What is Migraine Headache ? Ebooks Download

Definition

A migraine is a common type of headache that may occur with symptoms such as nausea, vomiting, or sensitivity to light. In many people, a throbbing pain is felt only on one side of the head.

Some people who get migraines have warning symptoms, called an aura, before the actual headache begins. An aura is a group of symptoms, usually vision disturbances, that serve as a warning sign that a bad headache is coming. Most people, however, do not have such warning signs.

Symptoms

Vision disturbances, or aura, are considered a "warning sign" that a migraine is coming. The aura occurs in both eyes and may involve any or all of the following:

A temporary blind spot

Blurred vision

Eye pain

Seeing stars or zigzag lines

Tunnel vision

Not every person with migraines has an aura. Those who do usually develop one about 10 - 15 minutes before the headache. However, it may occur just a few minutes to 24 hours beforehand.

Migraine headaches can be dull or severe. The pain may be felt behind the eye or in the back of the head and neck. For many patients, the headaches start on the same side each time. The headaches usually:

Feel throbbing, pounding, or pulsating

Are worse on one side of the head

Start as a dull ache and get worse within minutes to hours

Last 6 to 48 hours

Other symptoms that may occur with the headache include:

Chills

Increased urination

Fatigue

Loss of appetite

Nausea and vomiting

Numbness, tingling, or weakness

Problems concentrating, trouble finding words

Sensitivity to light or sound

Sweating

Symptoms that may linger even after the migraine has gone away include:

Feeling mentally dull, like your thinking is not clear or sharp

Increased need for sleep

Neck pain

Causes & Risk Factors

A lot of people get migraines -- about 11 out of 100. The headaches tend to first appear between the ages of 10 and 46. Occasionally, migraines may occur later in life in a person with no history of such headaches. Migraines occur more often in women than men, and may run in families. Women may have fewer migraines when they are pregnant. Most women with such headaches have fewer attacks during the last two trimesters of pregnancy.

A migraine is caused by abnormal brain activity, which is triggered by stress, certain foods, environmental factors, or something else. However, the exact chain of events remains unclear.

Scientists used to believe that migraines were due to changes in blood vessels within the brain. Today, most medical experts believe the attack actually begins in the brain itself, where it involves various nerve pathways and chemicals. The changes affect blood flow in the brain and surrounding tissues.

Migraine attacks may be triggered by:

Alcohol

Allergic reactions

Bright lights

Certain odors or perfumes

Changes in hormone levels (which can occur during a woman's menstrual cycle or with the use of birth control pills)

Changes in sleep patterns

Exercise

Loud noises

Missed meals

Physical or emotional stress

Smoking or exposure to smoke

Certain foods and preservatives in foods may trigger migraines in some people. Food-related triggers may include:

Any processed, fermented, pickled, or marinated foods

Baked goods

Chocolate

Dairy products

Foods containing monosodium glutamate (MSG)

Foods containing tyramine, which includes red wine, aged cheese, smoked fish, chicken livers, figs, and certain beans

Fruits (avocado, banana, citrus fruit)

Meats containing nitrates (bacon, hot dogs, salami, cured meats)

Nuts

Onions

Peanut butter

This list may not be all-inclusive.
True migraine headaches are not a result of a brain tumor or other serious medical problem. However, only an experienced health care provider can determine whether your symptoms are due to a migraine or another condition.

Tests & Diagnostics

Your doctor can diagnose this type of headache by asking questions about your symptoms and family history of migraines, and by monitoring how you respond to treatment. A complete physical exam will be done to make sure that your headaches are not due to muscle tension, sinus problems, or a more serious underlying brain disorder.

Tests are usually not needed if you have typical signs and symptoms of migraines. However, your doctor may order a brain MRI or CT scan to rule out other causes.

If you have a migraine with unusual symptoms such as weakness, memory problems, or loss of alertness, an EEG may be needed to rule out seizures. Rarely, a lumbar puncture (spinal tap) might be done.

reatments

There is no specific cure for migraine headaches. The goal is to prevent symptoms by avoiding or changing your triggers.

A good way to identify triggers is to keep a headache diary. Write down:

When your headaches occur

How severe they are

What you've eaten

How much sleep you had

Other symptoms

Other possible factors (women should note where they are in their menstrual cycle)

For example, the diary may reveal that your headaches tend to occur more often on days when you wake up earlier than usual. Changing your sleep schedule may result in fewer migraine attacks.

When you do get migraine symptoms, try to treat them right away. The headache may be less severe. When migraine symptoms begin:

Drink water to avoid dehydration, especially if you have vomited

Rest in a quiet, darkened room

Place a cool cloth on your head

Many different medications are available for people with migraines. Medicines are used to:

Reduce the number of attacks

Stop the migraine once early symptoms occur

Treat the pain and other symptoms

REDUCING ATTACKS
If you have frequent migraines, your doctor may prescribe medicine to reduce the number of attacks. Such medicine needs to be taken every day in order to be effective. Such medications may include:

Antidepressants such as amitriptyline

Blood pressure medicines such as beta blockers (propanolol) or calcium channel blockers (verapamil)

Seizure medication such as valproic acid and topiramate

Serotonin reuptake inhibitors (SSRIs) such as venlafaxine

STOPPING AN ATTACK
Other medicines are taken at the first sign of a migraine attack. Over-the-counter pain medications such as acetaminophen, ibuprofen, or aspirin are often helpful, especially when your migraine is mild. (Be aware, however, that overuse or misuse of such pain medications may result in rebound headaches.) If these don't help, ask your doctor about prescription medications.

Your doctor can select from several different types of medications, including:

Triptans -- the most frequently prescribed medicines for stopping migraine attacks -- such as almotriptan (Axert), frovatriptan (Frova), rizatriptan (Maxalt), sumatriptan (Imitrex), and zolmitriptan (Zomig)

Ergots such as dihydroergotamine or ergotamine with caffeine (Cafergot)

Isometheptene (Midrin)

These medications come in different forms. Patients who have nausea and vomiting with their migraines may be prescribed a nasal spray or injection instead of pills.

Some migraine medicines narrow your blood vessels and should not be used if you are at risk for heart attacks or have heart disease, unless otherwise instructed by your health care provider. Ergots should not be taken if you are pregnant or planning to become pregnant, because they can cause serious side effects to an unborn baby.

TREATING SYMPTOMS
Other medications are primarily given to treat the symptoms of migraine. Used alone or in combinations, these drugs can reduce your pain, nausea, or emotional distress. Medications in this group include:

Nausea medicines such as prochlorperazine

Over-the-counter pain relievers such as acetaminophen (Tylenol)

Sedatives such as butalbital

Narcotic pain relievers such as meperidine

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen

If you wish to consider an alternative, feverfew is a popular herb for migraines. Several studies, but not all, support using feverfew for treating migraines. If you are interested in trying feverfew, make sure your doctor approves. Also, know that herbal remedies sold in drugstores and health food stores are not regulated. Work with a trained herbalist when selecting herbs.

Complications

Migraine headaches generally represent no significant threat to your overall health. However, they can be a long-term (chronic) problem and may interfere with your day-to-day life.

Prevention

Understanding your headache triggers can help you avoid foods and situations that cause your migraines. Keep a headache diary to help identify the source or trigger of your symptoms. Then modify your environment or habits to avoid future headaches.
Other tips for preventing migraines include: