How Does Migraine Cause Pain Symptom? Once your Migraine trigger level crosses your threshold and migraine pain becomes activated, the mechanism spreads through various parts of the brain, involving a number of neurotransmitters (chemical messengers) along the way. One of the most important neurotransmitters of migraine is serotonin, but to think of migraine as simply an imbalance of serotonin is to overlook the involvement of other neurotransmitters such as dopamine and neuropeptides. The brain is not just a chemical soup in which too much or too little of one ingredient can lead to problems. It's more like a computer, wired with many complicated circuits along which neurotransmitters relay impulses. Migraine involves one such circuit, with multiple inputs (migraine triggers) feeding into it and outputs (symptoms) resulting from it. We understand only sketchy details of this mechanism, but one thing is clear: it can be controlled by the 1-2-3 Program.
As migraine headache proceeds, a group of nerve cells in the brain stem (the trigeminal nucleus caudalis) becomes activated. Signals travel from this region along the trigeminal and upper cervical nerves to blood vessels around your head, face and neck. Each of these nerves supplies one side only, which is why migraine pain can be one-sided if it stems from that pathway alone. At this point the mechanism of migraine, which is controlled within the brain, has spread outside the brain.
Impulses traveling down these nerve fibers lead to the releaser neuropeptides from nerve endings. These neurotransmitters cause blood vessels around your head to become swollen and inflamed. Nitric oxide, a chemical that produces vasodilation (blood vessel swelling), also plays a role. The resulting swelling and inflammation of blood vessels around your head generates headache (or some other form of discomfort in or around your head, face or neck).
How do blood vessel swelling and inflammation translate into the pain that you feel? Again nerve fibers play a role, but in this case the fibers carry impulses in the opposite direction: back to the brain. The swollen, inflamed blood vessels stimulate pain receptors on nerve endings, and the resulting pain signals are carried back to the brain by nerve fibers. In other words, nerves around your head are two-way streets carrying migraine traffic from and to the brain: outgoing impulses that cause swelling and iiiflamrnation of blood vessels around your head, and incoming signals reflecting the presence of blood vessel swelling and inflammation. Ultimately, when this reverberating loop becomes activated, the information that blood vessels are swollen and inflamed reaches the brain stem and is relayed to higher centers in the brain, where it is translated into the discomfort, distress and distraction that you know as a headache.
Normally, transmission of pain impulses and the experience of pain is subdued by naturally occurring, narcotic-like substances known as endogenous opiods (or endorphins). To make matters worse, the migraine mechanism somehow interferes with the endogenous opioid
system so that, in effect, the experience of pain generated by migraine is magnified instead of muted. Migraine makes your brain act and feel sensitive. Even background sensations such as pulsation ot blood vessels , which are normally filtered from awareness, are instead felt as throbbing, pounding pain which normally known as migraine symptom.
Migraine Cause & Symptom
Do You Know Where Migraine Headache Begin?
To seek Migraine Treatment, we have to know where migraine Headache begins before we can get rid of it. We know migraine headache happen in our head. But, do you know exactly where. Somewhere in the brain lies the migraine headache control center, which receives the flow of migraine triggers that activate the migraine attack. Where this center is located, no one knows for sure, but the hypothalamus is the most obvious candidate. This deep-seated tiny organ in the brain controls many basic functions, including your sleep-wake cycle, hunger and satiety, hormonal regulation, and the autonomic (involuntary) nervous system.
Several features of the hypothalamus make it the most likely site of the migraine headache control center. To start with, virtually all migraine activators (or migraine triggers) have input to the hypothalamus. For instance, emotional triggers such as stress (or letdown after stress) and depression involve the brain's limbic system, of which the hypothalamus is a part. In addition, hormonal triggers such as estrogen are regulated by the hypothalamus and have special access to it (In order to be able to monitor hormones, the hypothalamus lacks the normal blood-brain barrier that shields most of the brain from substances circulating in the bloodstream.)
Chemical triggers in foods and beverages can also reach the hypo-thalamus as they circulate in the bloodstream following absorption from the gut. Migraine can be triggered by skipping meals as well, perhaps because of the role of the hypothalamus in overseeing hunger and satiety. Sensory triggers, both visual (sunlight glare, strobe lights) and olfactory (perfumes, cigarette smoke), can also reach the hypothalamus via direct nerve pathways leading from receptors in the eyes and nose. An association between the migraine control center and the hypothalamus is likely for other reasons. Migraine is often linked to the sleep-wake cycle, which is governed by the brain's master clock, located in the hypothalamus. The relationship of migraine to the sleep-wake cycle is evident not only from fluctuations in migraine activity occurring at regular times (for instance, headaches upon awakening) but also from the triggering of migraine as a result of either sleep deprivation or oversleep (as on weekend mornings), as well as relief of migraine following sleep. So understanding where Migraine begins is a milestone in the success of Migraine Treatment.
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