i was at the gym today when i ran into one of my co-workers. we were just talking randomly about stuff when she mentioned that she got migraines and had an interesting way of chasing them. she’d discovered that whenever she got auras, she would take an excedrin, drink a shot of espresso and then lock herself in a dark room with very little/no sensory input for about 15 minutes. from time to time she’d test her vision against her hand to see if she could still only see 4 of her fingers, and if it was the case, she’d go back into the room until it either passed, or the pain inevitably came. when she was done, she’d have go eat a piece of bread or have some pasta to balance out the effect of the big dose of caffeine she had.
she had tried a number of medications, including imitrex, a standard prescription medication for migraines, with no effect. one actually included her being upside down, dripping something down her nose to help numb the pain area right about her nose and eye cavity. didn’t help.
it just gets me thinking about a lot of things about migraines in general. for one, migraines are supposed to affect girls a lot more than guys. i seem to remember that the number is 3 out of 4 migraine sufferers are women. i didn’t know actually personally know anyone that had migraines besides me (and my dad, but he is very infrequent) until i started working. i always found that kind of strange that i never heard of anyone having it before - especially if you’ve ever seen someone suffering from a migraine, it’s not one of those things you’d just brush off when you hear of it.
migraines are also triggered by different things for different people. caffeine is one of the things that act as triggers for about half the people, and suppressants for the other half. for example, caffeine is a trigger for my dad, but for this girl, she could use it to actually chase her migraine away. i know that my trigger is a lack of sleep (less than 6 hours consecutive nights) and physical activity or stress. this is very unfortunate because i think if it weren’t for migraines, i would really sleep very little.
i actually kind of like the feeling of forcing myself awake and lounging around half asleep. if sleepy at work, taking a little walk or eating usually cures it. there is nothing really unpleasant about being tired for me… it just makes me enjoy the next night’s sleep more. but with migraines, every time i wake up at 6 to go to the gym, if i’m feeling especially tired, i am afraid to go because i’m not sure if my tiredness should be taken as a sign that my body won’t be able to take much more before it gives to the next onset. in general, feeling very tired and knowing that i have gotten very little sleep actually makes me very uneasy because of migraine attacks.
when migraines actually come, it is a unique sense of dread that is hard to describe. it is not simply the feeling that something bad is going to happen. it is the acquired knowledge of past experiences of exactly what is going to happen. it starts with some blind spots, which you hope may have just come around from you looking at a bright spot and not knowing it. then comes the reading (fingers/missing limbs test) where i look at a sheet full of words and notice that i am seeing white spots where there should be text. i try it again 2 minutes later hoping it will go away, but after the first test, it’s usually here to stay.
now’s where i wonder how much time i have to get home, into bed, and hopefully pass out before the pain hits. if i can get in the sack and manage to sleep for 4-5 hours, i’ll actually miss most of the pain and the nausea. at this point i would feel very tense, physically. it just becomes difficult to relax any muscles for some reason. i’ll drive home, get undressed, get some water (in case i have to throw up), close the doors, turn off any lights, close all the shades and get under the covers. part of the pain of migraines is caused by the blood vessels in your brain expanding, and i’ve heard that part of the reason it hurts is because the vessels actually get too close to the pain receptors in your brain. in my own superstitious way, i keep the half of my head that’s not hurting on the pillow… hoping that it might help the other side drain some blood out.
once the pain begins it is a unique sensation that i think can really only be understood among migraine sufferers. the closest thing i can think of to describe it, is a brain freeze that doesn’t go away, pounds, and is extremely focused to the point of pain. associating brain freeze with a migraine doesn’t quite make it feel that painful, but in comparison, i’ve thought about it, and all these things i would rather have happen to me than suffer a migraine for 4 hours (discounting permantly deforming/damaging effects):
1. be shot in both hands and the feet
2. place my hand on a hot stove
3. have my jaw dislocated with a strong force
4. a lot of other things i guess…
Obviously I haven’t ever experienced any of these things before, but I just think if i were suffering from a migraine and someone told me that i could suffer any of those things to make it go away, i would not be afraid.
I guess a better thing would be what i wouldn’t trade for a migraine:
1. being sliced extensively with a scalpel
2. being scourged or dragged over sharp objects
3. having some seriously messed up dental work being done to me (a la alias)
i just have to say, it is a unique sense of pain… it doesn’t quite compare with any of the things i listed, but just in terms of intensity, that should give you an idea. another way to look at it is: (1) makes me not want to have kids just so they won’t have to suffer it (it’s hereditery) and (2) in general, i’m not one to complain about pain, but it is the one thing that i have to ask God during it, “Why me?”
anyways, i was just thinking about it, and people have asked me to explain what it feels like before. and if there are those of you that read this that know people who suffer from migraines and think “it’s just a headache,” it is much worse than a headache. for most people it is debilitating.
if you for some reason play loud music, or run in and out of the room, paint your nails, or just throw up the blinds around someone who has a migraine - bad idea. the senses are hypersensitive during a migraine.
if someone who has a migraine is able to fall asleep, it is a sweet time of mercy for them, and if they manage to sleep it off, it is the luckiest sensation ever to wake up and have it be gone. if on the other hand you wake them up? even if they don’t say anything, they’re going to be thinking “wtf… you could have help me avoid all this but now i have writhe for another 30 minutes before i can fall asleep again.”
maybe you’re just nice and want to help. but really, when someone has a migraine, if he/she can find a nice, cool, quiet, dark room. that’s the best situation you can be in. just leave the person alone.
that’s my peace. it’s 12:16 now and i want to get up around 6:30 tomorrow so it’s time for bed.