Exaggerating and retraining factors leading to migraine incidence in Pakistan

Abstract

Migraine is a neurological disorder with primary episodes of headache pain affecting populations worldwide. Almost people of all ages and family history are able to develop this pattern of throbbing and unilateral pain with visual disturbance to physical sensations. The key triggers that are most likely to initiate this headache includes psychosocial, economical, environmental or physical stress, hormonal disturbances, dietary variations, high sensitivity to light, smell and sounds.185 subjects both male and females of different ages from 16-60 years were interviewed to investigate the key triggering reasons for migraine attacks. Meanwhile they were also inquired by any restraining factors that help them to get instant or long-lasting relief. Evaluation was done on the basis of ICHD-II criteria. Moreover the family history, socio-economic status and demographic data were also noted. Our results gave a clear view that emotional and mental stress was the key trigger that can exaggerate the feeling of headache with physical strain as the other main burden. Secondly exposure to immense sunlight and bright lights was frequently reported. Other minor initiators observed were lack of sleep, dietary changes, skipped meals, menstruation, and particular smells like fragrance or unpleasant odors. While excessive sleep and medications were noted as chief controls this can restrain headache pain incidence. In this study, emotional stresses were significant in female. Psychological stress is reported to be a major contributor to headaches. The attacks may be relief by proper medication and sleep. Stress and sunlight trigger migraine head pain in majority that can be cure by proper medicine and sleep.