How to Stop a Migraine in Its Tracks

If you live with migraines, you might already be familiar with the pain and discomfort they cause. Migraines are a specific type of headache often identified by episodes of throbbing pain and, sometimes, nausea, vomiting or sensitivity to light. Migraines can be mild or severe, and they occur more commonly in women than in men.

Some people with migraines find that migraine pain is much more intense than the discomfort from a tension headache. Often, migraine headaches typically follow a four-stage pattern:
  • Some migraine sufferers report noticing small changes in their body 1-2 days before the migraine begins including constipation, diarrhea, depression, irritability, food cravings, or a stiff neck. This is called the Prodrome Stage.
  • Sometimes migraine sufferers will receive a warning symptom such as a flash of light, visual disturbance, blind spot, bright spot, speech problem, or tingling in an arm or leg.  This warning is called the Aura Stage.  At other times, there is no pre-warning.
  • The Attack Stage comes next with the a painful, pulsing, and throbbing head along with nausea, vomiting, blurred vision, diarrhea, and the feelings of dizziness, light-headedness and fainting.   
  • The final phase, Postdrome, often leaves one feeling drained and washed out.  However, others report a feeling of mild euphoria after a migraine has passed.


What Causes Migraines?


Experts don’t know exactly what causes migraines or why some people have them while others don’t. For most people with migraines, a combination of genetic and environmental causes is likely to blame. According to the Mayo Clinic, 90 percent of people who have migraines have a family history of them.

For people prone to migraines, certain foods and medications, along with stress, irregular sleep patterns, exercise and even changes in the weather may trigger these throbbing, often one-sided headaches. Some women report that their migraines occur more often at or around the start of their menstrual cycle. Additional factors associated with migraines include
  • Hormonal changes in women related to birth control medication and hormone replacement therapies, menstrual cycle, pregnancy or menopause
  • High levels of anxiety, worry, shock, depression, mental fatigue, grief, life changes, vacations, work projects, and repressed emotions
  • Environmental sensory stimuli, such as loud noises, bright lights, glaring sunlight, computer screen usage, temperature and weather changes, smog, certain scents like perfume, paint thinner, and secondhand smoke
But what makes people develop this type of headache to begin with?  Scientists still don’t know, but many suspect nervous system sensitivities, genes and/or chemical imbalances in the brain may play a part.


Ending Migraine Pain


Unfortunately, there’s no cure for migraines, but many people find relief with a combination of prevention strategies and medications. Keeping a "headache diary" that details when and how your migraines start, how often you experience them and any changes to your day-to-day habits (especially what you’ve eaten and how much you’ve slept) that precede them, can help you identify and avoid your triggers. You can take this diary with you to any appointments you have with your primary healthcare provider or neurologist to help create the ideal treatment plan.

Common migraine triggers can include skipping meals, changes in estrogen levels (think starting or stopping birth control pills or hormone replacement therapy, as well as menopause or ovulation), stress, monosodium glutamate (MSG) and alcohol—particularly beer and red wine.

Sticking to a sleep schedule, eating healthfully, exercising regularly, managing stress and limiting your alcohol and caffeine consumption may help, too.
If you end up with a migraine despite your best efforts, try these self-care tips:
  • Rest in a quiet, dark room.
  • Drink water and stay hydrated, especially if you’re vomiting
  • Take pain medication as prescribed by your healthcare provider (or as soon as symptoms occur if you use over-the-counter painkillers)
  • Stay calm; try progressive relaxation or breathing exercises


Medications for Migraines


Over-the-counter analgesics, such as ibuprofen and aspirin, can help you tackle mild migraine pain. Your healthcare provider can also prescribe medication for more severe pain, including prescription-strength painkillers designed for migraine pain, anti-nausea medications and, less frequently, opiates and corticosteroids (which are often paired with other medications to relieve pain).

