Dr. Patricia Feito, Family Medicine Physician at Baptist Health Primary Care, explains when you have a migraine it starts off as a headache. Some triggers and some different symptoms are multifactorial, such as dizziness, nausea, vomiting, feeling uncomfortable, neck stiffness or mood changes. The doctor says there is a hereditary link between migraines and familial inheritance.
Five million people in the U.S experience at least one migraine attack per month. Dr. Patricia Feito, Family Medicine Physician at Baptist Health Primary Care, says the biggest trigger is stress. "We can't deny that obesity and being overweight are conditions that trigger migraines but stress is an utmost primary thing that we look at when we're dealing with migraine triggers," she explains. She points out a migraine is a headache, it is an intense throbbing symptom that occurs in areas of the brain and it has a lot to do with electrical conduction of the brain attached to vascular circulation, causing either constriction or dilation.
Women are three times more likely than men to get migraines because of hormones. Dr. Patricia Feito, Family Medicine Physician at Baptist Health Primary Care, says estrogen plays a very big role and some symptoms of migraines can get better after menopause, because hormones drop. People with family history of migraines and with other medical conditions, like depression, anxiety, bipolar disorder, sleep disorders and epilepsy are also more likely to get migraines.
Dr. Patricia Feito, Family Medicine Physician at Baptist Health Primary Care, explains how women are more susceptible to getting migraines than men, because of hormones: "Every single month women go through their menstrual cycle, so what we're seeing with the premenstrual patients is that when they have a drop and a sharp decline in their estrogen during four to five days prior to their menstrual cycle that's when migraines are triggered." She also says into the menopausal years women tend to see an improvement in their migraines when it is associated with hormone variant.
Dr. Patricia Feito, Family Medicine Physician at Baptist Health Primary Care, says the treatment of migraine depends on what the headache logs look like, whether it is a migraine that is chronic, or if it is an acute onset of a migraine. "We ideally look for a multifactorial approach. If we are finding a trigger or response to their migraine, we take it away. Either too much or too little caffeine, alcohol, stress, sleep deprivation, medication, supplementation, we look at that in treatment plans," she says.