8/6/07 #2 - Perfume/odor triggers, MOH needs trigger?

Ask the Clinician Health Pro
  • Full Question:
    I have 2 questions.

    1. I get migraines with perfumes and odors, often just don't feel good, and sometimes I am in a good mood and the instant I smell strong perfumes or certain odors it like Dr. Jekyl and Mr. Hyde, a complete turn around. Is that related to the migraine episode?
    2. Regarding MOH, is it considered MOH if it takes a trigger to set it off? Like with the perfumes, it or sunlight or my triggers set the headaches off. I hadn't kept track of the headaches until the past few weeks, and there is always a trigger, but I have been using the meds more frequently than I should. Am seeing my doctor tomorrow.

    Thanks, Beverly.

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    Answer:


    Dear Beverly;


    Your reaction to perfumes and odors isn't unusual for Migraineurs with a fragrance/odor trigger. That type of trigger can be very strong and trigger an immediate Migraine attack. It's not unusual for such attacks to be accompanied by a sudden mood shift such as you describe.


    With MOH, not taking the medication which has caused MOH is the trigger for the headache. Overuse of medications can not only lead to rebound headaches, but to Migraineurs being more susceptible to their triggers. MOH and Migraine can act differently. Migraine is generally pulsing or throbbing and accompanied by other symptoms. The pain of a Migraine is usually made worse by activity, including bending over. MOH is usually more like a "plain" headache, not accompanied by other symptoms or made worse by activity. If you're suing medications more frequently than you should, it's time to talk with your doctor about preventive therapies.


    Good luck,
    John Claude Krusz and Teri Robert


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    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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Published On: August 06, 2007