For people with frequent migraines, preventive medications that are taken regularly to decrease the severity of aura symptoms and the frequency of attacks are also available with a prescription.

To help your physician find the most effective treatment for you, arm yourself with details of your migraines (including your headache diary) before you arrive for your appointment. How often do you experience them? How severe is the pain? What symptoms, other than pain, do you have? What makes your pain better or worse?


Migraine Treatments to Avoid


It can hurt to cut out foods you love most (wine and chocolate, anyone?) to curb migraines, but once you identify your food triggers, try not to tempt fate. Stick to what works.

When taking medications, especially over-the-counter options, it can be tempting to take too much, especially when pain is severe or continues despite already taking medication. Stay safe by following the dosing instructions on the bottle and let your healthcare provider know if the pain becomes unmanageable with OTC drugs alone.

 
With a little time spent analyzing your triggers, organizing a headache diary and working with your healthcare provider, you may find that migraines soon lose their painful punch.
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Member Comments

sometimes smelling peppermint helps me chase away a headache. Report
PLCHAPPELL
Worth a try Report
MUSICNUT
Thanks for the great article! :) Report
Maybe we can share our stories here and what we found out about migraines.

I suffer from migraines for 28 years now.
It all started when I got a wisdom tooth removed.
About 12 years ago I had to get a root canal done and the surgent was the first one to tell me that I grind my teeth at night. He recommended a night guard. This made the migraines come less.
Then I read in a magazine that chewing gum can aggravate it. I was a smoker back then (doesn't help either) and chewed a lot. Since I stopped, the migraines got less.
I quit coffee for a 21-day detox through food. That and the detox lessen it too.
Started with 2 migraine attacks a week (with vomiting) and now I might have one a month (no vomiting and a lot of times I can work with it even).
Pink Gravol helps me with the nauseousness and helps sleeping it off.
The trigger is often not obvious, I always thought it was the weather (cold to hot) but it wasn't.
I hope I inspire just one person to try some things out to find the true trigger(s). Report
Some important information Report
I thought this article would be helpful. It really wasn't. As a migraine sufferer, I was aware of the all the points made in the article. It maybe helpful for someone who has a friend or relative who suffers. Us who have them have been to doctors and have been given the standard: look at diet, maybe hormones and weather changes or could be medications etc. Report
I agree that the title is misleading. It should be titled something like, "A Basic Review of Migraines, Their Triggers, and Possible Solutions." It is useful to know and/or review how and why (as far as they know at this point) migraines develop, and it is nicely written. Report
As a sufferer of migraines I have kept a journal my dr and I have narrowed mine down to lack of sleep so now on a daily meds for sleep and Repax for when a migraine comes on I have had fewer migraines definitely not a cure to be on meds all the time. Report
I found no useful information on how to stop a migraine. If you have migraines, you probably already know to take something for it and lie down in a dark room... Report
The title of this article is not what the article contains. You cannot stop a migraine already started by taking birth control or avoiding coffee... A more relevant title would be about helping manage your life to avoid triggers. Report
good article Report
This article has nothing innovative. Perhaps it is time to find writers who actually read peer review articles and write what they know. Report
I started getting migraines after my son was born. Before that I would get daily tension headaches. Now my headaches are less frequent but more severe. I have lots of triggers. Pms, not eating often enough, weather etc, but they don’t happen every time so can be unpredictable. Also my migraines tend to be through my entire body. Not just pain in my head. Usually it’s down my entire left side. Weirdly, sometimes I get all the other symptoms including the feeling of pressure and stiffness but no actual pain. My dr says that’s normal. The only otc drug that seems to work is excedrine migraine, but unfortunately it is not sold in Canada and the last few friends that have gone to the states have been unable to find it. I’m almost out 😢 Report
Thanks Report


 

About The Author

Robin Donovan
Robin Donovan
Robin Donovan is a Cincinnati-based freelance writer and magazine journalist with experience covering health, medicine, science, business, technology and design.