“Headaches aren’t welcome here” — that’s the sign you have hanging on your brain’s front door, but the pain is barging right in. You can chalk it up to stress from world events or something you ate or drank, and you might be right. But there are a number of common triggers for migraines, tension headaches, or cluster headaches. The faster you identify them, the quicker you can boot headache pain off the property.
What are the triggers for your headaches?
Take note of your circumstances when a headache starts. Keep a diary to track the day, time, symptoms, and circumstances surrounding the pain (what had you eaten? where did it happen?). Common causes of headaches include the following seven triggers.
- Stress. Stress can cause tight muscles in the shoulders and neck. This often leads to a tension headache, which starts in the neck and back and works its way up to feel like a tight band around your head. “It’s believed to start in the muscles,” says Dr. Sait Ashina, a neurologist who specializes in headache treatment at Harvard-affiliated Beth Israel Deaconess Medical Center. “When tension headaches become frequent, the pain in shoulder and neck muscles is felt by the brain as pain in the head.” Stress is also a common trigger for a migraine headache, which begins on one side of the head, throbs or pounds, makes you sensitive to light and sound, and can last for hours or days.
- Diet. Eating certain foods often triggers a migraine headache. Migraines may be started by just one type of food — like beans or nuts — or many foods, such as avocados, bananas, cheese, chocolate, citrus, herring, dairy products, and onions. “Processed foods with nitrites, nitrates, yellow food dyes, or monosodium glutamate can be especially problematic,” Dr. Ashina notes.
- Alcohol intake. Alcohol is a common cause of a migraine headache or a cluster headache — a stabbing pain in the eye that may last hours, go away, and come back several times per day. For some people, a few ounces of red wine are all it takes to provoke a headache, although any kind of alcohol can be a trigger. It’s not clear if the alcohol itself is to blame, or if another component in the drink causes the problem.
- Environment. “Cluster headaches seem to be seasonal and often happen in the spring or fall,” Dr. Ashina says. “It’s something in the environment, but we can’t tell exactly what it is yet.” Environmental factors such as bright light, smoke, hu