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Understanding Migraine Causes and Lifestyle Modifications for Prevention

By Dr. Atul Prasad in Centre For Neurosciences

Mar 29 , 2024 | 7 min read

A migraine is a neurological condition, typically characterised by intense, debilitating headaches. Migraines cause severe throbbing pain or a pulsing sensation, usually on one side of the head. They are often accompanied by nausea, vomiting, and extreme sensitivity to light and sound.

Understanding the causes of migraine is crucial as it can help you manage or even prevent these painful episodes. The process can be complex due to individual differences, but some common triggers include hormonal changes, stress, certain foods and beverages, and even changes in the weather.


Common Migraine Causes

The phenomenon of migraines is widely recognised, with many individuals experiencing its effects. Understanding the potential triggers of migraines is essential for managing and preventing this debilitating condition. Below are some of the most common triggers.

Certain Drinks

  • Drinks like alcohol, particularly wine, and high-caffeine beverages like coffee, can potentially trigger migraines due to their impact on blood vessels.
  • To prevent migraine attacks, it is advisable to moderate intake of these beverages. Instead, consider replacing them with healthier alternatives such as herbal tea or water.

Medications

  • Certain medications, including certain sleeping pills, hormone pills, and even some medications for heart diseases, have the potential to trigger migraines.
  • If one suspects that a medication is causing migraines, it is important to discuss this concern with the doctor.
  • They can explore possible alternative medications or adjust the treatment plan.

Sleep Changes

  • Changes in sleep patterns, such as oversleeping or insufficient sleep, can trigger migraines.
  • Prioritise sleep by aiming for 7-9 hours of sleep each night and establish a routine that supports healthy sleep habits.
  • Consistency in bedtime and wake-up times helps regulate the body's internal clock, reducing the likelihood of sleep-related migraine episodes.

Physical Strain (Overexertion)

  • Exercising excessively can occasionally trigger migraines, but maintaining a regular and moderate exercise routine is generally beneficial for overall health and may help reduce the frequency of migraines.
  • To prevent exercise-induced migraines, it is important to keep your exercise routine moderate and consistent.
  • Prioritise warming up before exercising and cooling down afterward to prevent sudden changes in blood flow, which can contribute to migraine onset.

Stress

  • Stress is widely recognised as one of the primary triggers for migraines. When stressed, our bodies produce hormones that can initiate a migraine episode.
  • To prevent stress-induced migraines, it is important to engage in stress-relieving activities such as yoga or meditation.
  • Additionally, maintaining a balanced lifestyle that includes adequate time for work, rest, and leisure can help reduce overall stress levels and mitigate the risk of migraine attacks.

Salty and Processed Foods

  • Foods high in sodium or heavily processed are known to potentially trigger migraines. To prevent migraines associated with dietary factors, it is advisable to limit the intake of salty and processed foods. Instead, focus on incorporating a balanced diet rich in fresh fruits, vegetables, and lean proteins.

Sensory Stimuli (Exposure to Bright or Flashing Lights)

  • Bright lights and sun glare, as well as loud sounds and strong smells, are common triggers for migraines.
  • When outdoors, wear sunglasses to reduce the impact of bright lights and sun glare.
  • Indoors, try to reduce noise levels where possible, and consider using earplugs in situations where loud sounds are unavoidable.

Hormonal Changes

  • Fluctuations in oestrogen levels can trigger migraines in women, occurring before or during periods, pregnancy, or menopause.
  • Keeping a diary to track menstrual cycles can help predict potential migraine days and allow for better management.
  • Additionally, consulting with a doctor about possible hormonal treatments or therapies may offer further prevention strategies tailored to individual needs.


Foods That Cause Migraine

Understanding what triggers a migraine can be a significant step towards managing the symptoms and reducing the frequency of attacks. It is a fact that certain foods and drinks are potential migraine causes, acting as triggers that can instigate this condition. Knowing precisely which ones to avoid may just be the key to a more comfortable life.

