MIGRAINE
affects 10% of the U.K.
population and is more prevalent than diabetes, epilepsy and asthma
combined.
What causes migraine?
Migraine is probably caused by the release of a chemical called
serotonin or 5HT into the bloodstream from its storage sites in the
body, resulting in changes in the neurotransmitters and blood
vessels in the brain.
A migraine usually begins with an intense, gripping pain on one
side of your head that may gradually spread. Migraines typically
last from 4 hours to 72 hours, but the frequency with which they
occur can vary from person to person.
Although there are several kinds of migraines, the most common are
classic migraine — which is a migraine with aura , and common
migraine, which has no aura.
If you're among the 10 percent of adults who have migraines with
aura, you'll likely have warning signs about 20 minutes before the
headache begins. These may include: Sparkling flashes of light,
Dazzling zigzag lines in your field of vision Slowly spreading
blind spots in your vision Weakness, numbness or tingling in your
face, hand or leg Difficulty seeing or speaking
Although a migraine without aura has no classic warning signs, you
may have one or more symptoms several hours before your headache
actually strikes, including:
feelings of elation or intense energy cravings for sweets thirst,
drowsiness irritability or depression
Migraine
triggers are numerous
and varied and occur in combinations peculiar to each
individual.
For most people there is not just one trigger but a combination of
factors which individually can be tolerated but when several occur
together or accumulate a threshold is passed and an attack is
triggered.
Although twice as many women as men suffer from migraine because of
the involvement of hormonal factors, migraineurs come from all
walks of life, all areas of the world and ethnic groups, and all
social classes.
Trigger management is
important in preventing Migraine attacks. Examples of triggers
include changes in weather or air-pressure, bright sunlight, glare,
fluorescent lights, chemical fumes, menstrual cycles, and certain
foods such as processed meats, red wine, beer, dried fish, broad
beans, fermented cheeses, aspartame and MSG; stress, anxiety,
worry, emotion, excitement, depressions, may also exacerbate the
condition.
Caffeine,
which constricts blood
vessels, is not a trigger, and, in fact, may help relieve mild
Migraine pain caused by vasodilatation.
Migraine attacks vary
in intensity from mild to excruciating among the population of
sufferers and within individuals. Mild or even moderate headaches
may be satisfactorily alleviated or even aborted by simple,
non-prescription analgesics, such as aspirin, ibuprofen,
paracetamol. Severe headaches seldom respond to such medications.
Relief from these generally requires use of a triptan, ergotamine,
or dihydroergotamine, or an opioid (narcotic). All these medication
can cause drowsiness or other severe side effects
SELF
HELP FOR MIGRAINES
Feverfew
Leaf is a good non-drug
preventative treatment;good for relief from nausea and vomiting;
improvement of digestion; more restful sleep; relief of dizziness,
brain, and nerve pressure.
Vitamin B2 supplements
is another preventative non-drug treatment you may want to consider
taking. A study in Belgium found that people who took 400
milligrams of vitamin B2 daily had about one-third fewer migraines
than did those taking a placebo.
Petasites
hybridus (Butterbur
root) is the latest non-drug preventive treatment to become
available under the name of Petadolex™ from the German firmWeber
& Weber. In recent double blind studies it was shown 77%
effective as a Migraine prophylaxis. Dose is one 50mg capsule twice
a day.
ALTERNATIVE TREATMENT:
Acupuncture: recommended by the World Health
Organisation for this condition, acupuncture can eliminate the pain
and general malaise extremely quickly, and over a period of time,
reduce migraines in frequency and intensity.
Homeopathy:
good homeopathic prescribing
can be suprisingly effective, homeopathy does not have any side
effects, and is particularly safe for pregnant
women.
Herbal
medicine and aromatherapy: the use of western or Chinese herbs is
proven to be effective, without the side effects of modern drugs;
essential oils can play an important part in the treatment of
migraines triggered by hormonal fluctuations in women.
