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While the connection between migraines and allergies is not completely understood, evidence suggests there is a relationship between the two. Therefore, migraine sufferers should consider the possibility that an allergy is triggering these severe headaches. MIGRAINES & ALLERGIES While the connection between migraines and allergies is not completely understood, evidence suggests there is a relationship between the two. Therefore, migraine sufferers should consider the possibility that an allergy is triggering these severe headaches. Our team is trained in diagnosing and treating migraines caused by allergies. SYMPTOMS OF MIGRAINES Altered or heightened sense of smell; avoidance of odors Facial pressure or pain – more likely to be pulsating or throbbing Moderate or severe symptoms; symptoms affect daily activities Nausea or vomiting Occasional symptoms Pain on only one side Red, watery eyes Repeated or chronic headaches Sensitivity to light Sensitivity to sound Symptoms increase when you are physically active Pulsating temples THE RELATIONSHIP BETWEEN SINUS HEADACHES AND MIGRAINES Clearly, migraine sufferers can also develop sinus infections, especially those that have allergies . Also, many suspected sinus headaches are actually migraines. Here’s the explanation: the sinuses are lined with sensitive tissue that contains nerves that are related to the trigeminal nerve. This nerve is also responsible for migraines. To complicate matters, you can also experience “referred pain” –when pain is sent to an area of the body (here, the head and face) even though that area is not the cause of the pain. This means that sinus headaches can cause pain outside of the sinuses, while migraine headaches can cause pain in the sinuses. To make matters even more confusing, certain migraine sufferers also experience watery eyes and nasal congestion during their migraines. Therefore, it is sometimes very challenging to identify whether you are experiencing a sinus headache or a migraine. We recommend that you consult with an allergist to work towards a correct diagnosis. MIGRAINES AND FOOD ALLERGIES Some people have identified a relationship between their migraines and their consumption of particular foods. Studies have investigated this relationship, and seem to support this idea. However, there is controversy over whether this relationship is related to allergies, or if the migraine may be triggered by a particular chemical or ingredient in the food. POSSIBLE FOOD TRIGGERS FOR MIGRAINES Artificial sweeteners Beef Cane sugar Cheese Chocolate Coffee Corn Eggs Milk MSG (monosodium glutamate) Onions Oranges Seafood Sodium nitrate / nitrite (a preservative) Tartrazine (an artificial color commonly known at FD&C Yellow 5) Tea Tomatoes Wheat Yeast IF YOU SUSPECT A MIGRAINE AND ALLERGY CONNECTION If you suspect that foods (or food allergies ) are causing your migraine headaches, there are a few steps you can take: Visit an allergist to determine if you are allergic to foods or other environmental allergens. Allergy tests to the potential food allergies will help identify what you are allergic to. Keep an allergy food diary – a record of which foods are eaten, when you eat them, and what symptoms you experience later. This can help your allergist identify suspicious patterns. Keep in mind that an allergic reaction could occur immediately, or could take time to develop. Avoidance of food triggers may decrease the frequency of your migraines, but should be approached cautiously in order to avoid adopting an unbalanced or unhealthy diet. We recommend that you consult a doctor or dietician before beginning an avoidance diet. MIGRAINES AND ALLERGIC RHINITIS There are a few ways that respiratory allergies could affect your migraines. First, there is a clear relationship between inflammation and allergies. An inflammatory reaction caused by allergies leads to the release of chemicals (histamine and leukotrienes, for example) and these chemicals can, in turn, trigger migraines. Second, allergic rhinitis causes nasal congestion. This could irritate nerves in the nose and sinuses and could provoke a migraine. Third, allergies have been shown to worsen symptoms of anxiety and depression, which could also affect the number of migraines you experience. At least one study has suggested that people with allergic rhinitis are more likely to experience a migraine than people without allergic rhinitis. Also, it showed that allergic rhinitis may increase the frequency on one’s migraines. Other studies have shown a relationship between allergic asthma , and migraine headaches. Unfortunately, it is not clear what is causing allergies and asthma in these patients. Treatment of allergic rhinitis may help prevent or treat headaches in people that seem to have allergy-based triggers to their migraines. Unfortunately, there have been few studies performed that can prove or disprove this. SUMMARY The precise relationship between migraines and allergies is still unknown. Nevertheless, people who suffer from migraines should consider the possibility of a relationship between the two. After all, it could bring you one step closer to comfort and relief from severe headaches and their symptoms. If you believe allergies or sinus problems may be causing your migraines, the specialists at Allergy, Asthma, and Eczema Care of Queens (AAEQ) would like to help. Our team can also help you find relief for your respiratory and food allergies, ENT (ear, nose, and throat) symptoms, skin conditions, & asthma. Book an appointment today by using the button below!

