Tue. Mar 28th, 2023

NEW DELHI: Examination stress in students is a common trigger for Migraine. Stress leading to decreased sleep can further increase the risk of Migraine attacks. The severe disabling headaches then interfere with study and increase fear of Examination and further stress, causing a vicious cycle leading to daily headaches, says Dr Pawan Sharma, Neurologist and Headache Specialist.
So tips to students are to make some changes in lifestyle to keep control over the migraine can be remembered by words pneumonic SEEDS. (Sleep, Eat healthy, Exercise, Dehydrate)
✦ Students need to sleep adequately & have good sleep hygiene ensuring good sleep.
✦ They do not need to miss their exercise routine during exams as it can reduce frequency and severity of attack.
✦ Eating properly during exams is so important and a good balanced diet, low caffeine and proper hydration can control migraine. So a proper meal schedule with more water and less coffee can help a lot.
✦ Also students or those suffering from migraine can maintain a diary. They should record what causes them headaches and it can help to know the triggers and migraine frequency. So remember SEED in exam days
Migraine is one of the most common causes of headache, affecting more than 10 million persons per year in India. Migraine headaches are characterized by moderate to severe pulsating or throbbing pain often unilateral but can involve the whole head.
It’s often accompanied by nausea, vomiting and sensitivity to light and sound. It can last from hours to days. In some people, a warning symptom or aura such as flashes of light or visual disturbances or tingling sensation in hands may precede the headache episode. It can be so severe that it can interfere with daily activities.
It can affect men, children and women however women are more commonly affected. The female sex hormone, estrogen, is presumably responsible for the increased risk.
Though causes of migraine are not fully understood, genetics and environmental factors appear to play a role. Various neuro transmitter or chemical such as calcitonin gene-related peptide CGRP play a role in generating pain.
Migraine headaches can start spontaneously or sometimes it can be triggered by lack of sleep, hunger, stress, some food items like alcohol, wines, cheese etc. It can also be triggered by intense exertion, extreme whether conditions or long travel. Menstrual cycle or menses in females is also a common trigger for pain
Migraine can be diagnosed with history and clinical examination in the majority of cases.
There are several lifestyle changes that help in reducing the migraine attacks like proper sleep, well-balanced diet plans and hydration, reducing weight, moderate exercise, self-care with controlling stress.
It is also important to consult a headache specialist or neurologist when attacks are frequent. It can help us to know the best treatment plan or medication for acute attacks such as simple painkillers for migraine-specific drugs like triptans and also to figure out the best prophylactic medication for an individual.
Knowing its triggers and avoiding them is a very important part of treatment. There are many types of medications available to reduce attack frequency including daily medications to a monthly injection of botulinum injection, effect of which can last for many months . A good headache specialist or neuro physician can help you in choosing the best treatment plan for an individual.
Dr. Pawan Sharma is a Neurologist and Headache Specialist, at Apex Super Speciality Hospital, Model Town, Rohtak.

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Tanushree K

By Tanushree


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