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Individuals as young as 16 years old suddenly begin developing "bad headaches" which ultimately become a lot worse—excruciating pain, nausea, and days spent lying in dark rooms. And most of the time these "headaches' are dismissed as tension headache, or because of too much screen time but it always pays to steer clear of all the frustration, inappropriate medications, and endless visits to the doctor by telling your doctor the very specifics of your headache.
Migraine is more than a headache. It's a complicated neurological disorder affecting millions of individuals globally, tending to disrupt daily life with intense pain, nausea, and sensory sensitivities. Although widespread, migraine remains poorly understood, and therefore many sufferers go years without an accurate diagnosis or adequate treatment protocol. If you suffer from migraine attacks, being an advocate for yourself in medical visits is important. Here's a complete guide on what to talk to your doctor about so you can get the best possible treatment.
Migraine is a neurological and genetic disorder caused by a variety of biological and environmental stimuli. In contrast to ordinary headaches, migraine attacks may be incapacitating, lasting from a few hours to several days. Symptoms vary from intense, throbbing pain on one side of the head to nausea, vomiting, and increased sensitivity to light and sound.
Others also have an "aura" prior to an attack, and this can take the form of visual disturbances, tingling in the face or extremities, or trouble speaking. Since it is so complex, explaining your experiences and symptoms to your doctor in clear terms is important for proper diagnosis and treatment.
One of the most critical aspects of diagnosing migraine is the ability to describe your head pain accurately. Use descriptive terms to help your doctor understand the nature and severity of your pain. Common migraine pain descriptors include:
Also, rating your pain using the 0-10 pain scale (with zero being no pain at all and 10 representing the most painful imaginable) can assist your physician in judging the intensity of your migraine attacks.
Maintaining a migraine diary is an easy way to record your symptoms as well as any possible triggers. Your physician will want this data in order to figure out patterns and choose the right treatment. Key items to monitor are:
Migraine often runs in families. If any of your close relatives have a history of migraine, it is essential to inform your doctor. Research indicates that if one parent has migraine, there is a 50% chance their child will also experience it, and this likelihood increases to 75% if both parents have the condition. Understanding your genetic predisposition can help your doctor tailor a treatment plan that considers potential hereditary factors.
Migraine isn't all about headache—it can really take a toll on your quality of life. Talk about how your migraine attacks influence your work, daily activities, and relationships. If your symptoms keep you away from work a lot or restrict your participation in social activities, your physician should know. This can impact decisions about treatment choices, such as preventive medications or lifestyle changes.
Chronic migraine can affect your emotional health. Research indicates that people with migraine are five times more likely to have depression, and as many as 50% of people with chronic migraine also have anxiety. Stress and emotional distress may also serve as triggers, making it a vicious cycle. If you have symptoms of depression, anxiety, or stress-related problems, talk to your doctor. The treatment of mental health issues is an important aspect of total migraine care.
If you've ever tried some medication or other treatment in the past, be it over the counter or prescribed, let your doctor know about it. Such important information that you should communicate includes:
Did you use any non-medication treatments such as acupuncture, dietary modifications, or cognitive behavior therapy?
This information assists your physician in deciding whether to change your current treatment, attempt other medications, or investigate novel treatment methods, including Botox injections or CGRP inhibitors.
Sleep deprivation is a common migraine trigger. If you have sleep problems like insomnia, daytime excessive sleepiness, or non-regular sleep patterns, tell your physician. Also, bring up lifestyle issues, such as:
Your physician can suggest lifestyle changes in your daily life that can decrease the number of and intensity of migraine attacks.
For a lot of women, migraine attacks have a direct correlation with changes in hormones. If you experience more migraine attacks just before your menstrual period, during pregnancy, or menopause, talk to your physician. Changes in hormones can affect the frequency of migraines, and certain treatments such as hormonal therapy or birth control medication may be useful in controlling symptoms.
The American Migraine Foundation provides useful resources to guide you through migraine management and enhance your quality of life. If you don't feel heard or your treatment is not effective, don't be afraid to get a second opinion or try new treatments. Migraine management is a collaboration between you and your physician—your voice and experiences are important in determining the best route to relief.
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Suicides are one of the leading causes of death around the world. While it is easy to say that the person who chose to take their lives did it of their own violation, Harvard psychologist Dr. Matthew Nock, explains the other side. “90% of people who try and kill themselves say, I didn't want to die per se. I wanted to escape from seemingly intolerable.” Speaking on the On Purpose podcast with Jay Shetty, Dr. Nock pointed out that the link between work pressure and suicidal thoughts varies by race and ethnicity.
The concerning rise in suicide cases tied to work pressure has fueled a social media conversation about toxic work culture. What was once considered a normal part of the professional grind is now being openly challenged, as people share personal stories of the anxiety, depression, and isolation caused by unhealthy work environments.
According to Dr. Matthew Nock, certain careers are linked to a higher risk of suicide.
He noted that physicians and police officers are among those at high risk. He mentioned a spike in suicides among New York City police officers, who are predominantly white men, and shared that female police officers, in particular, face a higher risk, even when accounting for factors like age, race, and ethnicity.
According to a 2025 study published in the Police Practice and Research, on average, 21.4 out of every 100,000 officers died by suicide each year.
The study showed that the suicide rate was much higher for male officers (22.7 per 100,000) than for female officers (12.7 per 100,000).
