Migraine attack
Hello Doctor, I have been struggling with typical migraines.
It starts with flickering in my right eye, followed by severe pain on the left side of my head, then dizziness and nausea, and sometimes diarrhea.
I have already undergone examinations, and the doctor said I can only manage it with medication.
I have been taking pain relievers, but my dosage requirement keeps increasing.
Recently, I noticed that I often start experiencing flickering in my eyes halfway through washing my hair; this has happened repeatedly, and the frequency is too high during this situation.
Could this be related to my hair-washing method? However, I have tried various water temperatures, and the pain persists regardless.
Thank you for your assistance in answering this.
Kara, 30~39 year old female. Ask Date: 2018/06/02
Dr. Cai Zongzhang reply Neurology
In your description, you did not specify what examinations were conducted.
If your description suggests that this migraine is related to washing your hair (such as tilting your head to the side), I recommend that you visit an outpatient clinic for a thorough examination and treatment, which will surely provide you with satisfactory answers.
Reply Date: 2018/06/02
More Info
Migraines can be a debilitating condition, and understanding their triggers is crucial for effective management. Your experience of having typical migraines, characterized by visual disturbances (like flashing lights), severe headache, nausea, and even gastrointestinal symptoms, is not uncommon. It’s interesting that you’ve noticed a correlation between washing your hair and the onset of your migraine symptoms.
While there is no definitive evidence linking hair washing directly to migraines, there are several factors that could contribute to your experience. First, the physical act of washing your hair can involve certain movements and positions that may trigger a migraine. For instance, tilting your head back to rinse your hair or the strain of holding your arms up for an extended period can lead to muscle tension, which is a known migraine trigger for some individuals.
Additionally, the sensory experience of washing your hair—such as the smell of shampoo, the temperature of the water, or even the pressure of water on your scalp—could potentially act as a trigger. Migraines are often exacerbated by sensory stimuli, including strong smells, bright lights, and loud noises. If you are using a heavily scented shampoo or conditioner, it might be worth trying a fragrance-free product to see if that alleviates your symptoms.
Another aspect to consider is the water temperature. While you mentioned that you’ve tried various temperatures, it’s important to note that extreme temperatures—whether hot or cold—can sometimes provoke migraines in sensitive individuals. If you haven’t already, you might want to experiment with lukewarm water, as it is generally less likely to trigger a migraine.
Stress and tension are also significant migraine triggers. If washing your hair feels like a chore or if you are feeling rushed or anxious during the process, this could contribute to the onset of your migraine. Finding a relaxing routine for hair washing, perhaps incorporating calming music or a soothing environment, could help mitigate this stress.
Moreover, dehydration can be a contributing factor to migraines. If you are not adequately hydrating before or after washing your hair, this could also play a role in the frequency and intensity of your migraines. Ensuring you drink enough water throughout the day is essential, especially if you are prone to migraines.
Lastly, it’s essential to consider the overall context of your migraine management. Since you mentioned that you are already on medication and that your dosage needs are increasing, it’s crucial to have an open dialogue with your healthcare provider about your symptoms and any changes you notice. They may suggest alternative treatments or preventive measures that could help reduce the frequency of your migraines.
In summary, while there is no direct evidence linking hair washing to migraine onset, several factors associated with the process could contribute to your experience. It may be beneficial to adjust your hair washing routine, consider the products you use, and maintain good hydration. Additionally, keeping a migraine diary to track your symptoms in relation to various triggers, including hair washing, can provide valuable insights for you and your healthcare provider. If your migraines continue to worsen or if you have concerns about your treatment plan, please consult your healthcare provider for further evaluation and management options.
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