Migraine management

If you didn't choose your parents carefully, you likely inherited their tendency for migraines. Even a history on one side of your family will tip the odds against you.

If you suffer from migraines, this won't be news to you. When you've been stricken with illness you've likely taken an inventory of your parents, aunts, uncles, even grandparents and in your mind pointed a shaking finger in their direction and thought "This is your doing".

Whereas a family history of migraines will increase your likelihood of experiencing them, it's the triggers that we sufferers need to identify. Prevention is key.

• pay attention to what your body is telling you. Your body likely gives you a number of signals before a migraine begins. You may have that particular 'sick' feeling, you may see flashing lights (even hours or the day before). Be attentive. It's likely too late to prevent the migraine but at least you'll have time to get yourself set up to deal with it. 
• if a migraine takes you by surprise, look at the previous few days. Did you over-exert yourself? Are you particularly tired? Did you eat something unusual? Did you not eat when you needed to? Be critical and try to think of anything and everything that was out of your normal pattern. Your latest episode was caused by something and it's important to figure out what. 
• triggers can change over time. For me, this was indeed an upsetting and unexpected revelation. One thing the doctors fail to mention to new Moms is that along with a new baby, the mother may also get a new body. Sure you look the same on the outside, but all your inner workings that were turned upside down to make the baby may not reset to The Normal You. All sorts of inconveniences like depression, psychosis, suicide and infanticide may bubble up thanks to hormone levels that neglected to reset to Default post delivery. Sleep disruption and foods that never caused migraines in the past may now be triggers so no, you're not losing your mind, you just need to learn your triggers all over again.
• along the same theme, fluctuating hormone levels can also be the culprit. Changing hormone levels may never have caused you grief in the past but now you may find yourself with a migraine in the middle of your month AND when your cycle starts. There are specific medications for migraine sufferers to combat one type of hormone spike but not both so if you get migraines twice a month, you're on your own. But once through menopause, you should be in the clear. 
• watch for chemicals, bacteria and hormones in your food. Yogurt that you've been eating for years may now have you bedridden if you chance a spoonful. Preservatives in store-bought cookies that give them a shelf life of 10 years may now have you reaching for your pills. Remember that migraines are caused by something so if you don't know what that something is, put your food diary and your migraine diary together and think that Anything could be the culprit. It took me months to figure out the yogurt I was eating was causing the problem because the company had changed their recipe when they changed their packaging. But since I'd been eating that yogurt for years, it never occurred to me that it would be a problem now. 
• migraines DO occur in children! Keep a close eye on your kids if they tell you they have a headache and don't feel well. If you have first-hand experience with migraines, one look and you'll know if they are experiencing the same. Tell your child's doctor about the episode next time you're in. Don't let the doctor blow you off and tell you you're wrong "because migraines are extremely rare in children". Make sure the incident is recorded in your child's medical chart, it's important to have a history.

Every day without a headache is a blessing, a reason to celebrate that right here right now I don't have pain in my head or nausea in my stomach. In the meantime, keep your supply of Advil gel caps extra strength liquid migraine pills, 400mg, handy. It takes 20 minutes for the medication to get into your system and take the edge off that crack in your head. Tomorrow will hopefully be better.