Hello: My teenage daughter gets migraines. When she gets a migraine, she will often wake up with the migraine. She experiences extreme nausea, stomach pain, and vomiting, but the headache and light sensitivity come a little later. Obviously it is hard to treat at onset because she is asleep at onset. Do you have any recommendations? Does this pattern suggest any particular type of trigger? Could it be that her dinner foods are a trigger? Please help. Thank you so much.
I'm sorry I missed answering this question sooner.
It is possible that dinner foods or other foods are responsible for these Migraines. Foods can trigger Migraines that begin up to 48 hours after consuming them.
That said, the most common trigger for waking with Migraines is a sleep issue:
You can see more about this in our video . Migraines, Headaches, and Sleep.
Does she feel rested when she wakes in the morning? Does she get sleepy during the day? If you don't now what's triggering these morning Migraines, the best suggestion I can offer is to talk with her doctor about sleep. Many, many Migraineurs have sleep problems, and too many of them don't even realize it.
I hope this helps.
Please let me know how things are going?
Thank you, Teri. Her sleep seems fairly regular, since she is in school. She goes to sleep around 10:30 and gets up around 6:30. It can vary a little from that.
I wonder if she has food triggers, but we have just not been able to find any, and I don't know where to begin since there are so many potential food triggers for migraines. If a food can trigger a migraine 48 hours after consumption, it would seem virtually impossible to track down that food. She has never had any allergies, and the only foods that seem to upset her stomach right away are ice cream and cinnamon, which she does not eat. There seems to be no food pattern that we can tell... She has been getting migraines twice a week. I would appreciate any further suggestions.
It's not just the amount of sleep. The quality of that sleep is important too.
Some of us have food triggers, some of us don't. The best way to determine if she does is to do an elimination diet for a while. For more information and a workbook on this, see Managing Migraine - Migraine Trigger Foods.
Please keep me posted!