An allergic reaction occurs when the immune system reacts abnormally to a foreign substance. ALLERGIC REACTIONS ANAPHYLAXIS Anaphylaxis is a severe, potentially life-threatening allergic reaction. It can occur within seconds or minutes of exposure to something you're allergic to, such as peanuts or bee stings . Anaphylaxis causes your immune system to release a flood of chemicals that can cause you to go into shock - your blood pressure drops suddenly and your airways narrow, blocking breathing. Signs and symptoms include a rapid, weak pulse; a skin rash; and nausea and vomiting. Common triggers include certain foods , some medications, insect venom and latex . Anaphylaxis requires an injection of epinephrine and a follow-up trip to an emergency room. If you don't have epinephrine, you need to go to an emergency room immediately. If anaphylaxis isn't treated right away, it can be fatal. Read more about Anaphylaxis ASTHMA Asthma is a condition in which your airways narrow and swell and may produce extra mucus. This can make breathing difficult and trigger coughing, a whistling sound (wheezing) when you breathe out and shortness of breath. For some people, asthma is a minor nuisance. For others, it can be a major problem that interferes with daily activities and may lead to a life-threatening asthma attack. Asthma can't be cured, but its symptoms can be controlled. Because asthma often changes over time, it's important that you work with your doctor to track your signs and symptoms and adjust your treatment as needed. Learn more about Asthma CONTACT DERMATITIS Contact dermatitis is a red, itchy rash caused by direct contact with a substance or an allergic reaction to it. The rash isn't contagious or life-threatening, but it can be very uncomfortable. Many substances can cause such reactions, including soaps, cosmetics, fragrances, jewelry and plants. To treat contact dermatitis successfully, you need to identify and avoid the cause of your reaction. If you can avoid the offending substance, the rash usually clears up in two to four weeks. You can try soothing your skin with cool, wet compresses, anti-itch creams and other self-care steps. Read more about Contact Dermatitis ECZEMA (ATOPIC DERMATITIS) Eczema (Atopic Dermatitis) is a condition that makes your skin red and itchy. It's common in children but can occur at any age. Eczema is long lasting (chronic) and tends to flare periodically. It may be accompanied by asthma or hay fever . No cure has been found for eczema. But treatments and self-care measures can relieve itching and prevent new outbreaks. For example, it helps to avoid harsh soaps, moisturize your skin regularly, and apply medicated creams or ointments. Learn more about Eczema HIVES (URTICARIA) Hives (urticaria) are red, itchy welts that result from a skin reaction. The welts vary in size and appear and fade repeatedly as the reaction runs its course. The condition is considered chronic hives if the welts appear for more than six weeks and recur frequently over months or years. Often, the cause of chronic hives is not clear. Chronic hives can be very uncomfortable and interfere with sleep and daily activities. For many people, antihistamines and anti-itch medications provide relief. Read more about Hives MIGRAINES A migraine can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities. For some people, a warning symptom known as an aura occurs before or with the headache. An aura can include visual disturbances, such as flashes of light or blind spots, or other disturbances, such as tingling on one side of the face or in an arm or leg and difficulty speaking. Medications can help prevent some migraines and make them less painful. The right medicines, combined with self-help remedies and lifestyle changes, might help. Learn more about Migraines NASAL POLYPS Nasal polyps are non-cancerous growths that occur in the sinuses or nasal mucosa (lining of the nose). They are sac-like, soft, and painless. Nasal polyps generally start at the top of the inside of the nose (the ethmoid sinuses) and