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Migraine Headaches


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									Migraine Headaches

HH 382
By: Fei Zhao, Kacey Barberini,
Shelly Gumpert , RaeLea Olson, See
Xiong, and Wei Bing
What is a migraine?

 A migraine is now recognized as a chronic illness,
  not simply as a headache.
 In general, there are four symptom phases to a
  migraine (although they may not all occur in
  every patient)
   –   The pro-drome phase
   –   Auras phase
   –   The attack phase
   –   The post-drome phase
 There are two types of migraine --- migraine with
  aura and migraine without aura.
What causes a migraine is not completely understood and
can vary from person to person

 Certain types of foods such as MSG, caffeine, red wine and chocolate
 Hormonal changes, especially for woman during the menstrual cycle
 Changes in the weather
 Muscular tension
 Bright or fluorescent lights or sunlight, loud noises strong odors
 Migraines can also be triggered by emotional factors, including not
  only negative feelings like frustration, anxiety or depression, but also
  by relaxation and positive feelings such as excitement.
 Changes in serotonin levels in the brain.
     – Serotonin, a chemical in the brain, causes the blood vessels to become
       more narrow (vasoconstriction) and may affect a person's sensitivity to
 About 80% of people with migraine headaches have a family history
    of migraines, which suggests that migraines have a genetic basis.
Symptoms of migraine headaches could occur in various
combinations, and will vary from person to person

 The pain from a migraine can range anywhere from pounding or throbbing
  pain it often begins as a dull ache and develops into a throbbing pain.
 The pain can often be worsened by physical activity
 The location of the migraine can be either in the front of the head, at the
  temples, behind one eye or all over the head
 Other symptoms:
  . sensitivity to light, noise, or odors
  .nausea and vomiting, stomach upset
  . loss of appetite
  . sensation of being very warm or cold
  . paleness
  . fatigue
  . dizziness
  . blurred vision
  . diarrhea
  . fever (very rare)
Warning Signs
It is common to sense a migraine before it starts.

 Common warning signs include nausea, vomiting
  and sensitivity to light, noise, or smells
 Often one may see an “aura” of flashing lights or
 Tunnel vision is also possible
 The warning signs may last about 15 – 30
  minutes and are followed by the pain of the
  migraine itself

 Doctor prescribed medications such as imitrex
  have significantly helped many suffers
 The use of over the counter drugs such as
  Excedrin migraine have also been helpful to
 Keeping a headache log book and learning what
  triggers to avoid or look for prior to a migraine
 Using the triggers or warning signs as a form of
  preventive medicine, catching the headache
  before it starts could be the best form of
Alternative Treatments

 Acupuncture involves insertion and manipulation of fine needles at various,
  prescribed body- pressure points.
 Biofeedback Biofeedback encompasses a range of relaxation therapies
  designed to control the body's response to stress. Techniques include deep
  breathing exercises, meditation, and visualization.
 Chiropractic methods employ a holistic approach to pain relief through
  massage, spinal manipulation and periodic adjustment of joints and soft
 Aromatherapy - Rosemary is generally held to be the best essential oil to
  use, although aromatherapists also recommend peppermint and chamomile.
 Red Pepper- A report in environmental Nutrition showed it helps relieve the
  pain of cluster headaches, extremely severe pain on one side of the head.
    – Headache sufferers rubbed a red pepper mixture inside their nostrils and outside
      their nose. 75% reported less pain and fewer headaches.
    – Use – in food, season to taste. External use – mix ¼ to ½ teaspoon per cup of
      warm vegetable oil and rub it into the affected area. Side affect – burning
      sensation, but will subside within a week.
    – Safety – red pepper should not be given to children under age 2.
Preventative Tips

Preventing Migraines comes from taking
 charge with yourself and your lifestyle
Monitoring headache patterns, observing
 dietary patterns, and working toward
 lifestyle changes can be effective in
 preventing migraines
 Undergoing Behavioral Treatments, such
 as learning biofeedback
Preventative Tips cont.

 Possible foods to avoid           Lifestyle changes to
   – Cheese                          consider
   – Chocolate                        – Maintain regular sleep
   – Eggs                               patterns
   – Onions                           – Exercise regularly
   – Mustard                          – Eat regular meals
   – Red Wine                         – Reduce/Limit Stress
   – Cultured or fermented            – Avoid “known” triggers
     foods                              (i.e. certain foods)
   – Coffee or tea with caffeine      – Establish daily routines
                                        that help reduce migraine
   – Alcoholic Beverages
   – Foods with additives such
     as nitrites, MSG, or
Preventative Tips cont.

 Behavioral Treatments            Monitoring Headaches
   – Biofeedback therapy – a         – Use a headache diary
     technique where people
                                        •   Note triggers
     learn to gain control of
     their body’s internal              •   Track progress
     functions                          •   Frequency
   – Specifically learning to           •   Severity
     sense changes in the               •   Disability
     body’s activity, and using         •   Identify patterns
     relaxation and other
     techniques to control the
     body’s responses
Headache Assessment Quiz
1. Have moderate to severe pain?                        Never   Rarely   Usually   Always

2. Have pulsating, pounding or throbbing pain?          Never   Rarely   Usually   Always

3. Have worse pain on one side of your head?            Never   Rarely   Usually   Always

4. Have worse pain when you move or bend over?          Never   Rarely   Usually   Always

5. Have nausea?                                         Never   Rarely   Usually   Always

6. Have sensitivity to or are bothered by light?        Never   Rarely   Usually   Always

7. Have sensitivity to or are bothered by sound?        Never   Rarely   Usually   Always

8. Need to limit or avoid daily activities?             Never   Rarely   Usually   Always

9. Want to lie down in a quiet, dark room?              Never   Rarely   Usually   Always

10. See visual disturbances, spots, or light flashes?   Never   Rarely   Usually   Always
Assessment Quiz cont.

 If you answered “usually” or “always” to 3 or
  more questions, your headaches could actually be
 Of course one can never be sure unless speaking
  to your standard doctor first

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