health and wellness
Understanding Migraines: Symptoms, Causes, Auras, and When to Seek Help
Last Updated on November 15, 2024 by Daily News Staff
Migraines are more than just bad headaches; they represent a complex neurological disorder that can significantly impact an individual’s quality of life. According to Dr. Amaal Starling, a neurologist at the Mayo Clinic, these debilitating episodes can cause severe throbbing pain, typically on one side of the head, often accompanied by nausea, vomiting, and heightened sensitivity to light and sound. In this article, we will explore the symptoms, causes, potential warning signs or auras, and guidance on when to consult a doctor if you or a loved one suffers from migraines.
What Are Migraines?
A migraine is characterized by severe head pain often compared to a pulsing or throbbing sensation. The duration of a migraine attack can vary, lasting anywhere from a few hours to several days, and the intensity can hinder daily activities. Auras, which serve as warning symptoms, may precede or accompany the migraine, evidenced by visual disturbances, tingling sensations, or difficulties with speech.
Symptoms of Migraines
Migraine symptoms generally unfold in four stages, although not everyone experiences all stages:
1. Prodrome Stage
This initial phase can occur one or two days before a migraine attack, with subtle changes that can serve as early warning signs:
- Constipation
- Mood swings (from depression to euphoria)
- Food cravings
- Neck stiffness
- Increased urination
- Fluid retention
- Frequent yawning
2. Aura Stage
Auras manifest as reversible symptoms affecting the nervous system and may include:
- Visual phenomena (seeing flashes of light, shapes, or blind spots)
- Vision loss
- Tingling sensations in the extremities or face
- Weakness or numbness (often localized to one side of the body)
- Difficulty speaking
Auras typically develop gradually and can last from a few minutes to an hour.
3. Attack Stage
The actual migraine attack lasts from 4 to 72 hours if untreated, with symptoms that may include:
- Unilateral or bilateral throbbing pain
- Sensitivity to light, sound, and sometimes smell or touch
- Nausea and vomiting
4. Post-drome Stage
Following a migraine attack, individuals may feel an emotional and physical hangover, such as exhaustion, confusion, or a heightened state of elation. Sudden head movements can sometimes trigger a recurrence of pain.
Causes and Triggers of Migraines
While the exact mechanisms that lead to migraines remain elusive, genetics and environmental factors are believed to play a significant role. Recent research suggests that changes in the brainstem’s interaction with the trigeminal nerve, a crucial pain pathway, could be a contributing factor. Imbalances in brain chemicals, notably serotonin, are also under investigation.
Common Triggers Include:
- Hormonal Changes: Fluctuations in estrogen during the menstrual cycle, pregnancy, or menopause can trigger migraines.
- Dietary Factors: Foods such as aged cheeses, salty snacks, or additives like MSG can serve as triggers.
- Stress and Sleep: Both excessive stress and sleep disturbances can provoke migraine episodes.
- Environmental Sensitivities: Bright lights, loud noises, and strong odors may act as triggers.
- Weather Changes: Alterations in weather or atmospheric pressure can initiate a headache.
Headaches vs Migraines? Migraines and headaches, while often confused, are distinct conditions characterized by different symptoms and underlying causes. A headache is usually a general term that encompasses various types of pain in the head, ranging from tension headaches, which are often caused by stress or muscle strain, to cluster headaches that occur in cyclical patterns. Migraines, on the other hand, are more severe and can be accompanied by additional symptoms such as nausea, vomiting, and sensitivity to light and sound. They often last from a few hours to several days and can be triggered by factors like hormonal changes, certain foods, or environmental stressors. Understanding these differences is crucial for effective diagnosis and treatment, as the management strategies for migraines often require a multifaceted approach tailored to individual triggers and symptoms.
When to See a Doctor
If you experience frequent migraines or suspect your headaches are becoming more intense, keeping a record of your symptoms and their frequency is essential. This data can help facilitate a beneficial discussion with your healthcare provider. Moreover, it’s crucial to seek immediate medical attention in the following scenarios:
- A sudden, severe headache that feels like a “thunderclap.”
- Accompanied symptoms such as fever, stiff neck, confusion, or weakness, which may indicate a more severe condition.
