Migraine Symptoms: Stages, Triggers, Frequency & Prevention

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Jasmine Grover

Education Journalist | Study Abroad Lead

Migraine is classified as a neurological disorder and is characterized by pounding pain or a pulsing sensation on one portion of the skull. It is commonly accompanied by nausea, vomiting, and hypersensitivity to light and sound. Migraine attacks can last for days or hours, and the discomfort can be tough to deal with daily activities. Sometimes, a warning sensation known as an aura appears before or together with the headache. Auras can cause visual anomalies such as sparkles of light or blind spots and bodily symptoms such as itching on one side of the face, hand, or foot, and difficulty speaking. Certain headache drugs can help avoid migraines making them less painful.

Key Terms: Migraine, Headaches, Symptoms, Prodrome, Aura, Attack, Postdrome, Neurological Disorder, Nausea


Symptoms of Migraine

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It is frequently impossible to predict when a migraine may occur. However, because each strike has distinct stages, one can generally predict the sequence. These phases and their symptoms associated differentiate a migraine from a headache. However, not all will exhibit the problems associated with each phase, and the phases may overlap. A migraine attack may be split into 4 or 5 phases in grownups that progress one after another. Each phase might differ in length and severity.

Migraines may impact both kids and adults and have four stages: Prodrome, Aura, Attack, and Post-drome. Not all migraine sufferer passes through all of the phases.

Migraine

Migraine

Prodrome

Usually, if a person is going to go under migraines, some symptoms appear a day or two days before the attack will happen. These symptoms include

  • Mood swings
  • Cravings for meals or a loss of appetite
  • Sensitivity to light, sound, or scent
  • Cramping
  • Diarrhoea or constipation
  • Bloating
  • Fatigue
  • Extreme thirst

Read More: Human Diseases

Aura

These symptoms are caused by your neurological system and frequently affect your eyesight. They normally begin gradually, lasting 5 to 20 minutes, and last about an hour. Aura may include:

  • Feel a heaviness in your legs and arms
  • Any alterations in odour, flavour, or contact
  • Numbness or tingling solely on a single side of the body
  • Unable to effectively communicate
  • Becoming completely blind
  • Visualizing black dots, curved lines, bright flashes, or missing things (hallucinations)
  • Ringing in the ears
  • Limited vision

Attack

The migraine pain often begins as mild discomfort and then grows to become a throbbing agony. Doing physical exercise frequently makes it worse. Excessive physical activity has the chance of making the pain might migrate from one side of your head to the other, be in the front of your head, or impact your entire head. Approximately 80% of patients feel nausea, headaches, and roughly half vomit. You may also have pallor and clamminess, or you may faint.

Most migraines last four hours or less, while severe ones might last three days. A typical month consists of two to four headaches. Some people have migraines every few days, while on the other hand, many people get them just once or twice a year.

Postdrome

After a headache, this stage might persist for up to a day. Among the symptoms are:

  • Muscle aches or weakness
  • Feeling exhausted, drained, or irritable
  • Cravings for food or a loss of appetite
  • Feeling exceptionally energized or joyful

Read More: Nervous System Diseases


Causes of Migraine

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Headaches are a sign of migraine illness. Researchers don't know what causes migraine, but they appear to be linked to alterations in your brain and DNA. Migraine factors such as tiredness, harsh lights, or changing weather might be passed down from parents to children.

For several years, experts believed that alterations caused migraines in the blood supply in the brain. Most people now believe that while this can add to the discomfort, that is not its cause.

A migraine is considered to start when overactive neurons send out messages that trigger your trigeminal nerve, which gives you sensation in your face and head. This causes your body to create serotonin and calcitonin gene-related peptides (CGRP). CGRP makes the blood vessels in the membrane of the brain dilate. Neurotransmitters then cause inflammation and pain.

Read More: A Labelled Diagram of Neuron with Detailed description


Major Risk Factors of Migraine

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The major risk factors of migraine may include:

  • Age: Migraine often begins between the ages of 10 and 40. However, many women discover that their headaches improve or disappear around 50.
  • History of the Family: Four out of every five migraineurs have further migraineurs in their families. If a parent has had similar headaches in the past, their kid has a 50% risk of developing them. The chance increases to 75% in the case when both parents are prone to migraines.
  • Gender: It is estimated that women are more likely to get migraines than men.

Triggers of Migraine

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Many activities can trigger a migraine. Some of those triggers are as follows:

  • Headaches can be caused by either receiving too much or not getting enough caffeine. 
  • Changes in your sleeping habits. When you sleep too much or too little, you may have headaches.
  • In many women, hormone levels fluctuate. They get migraines during their menstruation, while being pregnant, or when they are ovulating. 
  • Tobacco is also a trigger of migraines in people who consume it daily.
  • Some packaged foods, such as stinky cheeses, wine, and ingredients such as nitrate and monosodium glutamate (MSG), can be blamed.
  • A migraine might be triggered by loud noises, flashing lights, or unpleasant odours.
  • Meal skipping can also trigger migraines.
  • A migraine can be triggered by weather changes like storm frontiers, pressure changes, severe winds, or variations in altitude.

Triggers of Migraine

Triggers of Migraine


Frequency of Migraine

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Migraine is classified into three categories of recurrence by doctors.

