Individual trigger foods such as aged cheeses, processed meats, fermented foods and more
FOODS TO LIMIT
Coffee and other caffeinated drinks
WHO’S AFFECTED
29 5 million Americans are affected by migraines
Women are affected by migraines three times as often as men
Men, especially heavy smokers or those who frequently drink alcohol, are more commonly affected by
cluster headaches
Headaches afflict about 70% of adults at least occasionally and provoke millions of North
Americans each year to seek medical relief Most headaches are transient and caused by tension or a
temporary condition, such as a cold or the flu, but some reflect a serious underlying problem
Recurrent headaches warrant medical attention to diagnose the type and determine the best treatment
A migraine is a one-sided, severe, throbbing or pulsating headache often accompanied by
sensitivity to light and sound as well as by nausea and vomiting
Cluster headaches, the most incapacitating of all headaches, last from 15 minutes to 3 hours and
typically occurs in clusters Often starting during sleep, they cause excruciating, stabbing pain on one
side of the head, usually behind or around one eye
Tension headaches are the most common type and are caused by muscle contractions or an
imbalance of natural chemicals in the brain
Headaches also may be due to sinusitis, an inflammation of the lining of the sinus cavities Another
type, called rebound headaches, can result from overuse of over-the-counter analgesics, prescription
pain medications and sedatives, and caffeine (which is a common ingredient in such drugs) Dental
problems can cause very severe one-sided headaches, too
The many other factors that can cause headaches include squinting for hours in bright sun, eyestrain,
hunger, excessive alcohol consumption, and too little or too much sleep
5 to 10% of children and adolescents are affected by migraines
Nutrition Connection
The key to minimizing or avoiding headaches is to avoid the elements that cause them, some of them
dietary Here are some factors to consider:
Avoid common dietary triggers Many foods, additives, and other dietary components can cause
migraines, but the triggers vary greatly from one person to another Keep a food diary, note what
foods seem to prompt symptoms, and then eliminate them Some common ones include: dairy
products, such as aged cheeses; sourdough and other yeasty breads; fermented foods, including
pickles; some legumes, especially dried beans, lentils, and soy products; nuts, seeds, and peanut
butter; chocolate and cocoa; organ meats and meats that are salted, dried, cured, smoked, or contain
nitrites; sardines and anchovies; many fruits, including avocados, bananas, citrus fruits, figs, grapes,
pineapples, raspberries, red plums, and raisins; alcohol, especially red wine; seasonings and flavor
enhancers, especially artificial sweeteners, ginger, and molasses; sulfites used as preservatives in
wine and dried fruits; and monosodium glutamate (MSG)
Keep blood sugar steady Eat regular meals, because hunger or low blood sugar can trigger a
headache
Use coffee to your advantage The caffeine in coffee and other beverages—as well as in many
over-the-counter analgesic drugs—can play a dual role in migraines Regular and excessive ingestion
can contribute to the frequency of the headaches On the other hand, once you are completely off
caffeine, you may be able to use it to fend off an impending attack, because it constricts dilated blood
vessels At the first sign of an aura or a pain, drink a cup of strong coffee or a cola, take two aspirin,
and lie down in a dark, quiet room The episode may pass within an hour or so
Beyond the Diet
Headaches may be best managed by figuring out the causes and then avoiding them Consider the
following:
Try muscle relaxation techniques Meditation, yoga, biofeedback, or guided imagery may all be
helpful
Take feverfew for migraines Take one or two capsules of freeze-dried feverfew daily to reduce
headache episodes Research shows that regular feverfew intake decreases the frequency and
intensity of migraine headaches and accompanying nausea It cannot, however, stop an attack that has
already started Start slowly; feverfew can produce allergic reactions in some people If you have no
side effects, you can continue this regimen indefinitely
Consider medications A number of medications are available to treat migraines Medications
used to treat other headaches include acetaminophen, aspirin, ibuprofen, and naproxen For rebound
headaches, stop using drugs that contain caffeine