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Migraine triggers

The throbbing pain of migraine can last from several hours to a few days. There are many well-known trigger factors for migraine including lack of sleep, stress and certain foods. Although migraine trigger factors don’t actually cause a migraine on their own, they can set off the processes that lead to a migraine developing in people who are prone to them.

A person may have several different migraine triggers. Keeping a symptom diary can be helpful for working out the possible triggers for your migraines.

Exposure to more than one trigger can produce an additive effect that is more likely to result in a migraine. For example, in women who tend to get migraines when they get their period, exposure to other triggers around this time, such as late nights and alcohol, may make a migraine more likely. At other times, alcohol on its own may not result in a migraine for this person.

It can be difficult to avoid all of your triggers, all of the time. However, an awareness of your triggers can allow you to avoid some of them, and help you manage and sometimes prevent a migraine.

Common migraine triggers
Lifestyle Stress
Stress ‘let-down’, e.g. on a weekend or holiday
Missing a meal
Lack of sleep
Oversleeping
Fatigue
Long travel journeys
Overexertion when you are unfit
Physiological Hormone fluctuations, e.g. menstruation, menopause
Environmental Certain odours, e.g. smoke or smog
Bright lights
Weather changes
Medications Some medications including birth control pills, hormone replacement therapy and some angina medications
Alcohol Especially red wines
Foods Cured meats containing nitrates
Chocolate
Caffeine
Nuts
Pickled foods
Monosodium glutamate (MSG)
Aged cheese
Yoghurt and sour cream
Onions
Brown vinegar
Citrus fruits

 

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