- Any changes in the pattern of your headaches or new onset of headaches after age 50.
Food for Thought
Migraines can be challenging to navigate, but understanding their symptoms and causes empowers individuals to seek the appropriate care. If you or someone you know struggles with migraines, it’s vital to consult a healthcare professional, such as those at the Mayo Clinic, for diagnosis and personalized treatment options. By recognizing warning signs and potential triggers, individuals can take proactive steps toward managing this often debilitating condition.
Information about Migraines from the Mayo Clinic
- Migraine care at Mayo Clinic
- Migraines: Are they triggered by weather changes?
- Mayo Clinic Minute: Weathering migraines
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Health
3 Steps to Support Mental Health for Rural Youth
Mental Health for Rural Youth Young people face a growing number of pressures, including academic expectations, social responsibilities, complex family situations and uncertainty about their own futures. Mental health support is important for all – but in many rural areas, those pressures are even greater. If the rural mental health crisis affects you or a loved one, consider these ways to help.
3 Steps to Support Mental Health for Rural Youth
(Feature Impact) Young people face a growing number of pressures, including academic expectations, social responsibilities, complex family situations and uncertainty about their own futures. Mental health support is important for all – but in many rural areas, those pressures are even greater.
According to the Centers for Disease Control and Prevention, the suicide rate for rural youth ages 15-19 is 74% higher than their urban counterparts. Barriers like limited insurance coverage, unreliable internet for telehealth, scarce providers, long drive times and lack of public transportation make it harder to get mental healthcare when it’s needed. Plus, asking for help can feel like opening oneself up to judgment and stigmatization.
That’s why Rural Minds, the only nonprofit focused on mental health for rural communities, created the Rural Youth Mental Wellness pilot program supported by Boehringer Ingelheim. It was developed by an advisory committee made up of rural youth to provide their peers with practical, free, accessible mental health resources. Incorporating feedback on the pilot, the updated program sponsored by the Sompo Foundation is now launching its national rollout.
“A young person’s ZIP code should never determine whether they can access meaningful mental health support where and when they need it,” said Jessica L. Schleider, Ph.D., director, Lab for Scalable Mental Health, Northwestern University. “Our lab is thrilled to partner with Rural Minds as they champion evidence-based, anonymous, freely available support tools designed to overcome barriers to help-seeking faced by rural youth across the country.”
If the rural mental health crisis affects you or a loved one, consider these ways to help.
Break the Stigma Surrounding Mental Health
In communities where self-reliance is valued, asking for help can sometimes be viewed as a sign of weakness. Young people who feel unheard and unsupported often struggle with being vulnerable, so they continue carrying their increasingly heavy burdens alone.
Parents, educators, healthcare providers, community leaders and peers can work to change that culture by normalizing mental health conversations. This includes helping teenagers feel seen and accepted by educating them on mental health issues and coping strategies, listening to their experiences without judgment, sharing your own stories and reminding them it’s courageous to seek support.
Consider Single-Session Interventions
The first step is always the hardest when it comes to seeking mental health support, and not every struggling young person is ready or able to see a therapist. With access to free, confidential, self-guided materials to begin building mental wellness skills, the first step may be less scary.
Single-Session Interventions (SSIs) are brief, structured online courses designed to teach youth practical skills for handling stress, low mood, self-image and more. The Rural Youth Mental Wellness Program offers SSIs in partnership with Project YES (Youth Empowerment and Support), a free digital resource developed with Northwestern University’s Lab for Scalable Mental Health at the Feinberg School of Medicine.
Anonymous access to SSIs through the partnership provides strategies for:
- Improving mood
- Rethinking body image
- Reframing negative thoughts
- Knowing your power to change
- Taking steps toward goals
- Protecting LGBTQ+ pride
- Handling self-harm urges
- Staying safe amid dark thoughts
Each SSI typically takes 5-10 minutes. Although SSIs are not a replacement for therapy, they provide a research-backed source of support for young people experiencing bouts of stress or low-to-moderate distress.
Know When to Seek Professional Help
Self-guided resources and supportive conversations are a valuable starting point, but sometimes young people need qualified professional help. Look for symptoms like worsening mood or behavior, substance use, self-harm or difficulty managing everyday tasks, and take teens seriously when they express dark feelings.