Dr. Nock explained that access to means is a significant factor in these high-risk professions, which helps explain why physicians, police officers, and military members have a much higher risk of suicide compared to others.
Another study published in 2024 The BMJ, showed that the number of suicides among doctors has been going down, female doctors are still at a much higher risk than other people.
When looking at all the data, male doctors were found to have a 5% higher risk of suicide compared to the general population.
In a more recent analysis of the last few years, the overall suicide rate for doctors has decreased, which is good news. But even with this improvement, female doctors still have a 24% higher risk than the general public.
Dr. Nock stresses the importance of openly discussing suicide, particularly in schools. He compared it to fire drills or earthquake preparedness, saying that since 15% of people will experience suicidal thoughts, it's crucial to equip everyone with a safety plan..Dr. Matthew Nock said, "We know that asking about suicide, talking about suicide, does not make people suicidal."
He noted that the people who act on suicidal thoughts often show different signs than those who just have the thoughts. While depression is a strong predictor of having suicidal thoughts, other factors like anxiety, aggressiveness, poor behavioral control, and drug or alcohol use are more closely linked to a person actually attempting suicide.
He believes that a small educational module on suicide in health class could help save lives by teaching people what to do if they or someone they know is struggling.
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While we all know air pollution affects our health, did you know that it was actually driving cancer cases higher? This has led to a big rise in health problems worldwide. Past studies show that air pollution is linked to about seven million premature deaths each year and contributes to over 3% of all years of healthy life lost globally. This revelation was a big concern for public health, and to fix it, many measures were taken.
While some countries like the US showed promising results in bettering public health, a recent study in the International Journal of Public Health showed that this positive trend is not yet showed up in China.
One of the most dangerous types of air pollution is called fine particulate matter, or PM2.5. These tiny particles come from car exhaust, factory smoke, and even from the smoke created by burning solid fuels inside homes. Because they are so incredibly small, they can stay suspended in the air for a long time and, when we breathe them in, they go deep into our lungs.
Once inside the body, PM2.5 can cause inflammation and even change our genes, which increases our risk for many illnesses, especially tracheal, bronchial, and lung (TBL) cancers. A new study looked at how much PM2.5 pollution has affected TBL cancer rates in China, Japan, South Korea, and the United States from 1990 to 2021.
The study, which used data from the Global Burden of Disease (GBD) project, found some important trends:
The good news is that globally, the number of deaths and years of healthy life lost due to TBL cancer linked to PM2.5 pollution are going down. This positive trend was consistent in all the countries studied: China, Japan, South Korea, and the U.S.
Despite this global trend, China faced a much higher death rate from TBL cancer linked to PM2.5 compared to the other three countries. While their rates are decreasing, they still remain significantly higher than the worldwide average.
The research also looked at pollution from burning solid fuels inside homes. The global death rate from TBL cancer linked to this type of pollution has remained stable, but it's actually increasing for women while it's decreasing for men. This highlights a specific danger for women in homes that rely on these fuels.
Looking ahead, researchers predict that the global death rate for TBL cancer caused by PM2.5 will actually increase over the next 29 years. However, the study notes that countries like China, South Korea, and the U.S. are expected to see a significant drop in their rates, while Japan's numbers are expected to stay about the same.
Overall, this study shows that while air pollution is a serious global health risk, the efforts to reduce PM2.5 exposure in many countries are making a real, positive difference.
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Maintaining our gut health is not as easy as it seems. Even things like how you do your bowel movements could reveal how healthy your gut actually is. According to Dr. Saurabh Sethi, a board-certified gastroenterologist, many of us are making common mistakes on the toilet that can lead to real health problems. Here are three crucial habits to change to improve your gut health. Here are three mistakes' people make will they are in the washroom.
Pushing or straining when you poop can cause serious issues like hemorrhoids, which are swollen veins in your rectum and anus, and anal fissures, which are small tears in the lining of your anus. In more severe cases, it can even lead to rectal prolapse, where part of the rectum slides out of the anus. Instead of forcing it, focus on taking deep breaths. This helps your abdominal muscles relax and allows your body to do its job naturally, reducing the risk of painful complications.
Scrolling on your phone while on the toilet can be a bad habit. Spending extra time on the toilet, even if you’re not straining, puts pressure on the delicate veins in your rectum. This can cause them to swell, significantly increasing your risk of hemorrhoids. To protect yourself, it’s best to keep your bathroom breaks short—ideally, under five minutes.
When you feel the need to poop, it's important not to hold it in, which makes it much more difficult to pass later, leading to and worsening constipation. When you feel the need to go, listen to your body. Holding it in causes your stool to get harder and drier, which makes constipation much worse and more painful later on. Train your gut to go when it says it's time.
Try to create a routine. If you're often straining without success, try sitting on the toilet about 30-60 minutes after a meal, when your colon is naturally more active. A little stretching or a short walk beforehand can also help things get moving.
The natural position for a bowel movement is squatting. You can mimic this position on a regular toilet by placing a small stool under your feet to raise your knees above your hips. This simple change helps your muscles relax and can make bowel movements easier and more complete.
Fiber is essential for creating soft stool that's easy to pass. Most adults should aim for 25 to 35 grams a day. Just remember to add it to your diet slowly. As you increase your fiber, be sure to drink more water and other non-caffeinated fluids, since caffeine can dehydrate you and make stool harder.
While these tips are a great starting point, sometimes you need more personalized help. You should talk to your doctor if you notice any of these signs:
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