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Can You Have A Migraine Without Aura?

It isn’t true that a migraine with the aura phenomenon is the only real kind of migraine. In fact, the majority of people who suffer from this illness experience the migraine without aura. Perhaps eighty to eighty-five percent of people with migraines do not have the extra visual and neurological symptoms, but experience what is considered a “simple” migraine. But of course this, too, is really a misnomer, because even without those extra symptoms, these severe headaches are anything but simple.

It’s possible that the view of migraines as always having an accompanying visual aura is perpetuated by non-migraine sufferers, not because they’re trying to push migraine myths but perhaps because they’re not sure what else would differentiate this type of headache from the normal run-of-the-mill type. The aura is an exotic feature that might seem to justify these headaches having a classification all their own. But a migraine without the aura is in fact the much more common version. And rather than being redefined as though it’s just one of the other more ordinary types of headaches, this type still has plenty of symptoms identifying it as a genuine migraine.

A migraine without aura, while it doesn’t manifest quite the same symptoms as one that has it, may still demonstrate a few that could be related. For example, while those with the aura might see flashes of light, those without could still be light sensitive during the migraine. In fact, they could be oversensitive to other things as well, like smells and sounds. This is because the underlying migraine disease triggers the nerves to make them extra sensitive in these ways. So it’s possible that the aura is the first indication of this, with the same things going on undetected, even without the aura.

There is another primary symptom that differentiates these from more ordinary headaches. Migraines tend to be headaches on one side of the head rather than those located more generally. These start on one side, focusing mostly around the temple. They can sometimes spread, perhaps locating themselves around the eyes at the back of the head, but the majority start on one side or the other, not always the same side each time, before they move. This is common to almost all migraines, and the pain can be quite severe. So the sufferers of migraine without aura may actually have cause to be grateful that they don’t have the aura symptom along with everything else they have to deal with.

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Some Factors In Migraine Prevention

Migraine prevention is one aspect of the whole migraine phenomenon that has been getting more research and attention in recent years. One reason for this is that it’s difficult to know how to treat a migraine if you don’t even know what causes it. But once you’ve found even a few of the causes, this not only helps you in your quest to try to treat or even end migraines altogether, but it can help you learn how to prevent them from coming on in the first place. So the research into causes, treatments, and prevention have all fed off each other and aided each other.

One of the biggest advances in the research has been with regard to migraine triggers. A great many of these have been discovered, falling into two categories: controllable and uncontrollable. Uncontrollable triggers might be things like changing weather patterns. For example, big swings in barometric pressure, a high humidity, and certain types of wind can all trigger a migraine. One might think migraine prevention would be impossible when it comes to these factors, but they might at least be mitigated to some extent.

Another type of migraine that some feel falls into the “uncontrollable” category would be the menstrual migraine. After all, a woman can’t very well just stop menstruating to prevent a headache. Yet the trigger here seems, at least in part, to be either too much or too little estrogen. Menstruating women can’t entirely control their estrogen levels, yet they might be able to alter the dosage to some degree in their birth control pills. And post-menopausal women can certainly adjust dosages in their hormone replacement therapies. So migraine prevention might even be possible in these cases.

But there are definitely triggers that people can detect and do something about. For example, if they realize that certain foods appear to trigger a severe headache, over and over again, then they can take those foods out of their diet. Some of the more common examples of this are chocolate, cheese and dairy, or citrus. But foods aren’t the only controllable triggers. The person might react to strong fumes and smells as well, so they might be able to avoid places where a lot of painting is going on. Migraine prevention can be possible when people learn what their controllable triggers are, and do whatever they can to get those things out of their lives.

The Mayo Clinic advises that a healthy lifestyle with regular exercise and sleep patterns, lower stress levels, and regular meals can also work toward migraine prevention. But detecting one’s triggers and removing the controllable ones can be the biggest step one can take with regard to migraine management, and might actually prevent the onset of one of these headaches even if there’s an uncontrollable trigger coming, like a big change in the weather.

