All about Migraine – Its Type, Causes, symptoms and Prevention

Migraine

What Is Migraine ?

A migraine is a type of headache that causes intense, throbbing pain, usually on one side of the head. It is often accompanied by symptoms like nausea, vomiting, and sensitivity to light and sound. Migraines can last for hours or even days and may be triggered by factors like stress, hormonal changes, certain foods, or lack of sleep. Some people experience warning signs, called aura, before a migraine starts, which may include visual disturbances or tingling sensations

Type of migraine ?

Migraines are classified into different types based on their symptoms and triggers. Here are the main types of migraines:

1. Migraine Without Aura (Common Migraine)

  • Most common type
  • Moderate to severe headache, usually on one side of the head
  • Nausea, vomiting, and sensitivity to light and sound
  • Can last 4 to 72 hours

2. Migraine With Aura (Classic Migraine)

  • Includes warning signs (aura) before the headache
  • Aura symptoms: flashing lights, blind spots, zigzag patterns, numbness, or tingling
  • Lasts 5–60 minutes before the headache starts

3. Chronic Migraine

  • Occurs more than 15 days per month for at least 3 months
  • Can be with or without aura
  • Often linked to medication overuse

4. Vestibular Migraine

  • Affects balance and causes dizziness
  • May or may not have a headache
  • Symptoms include vertigo, nausea, and sensitivity to motion

5. Hemiplegic Migraine

  • Causes temporary paralysis or weakness on one side of the body
  • Can include aura symptoms like vision problems or confusion
  • Rare but can be severe

6. Retinal (Ocular) Migraine

  • Temporary vision loss or blindness in one eye
  • Lasts from minutes to an hour, followed by a headache
  • Needs immediate medical attention

7. Menstrual Migraine

  • Linked to hormonal changes before or during menstruation
  • Usually occurs without aura
  • Can be more severe and last longer than regular migraines

8. Silent (Acephalgic) Migraine

  • Aura symptoms without a headache
  • Can cause visual disturbances, dizziness, or confusion
  • Often mistaken for other neurological conditions

9. Abdominal Migraine

  • Common in children
  • Causes stomach pain, nausea, and vomiting instead of a headache
  • May develop into classic migraines later in life

10. Ophthalmoplegic Migraine (Rare Type)

  • Affects eye muscles, causing drooping eyelids and double vision
  • Can last for days or weeks
  • Needs medical evaluation

Causes / trigger Of Migraines ?

Migraines can be caused by a combination of genetic, environmental, and lifestyle factors. The exact cause is not fully understood, Migraine triggers can vary from person to person, but common triggers include:

  1. Food and Drink:
    • Caffeine (too much or withdrawal)
    • Alcohol (especially red wine)
    • Aged cheeses
    • Processed meats (e.g., hot dogs, bacon)
    • Chocolate
    • Foods with high MSG or nitrates
  2. Environmental Factors:
    • Bright lights or glare
    • Strong smells (perfumes, smoke, chemicals)
    • Loud noises
    • Changes in weather or air pressure
    • Strong odors
  3. Physical Factors:
    • Too much or too little sleep.
    • Lack of sleep or poor sleep quality.
    • Skipping meals or dehydration
    • Overexertion or excessive physical activity
    • Stress or emotional tension
    • Hormonal changes (especially in women)
  4. Medications:
    • Some pain relievers (if overused) can lead to rebound headaches.
    • Some medications, like oral contraceptives or vasodilators, can trigger migraines.
  5. Changes in Routine:
    • Missing meals, changes in sleep schedule, or altered activity levels can also bring on a migraine.

What are the symptoms of a migraine?

Migraine symptoms can vary from person to person, but they generally occur in four stages: Prodrome, Aura, Attack, and Postdrome. Not everyone experiences all stages.

1. Prodrome (Warning Signs – 1-2 Days Before a Migraine)

  • Mood changes (irritability, depression, or euphoria)
  • Food cravings
  • Fatigue or trouble sleeping
  • Frequent yawning
  • Neck stiffness
  • Increased thirst and urination

2. Aura (Occurs in Some People Before or During a Migraine)

  • Visual disturbances (flashing lights, zigzag lines, blind spots)
  • Tingling or numbness in the face, hands, or legs
  • Difficulty speaking or confusion
  • Weakness on one side of the body (in rare cases)

3. Attack Phase (Main Migraine Symptoms – Lasts 4 to 72 Hours)

  • Severe throbbing or pulsating headache, usually on one side of the head
  • Nausea and vomiting
  • Sensitivity to light, sound, and smells
  • Worsening pain with physical activity

4. Postdrome (Aftermath – Lasts a Few Hours to a Day)

  • Feeling drained or exhausted
  • Confusion or difficulty concentrating
  • Mild headache or sensitivity

How long do migraines last?

Migraines can last anywhere from a few hours to several days, depending on the severity and the individual.

Typical Duration of a Migraine Attack

🕒 4 to 72 hours (if untreated or not managed properly).

Duration by Stages

1️⃣ Prodrome (Warning Signs) – Can start hours or even 1-2 days before the actual headache.
2️⃣ Aura (If Present) – Lasts 5 minutes to 1 hour before the headache begins.
3️⃣ Attack Phase (Main Headache Pain) – Lasts 4 to 72 hours.
4️⃣ Postdrome (Recovery Phase) – Lasts a few hours to a day, with lingering fatigue or confusion.

Factors Affecting Duration

  • Treatment Timing – Taking medication early can shorten the attack.
  • Triggers – Stress, dehydration, or poor sleep can prolong migraines.
  • Type of Migraine – Chronic migraines last longer and occur more frequently.

How to Prevent Migraines ?

Preventing migraines involves lifestyle changes, avoiding triggers, and sometimes medication. Here are the best ways to reduce the frequency and intensity of migraines:

1. Maintain a Healthy Lifestyle

Follow a Consistent Sleep Routine – Sleep and wake up at the same time every day. Avoid oversleeping and sleep deprivation.
Stay Hydrated – Drink at least 2-3 liters of water daily. Dehydration is a common migraine trigger.
Exercise Regularly – Engage in light activities like walking, yoga, or swimming. Avoid intense workouts if they trigger migraines.
Manage Stress – Practice meditation, deep breathing, and relaxation techniques.
Limit Screen Time – Reduce exposure to bright screens and take breaks to prevent eye strain.

2. Watch Your Diet

Avoid Common Food Triggers – Processed meats, aged cheese, chocolate, caffeine, alcohol, artificial sweeteners, and MSG.
Eat Balanced Meals – Don’t skip meals, as hunger and low blood sugar can trigger migraines.
Control Caffeine Intake – Too much or sudden withdrawal from caffeine can trigger migraines.

3. Identify and Avoid Triggers

Keep a Migraine Diary – Track food, sleep, stress, and environmental changes to identify triggers.
Avoid Strong Smells and Bright Lights – Perfume, smoke, and flashing lights can trigger migraines.
Be Aware of Weather Changes – Sudden temperature or humidity changes may trigger attacks.

4. Use Preventive Medications (If Needed)

💊 Doctors may prescribe preventive medications if you have frequent migraines. These include:

  • Beta-blockers (e.g., propranolol)
  • Antidepressants (e.g., amitriptyline)
  • Anti-seizure medications (e.g., topiramate)
  • Botox injections (for chronic migraines)

5. Try Natural Remedies

🌿 Magnesium Supplements – May help reduce migraine frequency.
🌿 Riboflavin (Vitamin B2) – Found in dairy, eggs, and leafy greens, it may help prevent migraines.
🌿 Essential Oils – Lavender and peppermint oil can help relieve tension.

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