Wednesday, February 22, 2012

Postdrome: The Last Phase of the Storm

I recently discussed the prodrome, which is the first phase of migraine. There's another phase called the "postdrome." This is the phase immediately following the headache phase, where (according to Wikipedia) the body is essentially recovering from the horrors that we've just been through. Typical symptoms are fatigue, irritability, inability to concentrate, mood changes, and listlessness-- though some people may feel unusually refreshed or euphoric.

So, let me think back to my college entrance exams . . . a simile is a metaphor using "like or as." So, a migraine is like a summer storm. How, you ask?

First, we have the prodrome. This is the clichéd calm before the storm, when you know something is coming. Maybe you can see the storm clouds brewing, or maybe there's just the smell of ozone in the atmosphere, but like Marcia Griffiths said in Electric Boogie: "It's Electric!"

Then comes the aura. It starts as distant lightning on the horizon (scotoma, or visual aura), which quickly develops into dark clouds blotting out the sun. (Don't stop me; I'm on a metaphorical roll today).

Then the migraine. Not much needs to be said about this. This is the F5 tornado of headaches.

Then the postdrome. The veritable clean-up phase of the migraine. I can imagine the shell-shocked survivors of my storm-ravaged grey matter slowly emerging from their shelters as the migraine finally subsides. Let's look at a couple of the key symptoms, shall we?

Fatigue: Yeah, I can believe it. Whether from the thrashing on the bed, or lack of sleep, fatigue after a migraine is easy to expect. Both of my abortives list fatigue as a side-effect as well.

Inability to concentrate: I would expect that to go hand-in-hand with fatigue.

Irritability: I don't know about you, but my migraines feel like someone is hammering a railroad spike into my head (blunt end first). I figure if you take anyone off the street and actually do that to them, it might—just might—make them a bit irritable.

Euphoric: Strange as it may sound, it is possible to be both euphoric and irritated at the same time. I can be irritated (and irritable) after a migraine, yet euphoric that the migraine is finally over. Usually this also goes hand in hand with the fatigue.

These symptoms all add up to something I like to call being "punch drunk." And, for those of you that aren't familiar with the term, this has nothing to do with drinking punch—the term actually means the feeling of being drunk after being punched too many times (like a boxer). It's almost a state of dementia that can last for anywhere from a few hours to even a few days, depending on the length and severity of the migraine.

Personally? I think it's the brain's way of telling you to take it easy after a pounder of a headache.

How do you cope with migraines? Tell us in the message boards.

5/27/08 12:04am

For thirty years, I had rare ocular migraines, always triggered by a clear cause...MSG, chocolate, bisulfate and bisulfite preservaties in dried fruit, white grape juice...learned to avoid those items.  Had at the most 2-3 oculars a year.

 

I'm now 68 and began having more frequent oculars about eight weeks ago, roughly one a week, twice two a day.  Stress might be a factor,I moved at this time from 6900 feet to the Mojave desert at 2200 feet.  I began to react to sharp cheese, some fruit juices...but, by and large, I am troubled and baffled by the increase.

 

I just crossed over into late onset diabetes and find myself wondering if that might be a factor. 

 

The oculars consist of scotoma, then jagged rainbows that move out to the periphey of my vision.  I sometimes have dry mouth and often, frequent urination.  They last between 10-30 minutes and the postdrome includes feeling rattled and a little spacy.

 

I talked with my nurse practitioner in Flagstaff who said they happen and encouraged me to not be afraid of them...checked websites and found the words, "benign" "unpreventable"; a local doctor told me no-one really knows what causes them and that they are harmless and unpreventable...

 

Any thoughts from anyone?

 

m

Anonymous
Dan
7/29/09 6:49am

Seems to me anyone who would call a migraine "benign" has never had one.  Maybe they don't cause cancer, but still...  I'm in postdrome right now and I feel, well, "fuzzy," tired and cranky.  I have a feeling of slight muscle weakness too.  

 

My migraines are most often caused by bright light or a burst of physical activity.

Anonymous
Erika
10/ 1/09 10:13pm

For the doctor who told you they are harmless, yes and no. They are harmless if they stick to a pattern, for you it was 2-3 a year. If you see a sudden increase in time and intensity for the migraine it could indicate a deeper problem. I would be speaking with the doctor about more testing just to be on the safe side. Most doctors will do a CT scan if you are seeing a sudden increase like you are.

 

Anonymous
Mary
10/ 1/09 10:59pm

Thank you.  They have disappeared just as mysteriously as they appeared.  I was under incredible stress at the time.  I made significant life changes just before them and have made others, much less drastic, since then.  For now, I'm grateful they are gone.  

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