Let's explore some common dietary culprits that might cause migraines:

  • Aged Cheese: Aged cheeses contain high levels of tyramine, a naturally occurring compound formed from the breakdown of protein in food as it ages. Tyramine is known to affect blood vessels and potentially trigger migraines in individuals who are sensitive to it.
  • Beverages Containing Alcohol: Alcoholic beverages, especially red wine and beer, may cause migraines in some people. Alcohol increases blood flow to your brain and also contains tyramine. Both these factors make alcohol an infamous trigger for migraines.
  • Food Additives Like Nitrates and Monosodium Glutamate (MSG): Nitrates are often used in processed meats like sausages, hot dogs and bacon to enhance their colour and prolong their shelf life. MSG, on the other hand, is a flavour enhancer used commonly in Asian cuisines and packaged foods. Both nitrates and MSG can stimulate nerve cells in your brain and dilate blood vessels, causing a migraine to surface.
  • Fermented or Pickled Foods: Just like aged cheese, fermented or pickled foods have high levels of tyramine. This includes stuff like pickles, olives, sourdough breads, and kimchi.

While some people might have a reaction to a specific food, others may not experience any change. It is essential to keep track of what you eat and notice if any particular food seems to coincide with the onset of a migraine.


Lifestyle Changes to Prevent Migraines

Migraines can be hard to deal with, but they aren't always inevitable. Certain lifestyle changes can help mitigate their frequency and severity. Two key areas to focus on are your diet and the level of physical activity one engages in. Let's delve deeper into these aspects.

Diet and Nutrition

What one consumes has a significant impact on individual well-being. If one is prone to migraines, here are some dietary adjustments to consider:

  • Identify Food Triggers: Certain foods like chocolate, cheese, citrus fruits or caffeine can trigger migraines for some people. Maintain a food diary, noting what you eat and when you get a migraine to detect any correlation.
  • Regular Meals: Skipping meals may cause a drop in blood sugar levels, which could be one of the migraine causes. Aim for regular, balanced meals spread throughout the day.
  • Hydrate: Dehydration is another potential trigger for migraines. Ensure you are drinking enough water daily.
  • Limit Alcohol: While a glass of wine may seem harmless, alcohol is a known migraine trigger.

Physical Activity

Contrary to popular belief, physical activity does not necessarily exacerbate migraines; it might actually help prevent them! Here's why:

  • Stress Reduction: Regular exercise helps control stress levels - an established factor contributing to migraines.
  • Promoting Good Sleep: Physical activities encourage better sleep patterns, further helping in migraine control.
  • Releasing Pain-killing Chemicals: Exercise prompts the body to release endorphins - natural painkillers that can alleviate migraine pain.

The type of exercise matters too! One might want to consider low impact exercises like walking, swimming or yoga. These activities don't involve sudden movements that may potentially trigger a migraine. Of course, the key is consistency. It is better to do a little exercise on a regular basis than to embark on an intense workout regime intermittently.


Conclusion

Recognising the impact of lifestyle choices on migraine management empowers individuals to take control of their health. By understanding dietary triggers, engaging in regular exercise, and prioritising stress reduction techniques, one can effectively minimise the frequency and severity of migraine attacks. These proactive steps promote overall well-being and enhance quality of life.


Frequently Asked Questions

1. How are migraines different from regular headaches? 

Migraines are distinct from regular headaches in their intensity and symptoms. Usual headaches cause discomfort, while migraines cause throbbing pain coupled with nausea and sensitivity to light or sound.

2. Are there different types of migraines?

Yes, there are various types of migraines, such as Chronic Migraine, Vestibular Migraine, Hemiplegic Migraine, among others, each having unique symptoms.

3. How long do migraines typically last?

Typically, a migraine lasts from 4 hours to 72 hours.

4. How do migraines affect vision?

Migraines can affect vision causing visual disturbances known as “aura”, which may include seeing flashing lights or zigzag lines.

5. What is the connection between migraines and neck pain?

Neck pain can trigger or be a symptom of a migraine. Tension in the neck muscles due to stress or poor posture is often linked to migraines.

6. Do migraines have a seasonal pattern?

Some individuals report their migraines being triggered by changes in weather or season, although this varies from person to person.

7. Are migraines associated with other medical conditions?

Yes, migraines are often associated with various medical conditions like depression, anxiety, stroke and even epilepsy.

8. Are migraines linked to changes in sleep patterns?

Indeed, changes in sleep patterns can trigger migraines. Migraine causes can include both lack of sleep and oversleeping.

9. Is there a cure for migraines? 

While there's no complete cure for migraines yet, several treatments aim at reducing the frequency and severity of attacks.

10. What are the symptoms of a migraine?

Symptoms include severe headache usually on one side of the head, sensitivity to light and sound, nausea or blurred vision.