Doctors and counselors can provide personalized support for youth in crisis, and the 988 Suicide and Crisis Lifeline offers free, confidential 24/7 support for mental health by dialing 9-8-8.
“I grew up in a small town where mental health was almost taboo,” said committee member Asheton Medlin. “Being part of the committee that built this program let me help make sure rural youth today have the support I didn’t. I’m excited to help bring these resources to them because this generation deserves the chance to grow up and change the world.”
Find more information at RuralMinds.org.
Photos courtesy of Shutterstock
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recipes
Build Heart-Healthy Habits That Last with 4 Simple, Everyday Steps
Build Heart Healthy Habits: Small, consistent lifestyle changes and healthy habits, including staying active and making smart food choices, can help support cardiovascular health. This Warm Lentil, California Grape and Arugula Salad includes a quick homemade rosemary lemon vinaigrette to pack in the flavor and complement black lentils and sweet grapes.
(Feature Impact) Your heart works around the clock, making heart health one of the most important parts of your overall well-being. The good news is improving heart health doesn’t require an overnight transformation. Small, consistent lifestyle changes and healthy habits, including staying active and making smart food choices, can help support cardiovascular health.
Sit Less Throughout the Day
If you work in an office setting, spending long periods sitting may be the norm. Even if you exercise regularly, those long-seated hours may affect heart health. Look for opportunities to move more by taking short walking breaks, standing while on the phone, stretching between meetings or taking the stairs instead of an elevator.
Prioritize Foods That Support Heart Health
A heart-healthy eating pattern can begin with foods that are low in saturated fat and sodium, and provide beneficial vitamins and plant compounds, like fresh, juicy grapes. They contain 7% of the daily recommended intake of potassium per serving, are a good source of vitamin K and deliver beneficial antioxidants and other polyphenols, including flavonoids, that can help relax blood vessels and promote healthy circulation.
Some studies also suggest grapes have a beneficial impact on blood lipids and more. In fact, one study found women who consumed 1 1/4 cups of grapes every day benefited from reduced blood triglyceride levels, LDL cholesterol levels, inflammatory proteins and other markers of heart disease.
Whether enjoyed as a snack, added to salads or blended into smoothies, Grapes from California make it easy to add more heart-smart nutrition throughout the day. For example, this Warm Lentil, California Grape and Arugula Salad includes a quick homemade rosemary lemon vinaigrette to pack in the flavor and complement black lentils and sweet grapes.
Cut Back on Added Sodium
Adding heart-healthy foods like grapes to your menu is a good place to start, but caring for your cardiovascular system is also about what you’re not eating. Many packaged and restaurant foods contain more sodium than some people realize, making it important to read nutrition labels, prepare more meals at home and flavor foods with herbs, spices, citrus or vinegar instead of extra salt to support healthy blood pressure.
Make Good Sleep a Priority
Quality sleep affects many aspects of health, including cardiovascular. Adults should aim for 7-9 hours of sleep each night in a cool, comfortable environment. To get a good night’s rest, try limiting screen time before bed, blocking out light and avoiding alcohol or caffeine in the evenings.
To learn more about the heart-health benefits of grapes and find additional health-supporting recipes, visit GrapesFromCalifornia.com.
Warm Lentil, California Grape and Arugula Salad
Servings: 6
- 1 pouch (8 ounces) precooked black lentils
- 1 1/2 cups Grapes from California, halved
- 1 cup radicchio, torn
- 1 cup arugula
- chopped toasted walnuts
Rosemary Lemon Vinaigrette:
- 1/4 cup extra-virgin olive oil
- 3 tablespoons lemon juice
- 2 tablespoons fresh rosemary leaves
- 2 teaspoons honey
- 1/2 teaspoon sea salt
- 1 clove garlic
- freshly ground pepper, to taste
- To make rosemary lemon vinaigrette: In small blender or food processor, process olive oil, lemon juice, rosemary, honey, salt, garlic and pepper, to taste, until rosemary is finely chopped; set aside until ready to use. May be made 2 days in advance and refrigerated in covered container until ready to serve. Bring to room temperature before using.
