Monday, May 28, 2012
Friday, March 04, 2011 Elizabeth Roberts, Health Guide, asks

Q: It has just been suggested to me that I may have silent migraines.

I could go into my whole medical history, but it would fill pages. So, will leave it short - Dx'd with IBD and IBS in 1997; treated with radiation for an Acoustic Neuroma - AN (brain tumor on the balance nerve) in 2005; been seeing a vestibular rehab therapist for 2 months for balance nerve damage done by the radiation; and, yesterday when we were discussing my ongoing dizziness and wooziness, she noted my high anxiety levels. I also mentioned that I have occasional tingling i nmy arms, and tremors in my right hand and leg since about 8 months ago, light sensitvity, and noise sensitivity as well She suggested that in addition to the nerve damage from the AN, I might also have silent migraines -I'd never heard of them but my mother and sister has typical migraines with actual headache pain. She suggested I go on a Migraine diet for 2 weeks to see if it helps. Her diet guidelines aren't well-written and I'm looking for a little direction. I know the big things to not eat are chocolate, red wine, cheese, and MSG. What about soy milk? Nuts? etc. Any help appreciated.

 

Thanks,

Elizabeth

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Answers (1)
Nancy Harris Bonk, Health Guide
3/ 6/11 9:37pm

Hi Elizabeth,

 

Sounds like your hands are full! But let's see what information I can give you to give you a hand.

 

Silent Migraine is just that, a Migraine attack without the headache phase. Read more on that in this article;  Acephalgic or Silent Migraine - The Basics. Seeing as you have family members with Migraine, it probably isn't a far stretch that you may have them too.

 

Trigger identification and management is an important part of Migraine management and preventing Migraines. You may have some triggers that you can avoid, thus preventing Migraines brought on by those triggers.  When working to identify triggers one of the best tools is a good Migraine diary. You can read more about this and download a free diary workbook in our article Your Migraine and Headache Diary. Some of us have food triggers; some of us don't. It's advisable to determine if you do, and an elimination diet is the best way to do that. For more information and a workbook on this, see Managing Migraine - Migraine Trigger Foods.

 

If your looking for some additional information and support, come join our discussion forum. You'll need to register again once there because it's a separate membership database, but you can use the same member name, email address, and password that you used here. You can find our forum at http://forums.healthcentral.com/discussion/migraine/forums.

 

I hope this helps, let me know, ok?

Nancy 

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Elizabeth Roberts, Health Guide
3/ 7/11 3:06pm

Thank you, Nancy, for your reply.

 

I've seen the lists of potential trigger foods and am adhering to not eating them. However, I find these lists somewhat vague. I'm a food person and I've been able to identify many foods and food types and triggers for other problems that I have. That said, my diet is very, very limited, and many of the potential trigger foods for migraines have been staples on my IBD diet. So, pardon me for asking a few specific food questions. . .

 

Is goat's cheese on the potential trigger list?

How about soy milk?

Are all nuts a potential trigger?

Why is process/grocery store bread okay? It still has yeast in it?

 

Thanks much,

Elizabeth

 

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Nancy Harris Bonk, Health Guide
3/ 7/11 8:03pm

Hi Elizabeth,

 

No problem with specific questions, we love that!! See the thing is that food triggers vary from person to person. For example, chocolate is a Migraine trigger for my son, but thankfully not for me. Raw, fresh onions can trigger a Migraine for me, but don't for my son and so on. Trigger foods are really a very individual thing and tracking them is the best way to find out which ones do and do not trigger a Migraine attack. Did you download the trigger workbook at the end of the article? It has a more indepth food list than the article touches on. 

 

I know this isn't the answer you are looking for, I'm sorry. Triggers are tricky. There are more to them then just food too. Weather changes are big triggers for some people, myself included. Dehydration and interruption in sleeping patterns can be Migraine triggers too. When you add up a glass of soy milk (potential trigger) drastic weather changes and oversleeping, now you have a fabulous receipe for a Migraine attack. Does that make sense? We have a video that you may want to take a look at; Migraine Video: Identifying Your Triggers.

