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Uncontrollable pain that can ruin lives Part 3 (Teacher: Michael)

Doctors advise keeping trigger diary - record of all things sufferer believes can start attacks - not just foods, but also things like lack of sleep, stress, smoky environments, physical exercise and hormonal cycles in women.

This should then be compared to attack diary detailing beginning, duration and end of each migraine. two might then show if same triggers were present.

In Sue's case, it was wheat and potatoes which could start her migraines and which she had to adapt her diet to avoid. She says still makes life difficult when she is invited to eat out socially and when she is on holiday.

The one good thing has happened is her attacks have lessened since she turned 50, which is quite common pattern. Drug treatment for migraine falls into two categories - acute and preventative. If over-the-counter pain killers prove ineffective, GPs can often prescribe stronger ones as well as anti-sickness drugs which may help. Among drugs prescribed to patients are beta-blockers. They help control stress levels, which often trigger migraine attacks.

One in four patients in UK Migraine Patient Study said they were dissatisfied with treatment they had received so far for their condition, but doctors say need not happen and they must persevere to find right one.

GP Dr Mark Vose says: "New migraine drugs have become available are both easier to take and more effective than older treatments.

"Patients must be encouraged to discuss their migraine with their doctor, as it is often under-diagnosed. New migraine-specific therapies can help them to manage debilitating condition and regain control of their daily lives."

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