- In large glass bowl, microwave lentils 45 seconds, or until warm. Add grapes, radicchio, arugula and dressing to bowl and toss lightly to coat. Sprinkle with walnuts.
Nutritional information per serving: 160 calories; 4 g protein; 18 g carbohydrates; 9 g fat (51% calories from fat); 1.5 g saturated fat (8% calories from saturated fat); 0 mg cholesterol; 200 mg sodium; 4 g fiber.
SOURCE:
California Table Grape Commission
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Health
Gen Z is least likely to believe cancer can be prevented. Many don’t know basic screenings exist.
(Sheeka Sanahori) Gen Z adults are at the stage when lifelong habits start to take shape. They’re launching careers, reflecting on their values, and building relationships and routines. They’re also navigating messages about beauty standards that sometimes oppose the needs of their long-term health. Case in point: the “tanmaxxing” trend found on social media.
“Ain’t no way I’m letting my job stop me from soaking in the 8 UV,” one Instagram user wrote while tanning from a car with the convertible roof down. The video is one of hundreds by “tanfluencers” documenting the ways they take tanning to the extreme, including skipping sunscreen or tanning in the middle of the day, when the sun’s ultraviolet (UV) rays are at their most harmful.
This risky trend is one example of a growing generational gap in beliefs about cancer prevention. According to the 2026 Early Detection Survey from the Prevent Cancer Foundation, Gen Z adults (ages 21-29) are less likely than their parents and grandparents to fully consider that cancer risk can be reduced through prevention and early detection.
Gen Z faces a cancer prevention awareness gap
Across every generation, most adults believe cancer risk can be reduced, but Gen Z is the least convinced. While 73% of Baby Boomers agree, only 64% of Gen Z adults do.
That same pattern continues when focusing specifically on skin cancer. Nearly half of Gen Z respondents believe sunscreen and sun-protective clothing can help reduce their skin cancer risk, compared to 53% of Millennials and 64% of Gen X.
Only 37% of Gen Z respondents have had a routine medical appointment or cancer screening in the last year, the lowest of any generation. Although certain cancer screenings, including breast and colorectal cancer, begin in middle age, some are also recommended for young adults. Cervical cancer is highly preventable, with screening beginning for people with a cervix and of average risk at the age of 21. Forty-six percent of Gen Z adults who are eligible said they were not up to date.
Systemic barriers prevent healthier lifestyles
For some Gen Z adults, the health care system itself is part of the problem. Nearly a third report experiencing discrimination or bias from a health care provider, and 44% believe the system prioritizes profit over patient care. Those experiences could be enough to make someone skip a future health appointment.
The most common barrier for Gen Z isn’t what you might expect. Three in 5 respondents say they simply lack motivation, a higher rate than Millennials or Gen X. Among the three youngest surveyed generations, Gen Z is the only group that doesn’t rank cost as its primary obstacle. The bigger challenge is making preventive care feel urgent and relevant now.
Better communication and education could help more get screened
Data suggests that practical guidance and clearer communication could make a difference. More than half of Gen Z adults say having a provider to help them navigate the system would increase trust in health care and make it easier for them to get their recommended cancer screenings. Affordable, predictable costs would help 52% of respondents.
Sixty-five percent of Gen Z adults say they’re motivated to schedule cancer screenings because they want to live a long, healthy life. Colorectal cancer is now the leading cause of cancer death in people under 50, and skin cancer is one of the most common cancers in people younger than 30. The motivation is there. Reaching them with the right information at the right time may be what it takes.
Methodology
The Prevent Cancer Foundation commissioned Atomik Research to conduct the Foundation’s 4th annual Pan-Cancer Early Detection Survey of U.S. adults ages 21 or older. The margin of error of the overall sample is +/- 1 percentage point with a confidence level of 95%. Fieldwork took place between Jan. 10 and Jan. 30 of 2026. The cancer screenings studied in this survey were for breast cancer, cervical cancer, colorectal cancer, lung cancer, oral cancer, prostate cancer, skin cancer and testicular cancer.
Atomik Research is an independent market research agency.
Photo courtesy of Shutterstock
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