HeadWise HeadWise: Volume 3, Issue 4 | Page 13

Edmund Messina, MD Medical Director Michigan Headache Clinic East Lansing, MI A migraine trigger is something that will provoke a migraine attack. To identify and avoid triggers is a very important aspect of managing migraine. Some triggers are within your control and may be avoided. Other triggers are unavoidable, but knowing what they are can help you prepare for them. are more easily stressed in certain situations, so treatment of the anxiety becomes an important priority. Dietary Factors What you eat and drink can also trigger migraines. Missing meals can produce a headache, which is not believed to be related to the blood sugar level. It is possible that Stress disruption of the normal rhythms of the day, as regulated One of the most frequent migraine triggers is stress, by the hypothalamus in the brain, may be responsible. which is sometimes manageable. An escalation in the Missing a meal disrupts the rhythm. frequency and severity of migraine attacks during stressful Many people identify specific foods that provoke times is common. Stress is cumulative and cannot always headaches. It is not as helpful to follow the old-fashioned be avoided, so it is very important to find strategies to strict headache diets as it is to keep a careful headache manage and dissipate it. diary that indicates what was eaten prior to a severe Workplace stress and marital stress