your symptoms, and even provide you with preventative tools for managing migraine. Everyone has different triggers, but there are a few common culprits that affect a large number of people living with migraine. When you can identify your triggers, you are one step closer to effectively managing your migraine and avoiding future attacks.
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
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What Are The Symptoms Of A Migraine
Individual migraines are moderate to severe in intensity, often characterized by a throbbing or pounding feeling. Although they are frequently one-sided, they may occur anywhere on the head, neck and face or all over. At their worst, they are typically associated with sensitivity to light, noise and/or smells. Nausea is one of the most common symptoms and it worsens with activity, which often results in patient disability. In many respects, migraines are much like alcohol-related hangovers.
Migraine pain can be felt in the face, where it may be mistaken for sinus headache or in the neck, where it may be mistaken for arthritis or muscle spasm. Complicating the diagnosis of migraine is that the headaches may be accompanied by other “sinus like” symptoms, including watering eyes, nasal congestion and a sense of facial pressure. Most patients who think they have sinus headache in fact have migraines.
In up to 25 percent of patients, the migraine headache pain may be preceded by an aura, a temporary neurological syndrome that slowly progresses and then typically resolves just as the pain begins. While the most common type of migraine aura involves visual disturbances , many people experience numbness, confusion, trouble speaking, vertigo and other strokelike neurological symptoms. Some patients may experience auras without headaches.
Learn More About Each Stage Of A Migraine:
One or two days before a migraine, you might notice subtle changes that warn of an upcoming migraine, including constipation, mood changes from depression to euphoria, food cravings, neck stiffness, increased thirst and urination or frequent yawning.
For some people, aura might occur before or during migraines. Auras are reversible symptoms of the nervous system. They’re usually visual, but they also can include other disturbances. Each symptom usually begins gradually, builds up over several minutes and lasts 20 minutes to one hour.
Examples of auras include:
- Visual phenomena, such as seeing various shapes, bright spots or flashes of light
- Vision loss
- “Pins-and-needles” sensations in an arm or leg
- Weakness or numbness in the face, or one side of the body
- Difficulty speaking
- Uncontrollable jerking or other movements
A migraine usually lasts from four to 72 hours if untreated, and the frequency varies by the person. Migraines might occur rarely or strike several times a month.
During a migraine, you might have:
- Pain, usually on one side of your head, but often on both sides
- Pain that throbs or pulses
- Sensitivity to light, sound, and sometimes smell and touch
- Nausea and vomiting
After a migraine attack, you might feel drained, confused and washed out for up to a day. Some people report feeling elated. Sudden head movement might bring on pain again briefly.
Learn more about headaches:
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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.