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Myths Surrounding Migraine Headaches

People think that migraine headaches are just like other types of headaches, yet simply more severe. That’s the first of many myths that surround this condition, and is perpetuated primarily by people who don’t get them themselves. Virtually every migraine sufferer can easily dispel all myths, but the problem is that not everyone pays attention. Even some doctors still view migraines through the lens of the myth rather than fact, which results in many frustrated, migraine patients who may be subject to incorrect treatments.

Many migraine myths involve people judging the sufferers themselves. So they may think a migraine is “just another headache,” when in fact sufferers are dealing with a genetically-based migraine disease, of which a headache is the most prominent symptom. This is evidenced by the fact that it’s actually possible to have a migraine without a headache at all. Because of this myth, treatments could be prescribed wrongly because a normal headache involves a narrowing of blood vessels in the head, while in a migraine the blood vessels expand. Another myth surrounding migraines is that they are psychological. However, being symptomatic of a genuine neurological disease, they result from actual physiological triggers that affect people’s nerve endings and prompt real physical changes.

Probably the most unnerving myth connected to migraine headaches, though, is the idea that they are always benign and won’t cause any long-term damage. This has been shown to be untrue. For one thing, in many cases there is a clear link between epilepsy and migraines. For other people, migraines have led to strokes, blindness or aneurysms. In still other cases, migraines have been misdiagnosed as “really” being clinical depression. So rather than receiving the migraine drugs they need, some patients have been given anti-depressants, which don’t help the headaches at all.

Some myths that are attached to migraine headaches, like the one claiming that everyone gets the visual auras when they get the headaches, are pretty harmless. That sort of myth won’t affect whatever treatment the sufferer will get. It’s when the myths actually affect treatments or prescribed drugs that there could be damage. It will be hard for people to get the proper treatments, let alone discover migraine cures, as long as these myths continue to circulate.

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Varieties of Migraine Treatment

Sometimes a person’s migraine treatment lies partly in their own hands. There can be all the migraine specialists and researchers in the world, all exploring causes, drugs and treatments, but there’s one line of defense that can only be enforced by the actual migraine sufferer. And that is the process of discovering what foods or other triggers might bring on their headaches, and eliminating those things as much as possible.

But when the headache strikes, steps need to be taken to bring relief, which is where some migraine drugs enter the picture. The non-steroidal anti-inflammatory drugs (NSAIDs), such as acetaminophen or ibuprofen, can help to some degree, though they work only with mild migraines. A group of drugs known as triptans have a better effect as a treatment for migraines, although they too have some limitations and may not work as well with extreme headaches. When heavy duty treatment is needed, doctors may combine medications, such as barbiturates, acetylsalicylic acid (i.e. Aspirin) and caffeine. A Sumatriptan/Naproxen Sodium combination has recently been shown to be very effective.

Migraine treatment is sometimes rather an odd process, perhaps because so many of the symptoms themselves are unusual. No one, for example, would normally expect caffeine to be both a trigger for the headaches and then a potential relief for them. Yet that appears to be the actual case. While caffeine can worsen the widening of blood vessels in the brain that is part of the headache, it can then turn around once the headache is there, and help the stomach absorb medication more quickly. Meanwhile, another odd treatment is botox injections in the scalp. This doesn’t eliminate the causes of the migraine, but prevents tension in the scalp from contributing to the severe headache.

There are some herbal remedies that people recommend for migraine relief, though how effective they are is still being debated. Feverfew is the one most mentioned, but studies go back and forth on how well it works. One herb whose effectiveness everyone seems to agree on is cannabis, or marijuana. But of course no one is going to recommend it, at least not publicly. However, supplements of Coenzyme Q10 have definitely shown positive results. Migraine treatment can emerge from traditional and unconventional medicine alike. If the sufferer can’t manage to prevent the headache, then they may prefer not to quibble about where they get relief from, as long as they get it.