Episodic migraine occurs regularly. With high-frequency episodic migraine, you have eight to fourteen migraine days each month. This disease also increases your chances of developing chronic migraine.

Chronic migraine is defined as having headaches on much more than 15 days each month, with eight of those days having migraine symptoms such as

  • pain throbs or pulses
  • Sight and noise sensitivity.
  • On moving, the pain worsens.
  • Moderate to severe headache
  • Experiencing nausea or vomiting.
  • The pain is on the side of the head (one or both)

Prevention of Migraine

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To avoid symptoms, follow the steps mentioned below:

  • Recognize and prevent triggers. Keep a log of your problem trends to help you find out what's triggering them.
  • Control your tension. Calming practises such as yoga, meditation, and conscious breathing might be beneficial.
  • Consume regularly.
  • Drink plenty of water.
  • Get enough rest.
  • Regularly engage in moderate exercise.

Read More: Neural Control and Coordination


Things to Remember

  • A migraine is a severe headache accompanied by nausea, vomiting, and light sensitivity.
  • There are four stages of migraine: prodrome, aura, attack, and postdrome.
  • The actual cause of the migraine is not known yet, but according to researchers and doctors, migraines can be caused due to many reasons, including stress, less or more sleep, or are hereditary from the parents.
  • The most common type of migraines is the migraines with aura and the migraines without aura. The other types include menstrual migraine, silent migraine, vestibular migraine, abdominal migraine, hemiplegic, ophthalmic, and many others.
  • The frequency of migraine varies for all. A person can get around eight to fifteen migraines a month, whereas others can have only two or three migraines.

Sample Questions

Ques. Is Migraine Curable? (3 Marks)

Ans. Migraine presently has no therapy. On the other hand, drugs can help prevent or stop them and keep your symptoms from increasing. You can also avoid foods that aggravate your migraines. Changes in lifestyle such as reducing stress and good sleeping patterns can also assist.

Ques. Is Migraine Risky? (3 Marks)

Ans. The majority of migraines have no long-term repercussions. In rare cases, a condition called a migrainous infarction might occur. What happens when you have a migraine and have a stroke. However, there is no evidence that migraine causes strokes.

Ques. What is a hemiplegic migraine? (3 Marks)

Ans. A hemiplegic migraine is uncommon, although it can occasionally end in a coma or other catastrophic consequences. A strong headache that comes suddenly might signify a more dangerous condition, such as a stroke or aneurysm. If this sort of thing happens, get medical treatment right away.

Ques. When should you see a doctor? (3 Marks)

Ans. If your headache persists or worsens, see your doctor. If you have a migraine with a sore shoulder, nausea, diarrhoea, tingling or stiffness in your limbs, or trouble speaking, contact a doctor or go to the nearest hospital.

Ques. What are some home cures for migraine? (2 Marks)

Ans. Migraine symptoms can be reduced by performing the following: close your eyes and relax in a dark, quiet place, using a cold compress or an ice pack on your brow, drinking plenty of liquids.

Ques. What are the conditions that are caused by migraines? (5 Marks)

Ans. Men who suffer from migraines are more prone to heart attack or develop cardiovascular disease. Women who suffer from migraines are also more likely to have heart disease, especially when they have an aura. Migraines lead to an increase in the chances of experiencing unexpected hearing loss. That is a sudden, inexplicable loss of hearing over a few days. It's incredibly uncommon. 

People who suffer from severe headaches, on the other hand, have acute hearing loss twice as frequently as individuals who do not suffer from migraines. Other than heart diseases and hearing problems, stress, anxiety, and strokes are the other conditions caused by migraines.

Ques. What are the triggers of migraine? (3 Marks)

Ans. There are many triggers of migraine. Such triggers include

  • Menstruation cycle
  • Drinks and foods
  • Black spots in vision
  • Stress
  • Excessive exercise
  • More or less caffeine than average

Ques. How do triggers work? (3 Marks)

Ans. Something that gives you a migraine one day may not give you one the next. You are more likely to get a migraine if more than one of your triggers is present. The majority, however, are linked to some stress, whether it's:

  • Dehydration, sleep loss, and hormone imbalances are among the physical symptoms.
  • Emotional issues, such as anxiety.
  • Environmental changes, such as weather.

Ques. What are the different types of migraine? (5 Marks)

Ans. There are several types of migraine. The most common ones are the migraines with aura and the migraines without aura flashes. The other types of migraines are as follows:

  • The migraine of the vestibule experiences balance issues, vertigo, vomiting, nausea, and migraine. This type is more common in persons who have a background of travel sickness.
  • Migraine with aura from the brainstem. Even before a headache, you may have dizziness, disorientation, or lack of balance.
  • Migraine with hemiplegia includes temporary paralysis (hemiplegia) or weakening on one side of your body.
  • Menstrual headache is when the migraine is associated with a woman's menstruation.
  • Migraine status is a severe migraine that can linger for more than 72 hours.
  • Migraine with ophthalmoplegia causes discomfort surrounding your eye and immobility of the muscles surrounding it.
  • A migraine of the eyes is sometimes an ocular migraine or a retinal migraine.
  • A migraine that goes unnoticed is also referred to as an acephalgic migraine.

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