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Children
get migraine headaches, too. Over 8 million children and adolescents
have migraines that result in more than 1 million lost school days
each year. Before puberty, as many boys as girls get these headaches.
However, after puberty, migraine is more common in girls. By age
15, 5% of adolescents have experienced a migraine attack. Migraines
often stop as children grow to adulthood, but may return in middle
age. In 70% of cases, there is a family history of migraine. Although
the mechanism that initiates a migraine attack is believed to be
the same in children and adults, physicians look for slightly different
symptoms to diagnose migraine in.
Causes
:
The exact cause of migraine is uncertain, although various theories
are being studied. One theory favored by many researchers is that
migraine is due to a vulnerability of the nervous system to sudden
changes in either your body or the environment around you. Many
researchers believe that migraine sufferers have inherited a more
sensitive nervous system response than those without migraine. During
a migraine attack, changes in brain activity produce inflamed blood
vessels and nerves around the brain. Migraine medication may produce
relief by quieting sensitive nerve pathways and reducing the inflammation
response.
Diagonosis:
There is no medical test that can specifically diagnose migraine.
Migraine can only be diagnosed by effectively communicating your
symptoms to your physician. To evaluate headaches, the physician
will likely:
- Ask
about the location, severity, frequency, and duration of the headache.
- Inquire
about any other symptoms that accompany the headaches.
- Take
a detailed medical history, including any medications that one
may be taking.
- Give
a complete physical exam.
- Compare
the symptoms with the criteria developed by headache specialists
who diagnose migraine.
For
most people there is not just one trigger but a combination of factors
which individually can be tolerated but when they all occur together
a threshold is passed and an attack is triggered. Although it can
be helpful to identify and avoid your own personal trigger factors
it is important not to become too obsessive. Everyone has the capacity
to suffer from migraine but in some people, most probably because
of a genetic predisposition, the threshold at which attacks occur
is lower. It has been proven that there is no "migraine type"
and sufferers are not, as is sometimes suggested neurotic, perfectionist
hypochondriacs who bring all their problems on themselves nor even,
as has also been suggested, that they are super intelligent or extra
sensitive. 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.
Symptoms
:
- A
moderate-to-severe headache that usually lasts from 4 to 72 hours.
- Pain
is often, but not always, on one side of the head and throbbing.
- Pain
is aggravated by movement or physical activity.
- Pain
is often associated with nausea (and when severe, with vomiting)
and sensitivity to light, sound, or odors.
- If
the headache is associated with flashing lights or blindness,
or numbness on one side of the head, it is called classic migraine
or migraine with aura. However, only 20% of people with migraine
have auras. If you do not have an aura, your headache may still
be a migraine.
- Tension-type
headaches account for lost workdays and an even larger number
of reduced-effectiveness days at work, home, and school.
Recommendations
: Stress and anxiety
A variety of relaxation techniques can help you manage your body's
response to life's daily pressures. Learn to pace your activities.
Try to set aside time each day to sit quietly with your eyes closed,
let your muscles relax, and give your mind a break. Try not to worry
about stress that is beyond your control. Regular physical activity
can also help keep you on an even keel.
Environmental
factors
Environmental triggers of migraine headaches include weather or
temperature changes, glaring or fluorescent lights, computer screens,
strong odors, and high altitude.
Protective
measures
Steps you can take to increase your resistance to migraine include
regular sleep, a healthy diet, eating at predictable times, regular
exercise, not smoking, relaxation, and meditation
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