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If I get a migraine attack, 99% of the time it starts while I'm asleep. It almost always seems to start in the early hours of the morning and the pain wakes me up somewhere in the very early am usually between 5am and 7am. When I go to sleep the night before there are no warning signs that in the morning I will have one. Its the same routine, I wake up with mild head pain but its enough to stir me out of sleep. Once I stand up and move is when it starts to get more intense. Within 30 minutes I am into full blown migraine attack. Mine end up radiating into my jaw and neck as well as head. First thing I do is down my meds (relpax 40mg, phenergan for nausea, and naproxen). I'm lucky if I can keep the pills down long enough for the replax to start working. Most of the time, I start vomiting before the meds kick in and end up having to do another round of meds. Lying down always makes it worse, so its best that I sit up with an ice pack and just try to do breathing exercises to somewhat control the nausea until I can absorb the meds enough. If and when the meds work, I usually am able to fall back to sleep because the pherergan makes me really sleepy. I've ended up in the ER on a couple occasions becuase I just cannot break the cycle on my own, and the pain is too much too bear. I"m sure you all know that feeling of willing to do almost anything just to make the pain ease.
I am just wondering if there are any others like me who's migraines start in their sleep. I have yet to really find anyone like me. And if there is anyone, have you figured out any possible explanations as to why ours start this way. Is there something we are doing while we sleep to cause this, or something we can change to help eliminate them?
I feel like you do, perfectly fine before bedtime, and almost dread going to sleep because i wake up with these so often. I have recently undergone treatment with a TMJ specialist because i was grinding my teeth at night, and the tension seems to result from tightness in neck and upper shoulders. Have you thought about TMJ? it can cause terrible headaches, and if you are grinding or otherwise unknowingly contracting muscles, that may be the cause. After a year of wearing a splint during the day and a nighttime guard, and no improvement, i quit seeing the TMJ dr. I still struggle, just this week had a bad one where i was off for 2 1/2 days of work and an ER visit, so i'm not where i want to be by any means either.
I HATE these kind of migraines. I usually get them if I have been partcularly active that day like going to an amusement park or a concert. They for me tend to be pretty severe!
Your not alone!
Also the body dilates blood vessels at night to get more oxygen.
If I get a migraine that doesn't go away during the day, I usually can not sleep that night. It must be something in the Relpax. It's not often that I need a 2nd relpax, but lately, they are getting worse and worse. I'm getting anywhere from 4 to 7 a week and yes I work full time, a stressful job. I still go to work and work my way through the day, sometimes with much difficulty. I start with a chiro 1 1/2 weeks ago, but so far, no change.
I have alot of soreness in my neck and upper back, maybe from stress or posture. My Dr. gives me prednisone for almost a month to break the migraine cycle, but I hate doing that and avoid as much as I can.
I do have a right sinus problem that I've had 3 surgeries, that have been somewhat successful. There are times that I get such a migraine on the right side, that I feel like someone threw a brick against that right side of my face and the pain is awful.
I am now going to look into reseach about sleep apnea to see if that is a possiblity in causing migraines always when I'm sleeping. I am a female, 50 yrs of age. I am really desperate to find the cause of these migraines....
You might want to try Amitriptyline as something to help you sleep and maybe as a preventative.
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