28 million people in the United States alone suffer from migraines. There’s no cure for the sickness but it can be treated and in some cases prevented. Doctor Richard written board. Who is a neurologist with Somerset Medical Center. It here with information I’m battling the attacks. Thank you so much for being here doctor written word. Thank you for having me. I think there’s a lot of confusion out there. When we say migraines but the confusion between. What’s a migraine and what the headache and how do they differ. Well are all migraines are headaches but not all headaches or migraines. A migraine has a fairly formal definition according to the standard the International Headache Society but from a lay person’s perspective you typically you’re looking at a severe throbbing headache. Often associated with the nausea you sick to your stomach. Warm a you may have sensitivity to light noise a and it’s the headache to put your friend in a cold dark room. Amante de suffers from migraine headaches and she’s been points where and. It’s something that I’m interested in knowing because she’s got beyond the headache things some things that you were on men she sometimes has come for dinner so. I can also and I light that flashes in front for I it’s and those are all symptoms and I know there’s more that also differentiate a migraine from headache. Well when people use the term headache most to them are referring to what would be diagnosed as tension-type headache. I’ll and probably 85 percent of people have this. Mild dole headache often coming on at the end of the day. The difficult to diagnose a migraine. Yes and no okay the problem is is that the the characteristic symptoms are pretty straightforward. Then there’s always this little caviar. Warning that you have to exclude underlying conditions. I’m the or are potentially serious. Now if you had the same headache war 10 to 15 years it is unlikely that this represents anything terrible. Wooden but you know a lot about your a few weeks or a few months the you could easily be something that’s much more serious. You know I’m thinking there’s probably someone at home right now who’s going you know that sounds like me. I’ve had these patterns changed is debilitating for me. And it’s important to go to the doctor how can they prepare for that doctors visit often people think about. How much disrupted their life. You know sure the price they paid in terms that disrupted plans a interfered with relationships a compromise work situation. Sure what your doc needs is concrete information. Where the zipper I what does it feel like how does it change how long does it last how often is that home. And a specific as you can be you know where does it hurt to be able to reference exactly where the pain is radiating from how long does that last as close as possible to know you know one hour 15 minutes three hours. That that type of thing i’ll be helpful for the doctor. In there’s always the temptation and I do this to you when you finally have something that’s got here attention enough that. You go to the doc you tell me about the last two things you had. And the not given the pattern up how this is existed over the last the your two or three. Because I their triggers i’ve heard that there can be where it’s not that there’s migraine triggers out the world. Whether a whole host of things that the cause a some people with migraine to have haddock more frequently. All and they range from foods the notoriously alcohol ruled preserved meats where theirnitrates. A some people have psycho-social stressful related headache though have headaches sometimes withthe on service stress. Sure a they’re coming up on an exam and they get a headache. Sometimes they have let down Hicks after all the excitement over. Now if I’m suffering from symptoms or someone home right now suffering from symptoms. Are their treatments available today. That’s a bit on where you are in the context to the heck. So a bitch just starting. They were group with drugs that have been available over the last or 15 years or so generically called the trip down switcher pretty marvelous. And the the trip tens okay. And then a pain reliever or. Actually no the nice thing about this is that goes directly at one of the mechanisms and migraine. It goes up %uh the serotonergic nervous system serotonin is one of those no chemicals that allows one nerve cell to talk to another. Room and the goes right out the target without giving you all the side effects pain medication. Out really. So there are options any whether treatment sorry said it the headache coming on is there anything preventative for migraines right now. A prevention is less important because the Pretender so good. II a there are a variety of medications that have been actually develop for other purposes. Him some other blood pressure medication some other antidepressants. And we’ve discovered one of their side effects is the alleviation of migrants. And what happens is that you interesting given to the person the who has the primary issue and then they come back and say oh by the way. Yeah you know I haven’t had my headaches. I’ll there was a you gonna study at the aspen in middle age male physicians. One and they discovered that the an aspirin a day decreased the the self reported incidents a migraine among these people. Are carey is here because I know we’re almost at a time is just remember that um. Its okay there is a difference you migraine headache track the symptoms that you’re having make sure you write it down bring a history to your doctor don’t be afraid to go to your doctor and that there are treatments available. Today either one you’re getting a headache or to be able to avoicertain triggers. Doctor when we thank you so much for being here they appreciate. It you’re welcome pain P A.