An Overview of Migraines
- Mar 4, 2025
Almost everyone experiences a headache at some point in life. However, for some individuals, recurring headaches can be a significant concern. Migraines are a type of severe, recurring headache that can interfere with daily activities. Understanding migraines, their symptoms, causes, and treatment options can help individuals manage this condition effectively.
Common symptoms of migraines
Migraines often present with a combination of symptoms. While not everyone experiences all symptoms, common ones include:
- Severe, throbbing head pain, often affecting one or both sides of the head.
- Nausea or vomiting, or both.
- Sensitivity to light, sound, and smells.
- Worsening of symptoms with physical activity.
Following a migraine, many individuals report fatigue and difficulty concentrating. These aftereffects may last for several hours or up to two days.
Migraine warning signs
Some individuals experience warning signs hours or days before a migraine begins. These may include:
- Cravings for sweets.
- Increased thirst.
- Drowsiness.
- Irritability.
- Mood changes, such as depression or excitement.
Timing of migraines
The frequency of migraines varies among individuals. Some people experience migraines once or twice a year, while others may have them daily. Migraine attacks can last from 4 to 72 hours in adults and 1 to 72 hours in children. Keeping track of migraine patterns can help with diagnosis and treatment planning.


Possible causes of migraines
The exact cause of migraines remains unknown. However, researchers believe migraines may be linked to changes in brain activity. Serotonin and neuropeptides play a role in pain regulation and may contribute to migraine onset.
Serotonin: A neurotransmitter that affects pain pathways.
Neuropeptides: Chemicals involved in transmitting pain messages within the brain and nervous system.
Migraine risk factors
Several factors increase the likelihood of developing migraines:
Age: Migraines are most common between ages 20 and 50.
Family history: Around 75% of people with migraines have a family history of the condition.
Gender: Individuals assigned female at birth are more likely to experience migraines, though frequency may decrease after menopause.


Common triggers of migraines
Various factors can trigger migraines, including:
Physical factors: Changes in sleep, intense exertion, or fatigue.
Mental factors: Stress, anxiety, or depression.
Environmental factors: Bright lights, loud noises, or strong odors.
Dietary factors: Skipping meals, consuming alcohol, aged cheeses, chocolate, or processed foods.
Medications and hormones: Certain medications, hormonal changes, or withdrawal from caffeine.
Treating migraines
There are two main treatment approaches:
- Acute Treatment: Medications taken at the onset of a migraine to reduce severity, such as:
Over-the-counter pain relievers (e.g., ibuprofen, acetaminophen).
Prescription medications, including triptans, gepants, and dihydroergotamines.
Antinausea medications for associated symptoms. - Preventive Treatment: Medications taken daily to reduce migraine frequency and severity, including:
Antidepressants.
Antihypertensive drugs (e.g., beta-blockers).
Anticonvulsants.
Calcitonin gene-related peptide (CGRP) monoclonal antibodies.
Botox injections for chronic migraines.
Non-medication prevention strategies for migraines
Several lifestyle modifications can help prevent migraines:
Biofeedback and cognitive behavioral therapy (CBT): Techniques to manage stress and tension.
Relaxation techniques: Breathing exercises and guided imagery.
Regular exercise: Moderate aerobic activity can reduce migraine frequency.
Dietary adjustments: Avoiding known food triggers and maintaining hydration.
Consistent sleep schedule: Avoiding sleep deprivation or excessive sleep.
Migraines can be debilitating, but with the right treatment plan, symptoms may be managed effectively. If you experience frequent or severe migraines, consult a healthcare professional to determine the best course of action for relief and prevention.
Source:
Mayo Clinic. (2023). Migraines: A Type of Headache. Rochester, MN; Mayo Clinic.