Relationship of migraine to other diseasesAlthough there are many conditions that produce pain in the head region, e.g. sinusitis, high blood pressure, eye strain, there is no proof that these conditions predispose to migraine.On the other hand, many migraine sufferers notice that their attacks are more frequent when they are ‘run-down’ or suffering from general upsets.Case CD, on returning from a lecture-tour of India, suddenly developed frequent (sometimes twice-daily) attacks of migraine, which were produced by slight stress, e.g. a short walk. Analysis of his blood showed evidence of an infection, which later proved to be an inflammatory bowel disorder. When the latter condition was cured with treatment, he suffered no further migraine attacks.
Migraine in the elderlyOld people do not suffer from migraine as commonly or as severely as the young. There are exceptions to this rule, however. Many women whose migraine is worse at the time of the menstrual period are told that their attacks will go with the menopause. This is often, but not always, the case.There is little doubt that, on the whole, attacks change in their characteristics with ageing, e.g. vomiting is less severe and in many cases the disorder becomes less troublesome.
Weekend migraineAlthough migraine is often thought of as a stress disease, there are many sufferers who get attacks only when they are relaxing either at weekends or on holiday. Others will get attacks only when they are anticipating an exciting event, e.g. a party. This can be so distinctive that they will refuse invitations in the certain knowledge that acceptance will provoke an attack.
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