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MIGRAINE HEADACHES: EVENTS AND CIRCUMSTANCES THAT TRIGGER AN ATTACK-FOODS, BEVERAGES, AND DRUGS
Some foods, beverages, and drugs can precipitate migraine in certain individuals. A quarter of our patients think that their headaches are influenced by what they eat or drink. The foods and beverages most often charged as offensive are fatty foods, cheese, alcohol, chocolate, citrus fruits (particularly oranges), monosodium glutamate (MSG), and nitrite-containing foods. Monosodium glutamate is found in many packaged foods, spices, seasonings, and canned foods. Nitrites are found in hot dogs and other smoked, preserved, or cured meats.
A migraine headache may also be precipitated by certain drugs, particularly those that lower blood pressure. Examples of this are reserpine and hydralazine, two agents found in many
Pain Relief/Muscle Relaxant
Anti-Allergic/Asthma While some foods, beverages, and medications can provoke a migraine, missing meals can also trigger an attack. If your headaches occur during long periods without food or as a result of diets or fasts( five to six hours or more), you may be one of the people susceptible to an attack from this cause. Going without food from an early dinner hour the night before until breakfast the following day, about twelve to fourteen hours or more, may likewise provoke an attack. This does not necessarily mean that you have hypoglycemia, or low blood sugar.
An early-morning headache can sometimes be prevented by eating a low-carbohydrate snack just before bedtime. While eating a small snack between meals may be helpful in preventing attacks in some people, once the headache begins, eating may not have much effect. It is important to reemphasize that simply because headaches are triggered by missing meals or prevented by eating snacks prior to retiring, this does not imply, much less prove, that hypoglycemia is present. Most normal human beings can go weeks without food and, because of the body’s ability to make sugar from its own protein and fat, maintain relatively normal blood sugar levels. During shorter fasts, say overnight, the body draws on its storage supply of sugar in the liver in order to maintain a normal blood level. It is believed that the physiology required to maintain normal blood sugar levels between meals, not hypoglycemia, may be the triggering factor. Perhaps by eating regularly, one eliminates the need for the appropriate physiological changes, thereby removing the trigger for the migraine attack.
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