 

Again, let me know if I can be more helpful.

Nancy

 

 


 

That's why can be more than just food triggering a Migraine attack.  

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Elizabeth Roberts, Health Guide
3/ 8/11 11:48am

Thanks, Nancy.

 

I appreciate your reply. And truly understand that "triggers" are different for everyone, even with the same disease. It's exactly the same with Inflammatory Bowel Disease - food isn't a trigger for my dad, who has it as well, but many, many foods are a trigger for me, as well as those environmental factors you mentioned.

 

I was actually looking for more guidance in the Elimination of food process, as that is the most important phase, to rid your body of the potential triggers. But no worries, I'm not eating any of the foods I mentioned and we'll see what happens during the add-back process.

 

You have been helpful and I appreciate your time with this.

 

Best,

Elizabeth  

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Nancy Harris Bonk, Health Guide
3/ 8/11 1:46pm

Hi again,

 

Forgive me for being blunt, but we may differ on an elimination diet being the most important phase of figuring out your Migraine triggers.  Especially with your family history of Migraine I would think a Migraine diary that includes food and non-food triggers would be the way to go. 

 

Also you may want to take a look at this article if I didn't give it to you already

Abdominal Migraine - The Basics.

 

Keep me posted on how you are feeling, ok?

Nancy

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Elizabeth Roberts, Health Guide
3/ 8/11 3:23pm

Hi Nancy,

 

I've offended you, and apologize as I had no intention of doing so.

 

When it comes to Elimination diets I come at them from an Inflammatory Bowel Disease focus. And in IBD, it is doing a very strict Elim. Diet first that is the most important and informative phase of figuring out how to manage the IBD. Environmental triggers come second.

 

So, I agree with you that when it comes to migraines, environmental and food are on an equal playing field. Personally, I'd prefer that my causes be more environemental, as my diet is already very limited and many of the potential trigger foods for migraine have been staples in my IBD diet. And with that in mind, I was just trying to make sure that I wasn't sneaking in a potential trigger food during my elimination period.

 

I realize better than most that this is a process, and in my case it will be a harder one in that the vestibular nerve damage I have can cause some of the same symptoms as the silent migraine. So, trying to figure out what is causing what will be a challenge, which is why I suppose I'm mainly focusing first on what I know - the Elim. diet.

 

Your support and concern is much appreciated. And again, apologies for any offense. It was not meant.

 

Cheers,

Elizabeth 

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Nancy Harris Bonk, Health Guide
3/ 9/11 9:24am

Oh Elizabeth, you didn't offend me, sometimes I get a bit "carried away" with my suggestions and I think I come off a bit too strong. My turn to apologize. I really just want your pain to go away Smile. If I had a magic wand I'd be waving it all day!

 

It's just that for me, I was caught up for so many years trying to find one answer to my head and neck pain. Like you, I have a complicated health history and have come to realize there is no one trigger for my Migraine pain. One day it could be my Idiopathic Intracranial Hypertension is "acting up." Another day my cervical spine may be the issue, yet another day - or even better the same day - it could be one of my "autoimmune" issues. All these things can trigger a Migraine for me. And God forbid I chop a fresh onion, then I am doomed for an instant Migraine. I do understand your desire to figure out what would help decrease your Migraine pain. 

 

Are there more foods than the ones you mentioned (nuts, soy milk and goat's cheese and grocery store bread) of specific concern to you? I did a little digging on the bread and depending on what kind of bread from the store we are talking about, it may not trigger some people because it has been "watered" down so to speak. This type of store bread is not full of "good" things for you, rather, contains preservatives, Now these may or may not trigger some folks. Yeast may be one issue of the bread conundrum. Nuts, I think it is a hit or miss for each person :(.  As far as soy milk goes, you may have to take it out of your diet for two weeks then add it in slowly and see  where your  head is. 

 

If it helps, I am here to help, and not offended in the least Smile

Nancy

 

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By Elizabeth Roberts, Health Guide— Last Modified: 03/10/11, First Published: 03/04/11