
Does frequent migraine headaches indicate a risk of other diseases?
I'd like to talk to you about "migraines" and the warning signs of "stroke" that many people may not know. Many patients often ask me, out of concern, about this. "Having migraines so frequently, is there a risk of developing a serious illness in the future, doctor?"
The link between migraines and strokes.
The doctor has to tell you, based on medical information, that this is especially true for people who... Migraine with Aura For example, seeing flashing lights or blurred vision before a headache is confirmed by evidence. They have twice the chance of having a stroke compared to the general population.
The high-risk groups that need special attention are:
- Young woman
- People who smoke
- People who use combined hormonal birth control pills.
Why can a simple headache escalate into a brain disease?
Let me explain three simple mechanisms within our bodies and what happens inside.
- Blood vessels are working hard: During a migraine attack, blood vessels in the brain constrict and dilate abnormally, leading to irregular blood flow to the brain. This increases the risk of blood clots or acute ischemia.
- Hidden inflammation (Neuroinflammation): Migraines cause inflammation in the blood vessel walls, which is a risk factor for blood clots.
- Hypersensitivity of blood vessels: Or, medically known as Cortical Spreading Depression, which is often found in people with migraines accompanied by aura. This mechanism is a bridge to the development of a stroke.
Steps in managing migraines.
Don't panic or get stressed after reading this. While the risk is real, we can prevent it if we are aware of it. I recommend that anyone who frequently experiences migraines, especially those with an aura, ranging from self-management to medical treatment, should seek help.
- Disrupt the stimulus circuit: Avoid bright lights, loud noises, strong odors, and stress immediately upon acknowledging it.
- Rest in a peaceful place: Rest in a dark and quiet room. Apply an ice pack to the painful area.
- Take the painkillers promptly: Take painkillers as soon as you start experiencing warning signs (don't wait until the pain is severe, the medication won't have time to work).
- Behavior modification: Get enough sleep, avoid sleep deprivation or oversleeping, and avoid stimulating foods.
- See a doctor if you can't control your condition: If the pain is frequent enough to interfere with your life, or if it doesn't respond to over-the-counter painkillers, you should consult a doctor for evaluation.
- Take preventive medication: Use medication to balance brain chemicals as prescribed by your doctor (for those who frequently experience pain).
- Botox injections for migraines: Injections to reduce nerve activity can help decrease the severity and frequency of pain at the source (suitable for chronic migraines).


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