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A Few Common Migraine Symptoms

A migraine with aura is not what most sufferers of migraines experience. This is contrary to the beliefs of many among the general public, as most people seem to think the visual symptoms that accompany this type of migraine are pretty much the norm for everyone who has this illness. But not only is this type of manifestation just one kind of migraine variant, but there is even a lot of variation within the aura symptoms themselves. They are not always vision-related symptoms.

The visual symptoms of a migraine with aura are what most people think every migraine is; namely flashes of light, blind spots, and so on. But since a migraine is a triggering of the person’s nerves to become oversensitive, the aura symptoms can appear in different ways as well. The person can slur their speech or suffer a lack of concentration, or perhaps become very sensitive to sounds and light. These are all symptoms of the classic migraine, or one with the aura, just as much as the visual symptoms.

Another type of migraine is sometimes mistaken for one with the aura, which is the ocular or ophthalmic migraine. This has similar visual symptoms to the standard aura, involving blind spots in the vision, as well as zigzagging or brightly flickering light. This type of migraine, though, might occur without a headache at all, as the phenomena originates in the blood vessels of the retina rather than in the occipital cortex, the area of the brain that processes vision (where the aura originates). So there is some debate about whether this is a migraine with aura at all, yet many doctors argue that the otherwise unexplained disturbances in the retinal blood vessels must also surely originate in the occipital cortex.

In the end, it doesn’t matter that much where the aura symptoms come from. The fact is that whether a person experiences an ocular migraine without the headache or a migraine with aura that includes the headache, they will probably try doing the same things to prevent the migraine’s arrival, and if or when it does come, they’ll use the same treatment methods in both cases. The one thing the aura does is give the person who experiences it a little more advance warning of the approach of the headache. Yet this could be a very mixed blessing indeed.

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Exploring Available Migraine Medications

Migraine research has made massive strides in learning what makes these headaches tick, but also in how to prevent and treat them. While many preventive measures are possible, most especially when sufferers can find and eliminate things that trigger the headaches, thus far they can’t be avoided altogether. One of the most important results of all this research is that many excellent migraine medications have been developed. There are over-the-counter drugs for milder forms of the illness, and other heavy-duty forms for the extreme cases.

The first types of medications generally given for migraines are the non-steroidal anti-inflammatory drugs, or NSAIDS. These are more familiar to people as acetaminophen, aspirin, ibuprofen and naproxen. They are generally over-the-counter drugs, so people whose migraines tend to be mild can self-prescribe, and sometimes nip the headaches in the bud. Occasionally, when combined with caffeine, these can bring not just migraine relief but also relief from the nausea that tends to accompany this condition.

Migraine treatment involves a bit of trial-and-error, moving from the simpler migraine medications for less severe cases to those that pack more of a punch against stronger headaches. Migraine specialists might try triptans if the over-the-counter drugs don’t touch the headache, or they could even resort to opiates. Those, of course, bring the risk of possible addiction, so they are used as little as possible. The doctors need to balance the need for a treatment strong enough to handle the illness, but not so overpowering that it creates worrisome side effects.

Other treatments involve combining different drugs as medication for migraines, so a drug like Fioricet would have butalbital (a barbiturate) with aspirin, paracetamol (acetaminophen) and caffeine. Severe headaches that don’t respond to drug treatments, called refractory migraines, are sometimes treated intravenously with drugs like Decadron, Phergan, Keppra, and so on. Intravenous treatment aims at rebalancing the internal fluids and electrolytes as well as easing the pain.

In many ways, the common migraine is not common at all, and even after years of research its origins and mechanism remain at least partly mysterious. For this reason, treatment can be somewhat hit-and-miss, and it’s not always easy for doctors to tell which migraine medications are going to have an effect on any individual’s headache. But research continues to be done, and many strides have been made. And now at least there are several available choices of treatments to try, with the hope of greater relief.

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