Is there a connection between diet and migraine?
Nearly everyone has a headache from time to time. But for people with migraine, the pain can be much more serious.
An estimated 1 billion people experience migraine attacks, making it the third most common illness and the most common neurological condition in the world.
Recent studies and research suggest food and diet play a part in migraine. Making changes to your diet may help prevent migraine attacks or reduce their frequency.
RELATED: What Causes Chronic Migraine and Migraine?
What does a migraine attack feel like?
Migraine episodes are different from regular headaches. They tend to last longer, be more painful and have more physical effects, including:
- nausea or vomiting
- vision problems
- extreme sensitivity to lights, smells, and sounds
- tingling and numbness in hands and feet
Migraine pain can be on one side of the head or both. Some people experience a migraine aura, a warning sign that an attack is coming. Aura may mean:
- flashes or sparks of light
- tingling in the body
- difficulty speaking clearly or finding the right words (transient aphasia)
Who gets migraine?
Anyone of any age can get migraine โ even children. Certain factors can make you more prone to them:
Age. Migraine happens most often to people between the ages of 18 and 44.
Sex. Approximately 3 out of 4 people with migraine are those assigned females at birth.
Genetics. Around 90 percent of people who have migraine attacks have a family history of them.
RELATED: Migraines vs. tension headaches vs. cluster headaches
What can trigger a migraine attack?
Doctors know that certain things can trigger migraine attacksTrusted Source, though not every person reacts the same way to triggers. Potential triggers include:
- stress and anxiety
- hormone changes
- certain medications or overuse of medications, including hormonal birth control, steroids, and prescription painkillers
- poor sleep quality or a sleep disorderTrusted Source (e.g., insomnia, sleep apnea)
- changes in weather
- What foods can trigger migraine?
- Food and the chemicals in it may trigger migraine attacksTrusted Source. Right now, thereโs no definite list of foods or beverages that do or donโt cause a migraine attack. However, many people anecdotally claim that certain things they eat or drink trigger migraine. These include:
- chocolate, possibly due to the chemical beta-phenylalanine
- nitrate-rich foods, such as cured meats and hot dogs
- monosodium glutamate (MSG), an additive often found in processed foods
- artificial sweeteners, especially aspartame
- tyramine, a chemical found in fermented foods, aged cheeses, and some kinds of fresh-baked bread
- alcoholic beverages like wine and beer
Some studies indicate that the foods themselves might not be the problem. Instead, food cravings and hunger may be the real root of the trigger. When people have food cravings due to low blood sugar, by the time they eat something, itโs too late โ the migraine attack may already be coming.
More research is needed to understand if the true culprit is hunger, food, or a combination of these. Another possible culprit could be food temperatures. Eating or drinking something that is too hot or too cold may trigger a migraine attack. So be careful when enjoying hot and cold treats.
RELATED: Avoiding Migraine Before It Happens
What foods are good for migraine?
Eating and drinking certain things may help prevent migraine attacks. Changes in eating habits also help, such as limiting sodium and fat or trying a low glycemic diet. The National Headache Foundation also suggests trying a low-tyramine diet. Their website has a detailed list of what to eat and what to avoid.
Avoiding processed foods in favor of whole, unprocessed foods is generally good advice for everyone, though itโs hard to avoid processed foods entirely. If you find additives like artificial flavorings, sweeteners, or preservatives to be migraine triggers for you, try to avoid them in the bulk of your diet.
Certain foods contain high amounts of minerals, vitamins, and fatty acids that may help prevent migraine. Hereโs a list of what you can add to your diet:
- Magnesium-rich foods. Research on mostly white females indicates that magnesium may offer migraine relief. Foods rich in magnesium include dark leafy greens, avocado, and tuna.
- Omega-3 fatty acids. Research indicates that increasing omega-3 fatty acids may help people with migraine. Foods rich in omega-3 fatty acids include fish such as mackerel and salmon, and seeds and legumes.
- Ketogenic foods. It may not be for everyone, but research shows that going keto may help reduce migraine attacks. This means eating foods that are low in carbohydrates and high in fat, like seafood, non-starchy vegetables, and eggs. Be careful, though: Some keto-friendly foods may trigger migraine attacks. Always speak with your doctor or a registered dietitian before starting a keto diet, as there are risks.
RELATED: Migraines vs. tension headaches vs. cluster headaches
How else can migraine be treated?
Some over-the-counter headache medications can help with the pain, such as Tylenol (acetaminophen) or Excedrin (acetaminophen and aspirin). If your migraine attacks are more severe or frequent, your doctor may prescribe medications or other treatments for you.
For relief without pills, your doctor may suggest trying Botox injections or using a neuromodulation device like the Cefaly Dual.
Resting in a dark, quiet room helps some people. For extra help, a cold compress on the head can have a numbing effect. There are also natural remedies you can try, including supplements like:
- feverfew
- magnesium
- vitamin B2 (riboflavin)
Always speak with your doctor before incorporating any new supplements into your diet as interactions can occur.
Research is ongoing when it comes to migraine treatments. Stay in touch with your doctor to learn about new therapies or clinical trials that may help you.
Takeaway
If you have a migraine or think you have migraine symptoms, reach out to your doctor. They may suggest tests such as a CT scan or a blood panel to get a proper diagnosis, which is the key to treatment.