Q: I often have severe headaches with vision issues and nausea. Could these be migraines, and how can I manage them?
A: Migraines are indeed more than just headaches. They’re a neurological condition that can cause intense throbbing pain, usually on one side of the head, often accompanied by nausea, vomiting and sensitivity to light or sound. Migraines may keep you from going to work, playing with your kids or being able to finish your to-do list. Some people also experience neurological symptoms called auras before a migraine begins. Auras are commonly visual, but can also be symptoms like sensations, muscle weakness or even trouble speaking.
Common triggers include stress, hormonal changes, certain foods (like caffeine, alcohol and aged cheese), lack of sleep, odors, neck pain, smoking and even weather changes. Identifying your personal triggers can help manage and reduce the frequency of attacks. Keeping a migraine diary — tracking factors like diet, sleep patterns, stress levels and environmental changes — can be a helpful first step in understanding what might be setting them off.
When a migraine strikes, early intervention is key. Over-the-counter pain relievers may work if taken at the onset, but for more frequent or severe migraines, prescription medications might be necessary. During an attack, resting in a dark, quiet room and using a cold compress on your forehead or neck can also provide relief. Staying hydrated is important, as insufficient fluid intake can worsen symptoms.
If migraines are frequent or severely affect your daily life, it’s crucial to see a health care provider. They can help you find the right treatment and management plan tailored to your symptoms.
Dr. Wesley Durgin is an internal medicine specialist with CHI Memorial Chattanooga Internal Medicine Associates and a member of the Chattanooga-Hamilton County Medical Society.