grow or hang into the open areas below. While they are painless, larger polyps may obstruct the nasal airway or sinuses making it difficult to breathe out of the nose. You should seek treatment for nasal polyps if they regularly interfere with your breathing. Read more about Nasal Polyps OTITIS MEDIA (EAR INFECTION) Otitis media is inflammation or infection of your middle ear – located between the eardrum and the inner ear and includes the eustachian tubes. This area can become blocked with mucus, bacteria, or pus and an infection can develop. Ear infections are more common in young children and infants, but can also occur in adults. They are also more common in the winter than any other time of year. While ear infections are not contagious, they sometimes develop after and as a result of a separate, contagious disease (such as a cold). Learn more about Otitis Media RHINITIS & HAY FEVER Hay fever, also called allergic rhinitis, causes cold-like signs and symptoms, such as a runny nose, itchy eyes, congestion, sneezing and sinus pressure. But unlike a cold, hay fever isn't caused by a virus. Hay fever is caused by an allergic response to outdoor or indoor allergens, such as pollen , dust mites , or tiny flecks of skin and saliva shed by cats, dogs, and other animals with fur or feathers (pet dander) . Besides making you miserable, hay fever can affect your performance at work or school and generally interfere with your life. But you don't have to put up with annoying symptoms. You can learn to avoid triggers and find the right treatment. Read more about Rhinitis & Hay Fever SINUSITIS The inflammation of the paranasal sinuses is called sinusitis, and may be due to infection, allergy , or autoimmune disorders. It causes symptoms in the nose, ears, and eyes, and can last for long periods of time if left untreated. Your allergist will perform the allergy tests that are necessary to determine if your symptoms are related to pollen allergy or allergy to dust mites , mold , or animals . The tests will also help your allergist determine if you need to see an ear, nose and throat doctor for further evaluation. Acute Sinusitis can develop as a complication several days after the first symptoms of a viral or bacterial respiratory infection. Chronic Sinusitis is most often a recurrent inflammatory disorder, but can also be caused by bacterial infection. Learn more about Sinusitis SUMMARY If you are concerned that you might be experiencing allergic reactions, the allergists at Allergy, Asthma, and Eczema Care of Queens would like to help. AAEQ has the latest treatment & testing, and sees pediatric and adult patients from all over NYC. Schedule an appointment today by using the button below!

This aspirin intolerance is usually seen in patients with chronic sinusitis, nasal polyps, and asthma. Symptoms of these respiratory reactions include wheezing, sneezing, eye watering and sometimes skin sensations/rash. Some reports show fatal reactions to aspirin and ibuprofen. ASPIRIN DESENSITIZATION Aspirin Desensitization treats patients with respiratory reactions to aspirin or related medications (such as ibuprofen). Aspirin intolerance is usually seen in patients with chronic sinusitis , nasal polyps, and asthma . Symptoms of these respiratory reactions include wheezing, sneezing, eye watering and sometimes skin sensations/rash. Some reports show fatal reactions to aspirin and ibuprofen. The process of aspirin desensitization involves a medical facility where emergency treatments are readily available. Initially, nasal sprays administer small doses of ketorolac (an aspirin like drug). At intervals between 1-2 hours apart, doctors give you increasing doses followed by high doses of aspirin by mouth. Intravenous or nebulizer medications treat any reactions. The process typically takes 2 days. Alternatively, some patients need are kept in the hospital longer. After the patient completes desensitization, they continue to take aspirin daily with no discontinuation more than 2 days.

This is a chart that shows seasonal allergy.