50 wellness experts Dr Tiejun Tang, Traditional Chinese Medicine Expert Dr Vidhya Pathare, Family Physician I’m a 48-year-old woman who suffers from frequent migraine attacks. They come suddenly for no apparent reason and are quite bad while they last. I take medication which makes them go away but, instead of temporary relief, I would like to find a solution to the condition itself. What can I do to not have migraines at all? Malini Shah, Clinical Psychologist Dr Bina Wadhawan, Alternative Medicine Therapist Dr Tiejun Tang says: Migraine is a very common disease with an estimated global prevalence of 14.7% (that’s around 1 in 7 people). Doctors often prescribe paracetamol or ibuprofen. The effect of these painkillers, like you say, is temporary. If you use painkillers for a long time, they will cause some side effects like stomachache and damage to the liver function. The medicine can relieve your headache but lead to new problems. Traditional Chinese Medicine (TCM) applies acupuncture and herbal medicine to treat migraine, which is an effective natural therapy without side effects. Chinese medicine believes that the main reasons for migraine are due to blood stasis or phlegm obstruction. Headache in different parts indicate the pathogenic change happening in different meridians. There are headaches types like Yangming, Shaoyang, Taiyang and Jueyin. Headache is not the only symptom of migraine; patient must have some other accompanying symptoms. Migraine also can be triggered by different reasons. Some cases are stress related while some are related to menstruation. A TCM practitioner uses syndrome differentiation diagnosis to distinguish the different type of migraine, so an individualised treatment plan will be applied to different patients. TCM treatment is to target the reason of migraine, not only to release the pain temporarily. Dr Tiejun Tang has a PhD in Chinese Medicine. He has over 30 years of clinical experience, authored several papers and books, and is Clinical Tutor & Senior Lecturer at Middlesex University, UK. He is Fellow of ATCM (The Association of Traditional Chinese Medicine & Acupuncture, UK) and practices in Central London. Visit www.harleystreetchineseacupuncture.co.uk. For online consultation mail him on knowhowacupuncture@hotmail.co.uk or call Tel: 0751 600 8921. Visit his blog http:// chinesemedicinesalon.blogspot.co.uk Dr Subodh Naik, Homeopath Dr Vidhya Pathare says: Migraine is a bouquet of many symptoms, headache being primary. The rest may or may not be present. The symptoms are dizziness, nausea, eye pain, strain, inability to tolerate light and inability to sleep. The yourwellness.com
51 triggers are physical, mental, medical, food-related etc. Keep a food journal. Watch what you eat. Chocolates, red wine, mono sodium glutamate, processed foods, aged cheeses, aspartame (artificial sweeteners), certain meats, eggs, caffeine, wheat, dairy products, onions, tomatoes are potential triggers. Physical factors like weather change, change in the exercise pattern, lack of sleep, too much noise, too much sun or glare from lights at clubs, movies, crowds, driving at night are the triggers. The medical factors that might lead to migraine headaches are brain tumors, bleeds, infections (must be ruled out by doctors who will perform tests, CT scans etc), magnesium deficiency, dehydration, hormonal changes, birth control pills and certain medications. All these should be discussed in consultation with your doctor, not self-diagnosed. Stress and anxiety, leading to lack of sleep, irregular eating habits, prolonged periods of starvation followed by binging can also be the triggers. Meditation, yoga, deep breathing exercises and adequate sleep can prevent these attacks, as also reduce their frequency and intensity. Eating coloured veggies and fruits, brown rice, electrolyte-laden fluids, water, spinach, oranges, cherries, cranberries, maple syrup help. Take magnesium, vitamin supplement with your doctor’s advice only. Becoming aware of your habits will help you bring about the necessary changes to reduce the frequency and intensity of headaches. Dr Vidhya Pathare is a Family Physician Malini Shah says: Migraine is normally related to emotional stress and also called as ‘tension headache’. Try to write down when the migraine occurs and if you experienced stress, anxiety or depression in the days leading to it. Bottled up feelings of tension, excitement can also trigger migraine; so do major changes in life or home or surroundings, family, financial or relationship problems. What adds to the risk are a person’s tendency to be a perfectionist, habits of smoking or drinking, fatigue, recent illness, lack of adequate sleep, juggling too many responsibilities, changes in menstrual cycle or difficult periods/ menopause or certain food or smells. Make sure to lighten up, watch TV shows that make you smile. Practice deep belly breathing, of a single minute at least 15 times a day to reduce anxiety. Seek help from a counsellor to sort out bothersome issues. Try to enjoy what you do with less emphasis on being perfect or trying to please all. Eat healthy, get some physical exercise daily including stretching, going for a walk etc, sleep well and try Yoga. Asanas like Suryanamaskar and Halaasana will go long way to keep you permanently away from these headaches. Malini Shah is a Clinical Psychologist and a Behavioural Trainer. You could reach her at aasthachrysalis@gmail.com Dr Bina Wadhawan says: Migraines are typical headaches with pounding pain, nausea and sensitivity to light and sound. Many foods and beverages are known to trigger migraines, and thus, diet plays a vital role in its control and prevention. Avoid foods with nitrates (meats such as bacon, sausages, hot dogs, etc), chocolates, aged cheese, alcohol, red wine, beer, ice drinks, ice creams, foods that contain mono-sodium glutamate, processed and fermented foods, beans, nuts, etc. Keep a daily food diary and record everything you eat and note which foods trigger your migraine. Thus, you can eliminate foods which trigger your migraine. Drink plenty of water. Take Magnesium supplements and include almonds, sesame seeds, sunflower seeds, and peanut butter in your diet. Take B complex supplements on a daily basis. A massage may reduce migraine frequency and improve sleep quality, lower cortisol levels, thereby reducing your heart rate, stress and anxiety levels. Regular practice of Yoga may relieve the frequency, duration and intensity of migraines as breathing exercise, meditation and body postures promote health and well-being. You could also try acupressure or acupuncture. For permanent cure, check out the Micro-herbal treatment. Dr Bina Wadhawan is an Alternative Medicine Therapist, Naturopath and Reiki Master. To know more, visit www.drbina.com Dr Subodh Naik says: Migraine is generally a one-sided, throbbing headache, usually passing through four stages of prodrome, aura, headache and post-drome. Hormonal changes, genetics, food agents, emotional stress, changes in sleep wake pattern, certain drinks like alcohol, caffeine etc, change in weather, habitat changes, medications, intense physical activity etc are some known causes. But all the symptoms and causes change from person to person. It means everything related to this disease is highly individualistic and the end product of person's mental makeup, food, habitat, sleep, sexual activity, genetics etc. So, first try to find out the reason/s in your case. Make a note of any change; even a minute in daily routine before each attack will give you the idea of reason/s in your case. Stay away from these precipitating reasons. Take help of Yoga, Vipassana and meditation for mental peace to overcome stress in day today activities. Here the Standardised Constitutional Homeopathy will help you for sure as all the above-mentioned factors (mental makeup, stress, food, habitat, sleep, sexual life, genetic factors etc) are meticulously noted and studied for giving you the Standardised Constitutional Medicine. This holistic approach will give you miraculous and complete cure. Medicines like Natrum Muir, Sabadilla, Ignatia, Calc Carb, Belladona etc are frequently indicated remedies. Always consult a professional Homeopathy practitioner and do not self-medicate. Dr Subodh Naik is MD, Homeopathy Do you need expert advice? Send your problem, in confidence, to: ask@yourwellness.com. Problems can only be answered on the page, we are unable to answer personally. You can also visit the forums at www.yourwellness.com and ask advice from other readers online. yourwellness.com