Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Last medically reviewed on March 21, 2016 Ask questions, seek advice, and make connections with others who get it. Our free app, Migraine Healthline, connects you with real people who experience migraine. Talking with others who understand what you’re going through can also help you better identify and manage silent migraine. Once you receive a diagnosis, you can review treatment options and begin to make lifestyle changes to manage triggers. Contact your doctor if you think you have silent migraine. Since the symptoms may not be obvious, silent migraine may be underreported and undermanaged. You shouldn’t assume you’re having a classic migraine. If you have silent migraine and suddenly develop a terrible headache, confusion, weakness, or other aura symptoms that aren’t normal for you, get emergency medical help to rule out a stroke or other neurological condition. Some people dismiss the symptoms as eyestrain or stress. Since silent migraine doesn’t cause pain, you may experience aura symptoms without realizing you’re having a migraine. Others experience them daily with severe symptoms. Some people may experience them rarely, in short duration, and with few symptoms. Silent migraine varies in how much they impact day-to-day life. A study published in Neurology found an increased risk of stroke in older smokers who have migraine. If you’re a smoker and get migraine, you should try to quit. Investing in a fan or white noise machine to block out noises that may keep you Take these steps to get on a regular sleep schedule and prevent insomnia: If stress is a trigger for you, try practicing stress management techniques such as writing in a journal, meditating, or doing exercises such as yoga. This may mean modifying your diet or avoiding noisy social situations. Once you’ve identified your triggers, you should avoid them. Be sure to note any foods or beverages you consumed, as well as any medications you took before the migraine began. To do this, keep a migraine diary and write down when each migraine occurred, how long it lasted, and what you were doing before and when it struck. Your first step in preventing silent migraine is to identify your triggers. Read more: Using aromatherapy to relieve migraine pain » These treatments are often effective in easing stress, which can be a migraine trigger. For this reason, some people try alternative treatments before prescription drugs. Some prescription migraine treatments have side effects. Your doctor may also prescribe tricyclic antidepressants, such as amitriptyline or nortriptyline. Calcium channel blockers, such as verapamil and diltiazem, are other options. These include cardiovascular drugs such as beta-blockers, including propranolol and metoprolol. If you experience migraine often, you may be advised to take preventive medications. If you get silent migraine accompanied by nausea and vomiting, your doctor may prescribe antinausea medications. Some people find drinking a cup of coffee or taking an Excedrin Migraine, which contains caffeine, helps. Though caffeine may be a migraine trigger, it may also help ease acute migraine symptoms. Over-the-counter medications, such as the following, may help treat the symptoms of acute migraine: Treatments for silent migraine are the same as those for migraine with headaches. There’s no cure for migraine, but medication can help control symptoms. If they often happen and impact your ability to perform daily tasks or enjoy life, you should consider treatment options. If your migraine is infrequent, short in duration, and not severe, you may not need treatment. Some medications may also cause migraine such as oral contraceptives and medications that open the blood vessels, or vasodilators. There are hundreds of potential migraine triggers, such as: The triggers may be environmental, related to food, or physiological. Over time, most people figure out what triggers their migraine. Changes in chemicals and blood vessels in the brain may also be factors. Migraine may be caused by the brain’s difficulty adjusting to sensory stimulation such as lights and noise. They’re thought to have a genetic cause, but it’s unclear exactly why they occur. Because migraine is usually associated with significant pain, silent migraine may seem like a paradox.
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