Migraine is irregularly episodic, so there needs
to be some explanation for why a particular migraine episode occurs
at a particular time and not at another time, the cause is unknown.
Family history is present. Clinically many cases of migraine present
their maternal and paternal inheritance, However the risk factors and
precipitating factors "Migraine Triggers" can be explained.
A migraine trigger is any factors that on exposure
or withdrawal lead to the development of an acute migraine headache.
Triggers may be categorized as behavioral environmental, infection,
dietary, chemical, or hormonal.
Enviournment
Several studies have found some migraines are triggered
by changes in weather. Temperature mixed with humidity. High humidity
plus high or low temperature was the biggest cause. Significant changes
in weather and changes in barometric pressure also predispose the factor.
Hormonal influence
Great female preponderance, Attacks exacerbated
during menstrual cycle, pregnancy, Oral Contraceptive usage, estrogen
therapy and menopause. Although the exact relationship between hormones
and headaches isn't clear, fluctuations in estrogen and progesterone
seem to trigger headaches in many women with migraine headaches. Women
with a history of migraines often have reported headaches immediately
before or during their periods. Others report more migraines during
pregnancy or menopause. Hormonal medications, such as contraceptives
and hormone replacement therapy, also may worsen migraines.
Dietary precipitants
Certain foods appear to trigger headaches in some
people. Common offenders include alcohol, especially beer and red wine;
aged cheeses; chocolate; fermented, pickled or marinated foods; aspartame;
caffeine; monosodium glutamate - a key ingredient in some Asian foods;
certain seasonings; and many canned and processed foods. Skipping meals
or fasting also can trigger migraines.
Psychological stress
Especially after period of stress like weekend.
A period of hard work followed by relaxation may lead to a weekend migraine
headache. Stress at work or home also can instigate migraines.

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