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Chocloate, bananas? Identifying triggers? Estrogen?

From John Claude Krusz, MD, PhD, and Teri Robert, for About.com

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Question: Chocloate, bananas? Identifying triggers? Estrogen?

Answer:

Full Question:

Thank you for having a place to ask questions. I have had these terrible beasts since I was 19. Did everything imaginable to rid them. I am 52 and at this time, I am taking Nadolol 40mg, twice a day. I don't have the headaches as often as I used to. I have the aura, with the zigzag lines and then pain is behind one or both of my eyes. My Dr. gave me a paper with some triggers, aged cheese, chocolate, peanuts, etc. I do not eat any of these things, but still have them occasionally, never knowing just when it will happen. Strong smells, barometric pressure, suddenly seeing a blind spot from the sun on someone's bumper, etc. I am able to eat Velveeta cheese, cottage cheese, pizza with mozzarella. Is there any kind of chocolate that a Migrainuer can eat that is not a cocoa base? Do bananas give headaches? I have eaten things and then had a headache, but wondered if the food actually gave it to me or was it something else? I had a hysterectomy in 1993. I am currently taking estrogen .3 mil. I didn't know who to talk to, but found you by typing in migraine. If you can't help me, can you pass me on to someone who can. Thank you for listening, carolyn.
 

Answer:

Dear Carolyn;

If the Nadolol is reducing the number of Migraine attacks during which you have the headache phase, but leaving you with the other symptoms, it would be a good idea to talk with your doctor about adjusting your preventive regimen. Possibilities would include changing the Nadolol dosage, changing to a different medication, or adding another medication.

Some have reported that "white chocolate" does not trigger a Migraine for them even though "regular" chocolate does. Bananas are a trigger for some Migraineurs, not for others. Triggers are very individualized. There's really no way to know if it's the foods or something else triggering your Migraines. One of the best ways to try to determine that is by keeping a Migraine diary. The estrogen may or may not impact your Migraines. Again, triggers vary a great deal from one Migraineur to the next.

If your doctor can't help you with these issues, try a Migraine specialist. There's a link below to our directory of recommended specialists.

Good luck,
Teri Robert and John Claude Krusz

____________
To visit our directory of recommended specialists and clinics, click HERE.

To visit our forums for an exchange of information and support, click HERE.

Published February 20, 2006

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