Understanding Migraine Headaches: More Than Just a Bad Headache
- Dr. Fedinand Getankwa

- Apr 12, 2025
- 3 min read
If you’ve ever had a pounding headache that made it hard to function, you’re not alone. But what if your headache came with nausea, sensitivity to light and sound, and lasted for hours or even days? That’s not just a regular headache — it might be a migraine.
Migraines are a common but often misunderstood neurological condition. Around 1 in 7 people worldwide suffer from migraines, and many go undiagnosed or untreated. Whether you experience them yourself or know someone who does, understanding what migraines are can help with awareness, compassion, and better care.

What Is a Migraine?
A migraine is a type of headache disorder that involves recurring attacks of moderate to severe pain. Unlike tension headaches, migraines are usually felt on one side of the head and can last from 4 hours to 3 days if untreated.
But migraines are more than just a headache. They often come with symptoms like:
Nausea or vomiting
Sensitivity to light, sound, and even smell
Visual disturbances (like flashing lights or zigzag patterns)
Numbness or tingling in the face or hands
Difficulty speaking or concentrating
These symptoms can occur before, during, or after the headache itself — forming what’s called a migraine attack cycle, which has four phases:
Prodrome (early warning signs, like mood changes or food cravings)
Aura (for some people – visual or sensory disturbances)- you can see flashy or dazzling colors, get temporary visual loss, feel a crawling sensation on the skin, difficulties with speaking clearly, or have strange smells.
Headache (the main attack phase)
Postdrome (the “migraine hangover” — feeling drained or foggy)
What Causes Migraines?
The exact cause isn’t fully understood, but migraines are thought to be linked to abnormal brain activity that affects nerves, chemicals, and blood vessels in the brain.
There’s also a strong genetic link — if one of your parents has migraines, you have about a 50% chance of getting them too.
Common triggers include:
Stress or anxiety
Hormonal changes (especially in women)
Certain foods (like aged cheese, chocolate, or processed meats)
Alcohol (especially red wine)
Changes in sleep or weather
Bright lights or loud noises
Skipping meals
Triggers vary from person to person, so tracking your migraines can help you identify what affects you.
Who Gets Migraines?
Migraines can affect anyone, but they’re more common in:
Women (3 times more likely than men, often due to hormonal shifts)
People between 15–55 years old
Those with a family history of migraines
People with other conditions like anxiety, depression, or epilepsy
Migraines often start in childhood or adolescence and can become more or less frequent over time.
How Are Migraines Treated?
There’s no cure for migraines, but there are many treatment options that can reduce frequency and intensity.
Lifestyle changes: Avoiding triggers, managing stress, staying hydrated, and getting regular sleep can help prevent attacks.
Acute medications: These are taken during a migraine to stop or lessen the pain. They include over-the-counter painkillers like ibuprofen or prescription drugs like triptans.
Preventive treatments: If migraines are frequent or severe, doctors may prescribe daily medications, such as beta blockers, anti-seizure drugs, or even injections like CGRP inhibitors.
Natural and alternative therapies: Some people find relief with acupuncture, magnesium supplements, or biofeedback. Always talk to a doctor before trying new treatments.
Living with Migraines
Migraines can disrupt your life — from missing work and social events to impacting your mental health. That’s why education and support are essential.
If you suspect you have migraines, don’t ignore the symptoms. Talk to a healthcare provider who can help you build a plan tailored to your needs.
You’re not alone, and with the right strategies, migraines can be managed — allowing you to live a fuller, more comfortable life.
💡 Quick Tips for Migraine Prevention
Keep a headache diary to track triggers
Eat regular, balanced meals
Stay hydrated
Practice stress management techniques
Stick to a sleep schedule
Avoid excessive caffeine and alcohol
Migraines may be invisible, but they are real and impactful. By spreading awareness, we can build a more understanding and supportive community for those living with this challenging condition.



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