Category Archives: hemiplegic migraines

Five Things Restaurants Can Do to Eliminate Migraine Triggers

I love going out to restaurants. It’s a real treat not having to cook an entire meal myself or enjoying dishes that are too complicated or time-consuming to make at home. Every once in a while, I like having someone wait on me, even if I’m only having a cup of tea or coffee with a fresh muffin while I read a book. No matter how much I may love dining out, however, there are many times when visiting a restaurant has triggered a migraine. Though I avoid known triggers and call potential ones to a manager’s attention when I’m out, it’s sometimes too late: the migraine has already started. I don’t want restaurants to become sterile, uninviting places, but I do wish that all restaurant owners, managers, and employees knew some of the most common triggers of migraines so these triggers could be eliminated before people with migraine even walk in. Their customers would then feel safer enjoying that meal away from home.

1. Control the Temperature

Temperature control is very important for most people who suffer from migraines since extreme variations and quick changes can trigger those pounding, one-sided headaches. For some of us, heat is a trigger, so, no thank you, we don’t want to sit at that table with the full sun shining on it. If there are blinds or shades, please do put them down even if our table is not right next to the windows. For many of us, that cold air blowing down from the air-conditioning unit will trigger a migraine. We’re not trying to be difficult when we ask to me moved to a different spot. We just want to enjoy our meal without getting stabbed in the head by the icepick-pain that is our migraine. Moderate temperatures probably work best for all customers, but it’s imperative for those who suffer from migraines. Please keep the restaurant at a more moderate temperature, neither stifling hot nor freezing cold.

2. Eliminate Any Flickering Lights

Whether it’s from those romantic candles on each table, from that television hanging in the corner above the bar, or from a failing fluorescent bulb in a ceiling fixture, lights can cause debilitating headaches in almost all of us diagnosed with migraines. If I ask to be seated someplace where I can’t see the flashing lights of sporting events or commercials, I’m trying to take care of myself, not annoy you. I can blow out a candle on the table to keep its flame from triggering a migraine, but I can’t fix that flickering fluorescent light on the ceiling, and moving to another table doesn’t always keep that blinking light from my peripheral view, and that, too, can trigger a migraine. Please check all the ceiling lights before opening each day, and replace any bulbs that are humming or flickering. Don’t light candles on individual tables unless the patrons request it or agree to it when they’re seated. We, too, may love romantic lighting, but nothing kills romance faster than the excruciating pain of a migraine. Please be aware that flickering lights are triggers, and eliminate them whenever possible.

3. Turn Down the Noise

I’ve only walked into a sports-bar restaurant once, and I immediately left because there were big-screen televisions everywhere, each turned to a different sporting event, all with their sounds blaring. When popular restaurants have the sound on the bar’s television turned completely off (sometimes with closed-captioning on for patrons who want to watch television while dining out), I’m very grateful. But that loud music pumping through the restaurant’s speakers can cause just as many headaches for those of us who suffer from migraines, and not because we don’t like whatever music you happen to be playing. If you have live musicians and we ask if their microphones could be turned down, we’re not trying to insult your musicians. We just want to eat our meal without having a migraine triggered by the noise. When patrons talk even louder to be able to hear each other over the already loud television volume or music, the migraine triggers are compounded. Keep ambient noise to a lower level so everyone can enjoy their dining experience, not just those of us who have migraines.

4. Avoid Strong Odors

Of course, anyone may encounter unfamiliar smells at a restaurant, especially if it serves ethnic food or other dishes with which patrons may not be familiar. Those kinds of smells don’t usually trigger a migraine for me, but that chlorine bleach or Lysol with which you cleaned your restrooms almost instantly causes a migraine. Cleaning product odors can trigger fierce headaches for countless people with migraine. I realize that you have a large volume of traffic in your restaurant, and that you want to keep your patrons safe from germs and contagious illnesses, but there are plenty of natural products free of such triggering odors, products that also disinfect and keep germs at bay. If you are prohibited from switching to more natural, less offensive-smelling disinfectants for some reason, you might clean your bathrooms a few hours before opening, and avoid cleaning them with strong-smelling products while diners are present in the restaurant to keep those powerful odors from triggering a migraine in the middle of a patron’s meal.

5. List All Food Ingredients & Additives

There are many food ingredients, natural and manufactured, that can trigger migraines. Those artificial sweeteners in your restaurant’s diet sodas and desserts may be fine for most patrons, but they cause migraines for many of us. Food allergies can trigger migraines — or worse, anaphylactic shock ( a life-threatening allergic reaction). As someone allergic to bees, I can’t have honey, raw or cooked, but honey is rarely listed as an allergen in restaurant foods.

MSG is a known migraine trigger, and restaurants that specialize in oriental foods are not the only ones that use it. MSG could be in the packaged gravy mix your cook uses for the homemade meatloaf, in the seasoned salt he sprinkles on the fish or meat, or in the bouillon cubes he tosses into the soup to make it taste richer. Other ingredients, like soy or yeast extract, can also trigger migraines even if the patron is not actually sensitive to MSG.

Some restaurants have their wait-staff memorize the ingredients in each dish; other restaurants have all ingredients hanging in the kitchen so the list can be consulted if patrons have questions. The wait-staff needs to be informed about such food and beverage triggers, and then trained to be diligent and knowledgeable when serving patrons. Even better, having every ingredient in every dish listed and available to patrons on request will protect all your patrons with food allergies, not just your customers with migraines who might be triggered by a dish’s ingredients. Any initial expense of printing all the ingredients would soon be recouped by loyal patrons who know they can eat your restaurant’s meals without fear of having a migraine triggered.

Though I don’t go out to eat regularly, I appreciate having a safe environment when I do go out to a restaurant. If the manager monitors the ambient noise level, is aware of climate control, and watches for any flashing or flickering lights, they can protect customers from being inadvertently exposed to migraine triggers. Additionally, I scrupulously avoid known food triggers, so when the wait-staff, cook, or manager can readily provide me with the complete ingredient list of any dish I order, they’re helping me take care of my own health and inspiring customer loyalty.

Related Posts

For more of my migraine articles,
see my Migraine & Chronic Pain page.

This article originally appeared on MigraineMantras.

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Filed under chronic pain, health, hemiplegic migraines, migraine, migraine self-care, Migraine with Aura, Migraine Without Aura, migraines

Why Getting a Medical ID for Hemiplegic Migraine Depressed Me

“You’re getting a migraine, aren’t you?”said my physician last year during one of my regular visits. “If you were pulled over, a policeman would think you were drunk or on drugs. If you were taken to a hospital, they would think you were having a stroke. Time for you to get a medical ID bracelet.”

I was so shocked that I just sat there staring at him, and not just because he’d said I sounded impaired. I was first diagnosed with migraines at age five and have suffered from the throbbing head pain, vision changes, vomiting, and sensitivity to light, sounds, and smells all my life, as have many of the women in my family.

When I was 9, a doctor realized that I was having seizures when I had a migraine, though he did not give my headaches a different name. In my mid-thirties, a migraine specialist determined that I suffer not only from complex-complicated migraines but also from familial hemiplegic migraines, which are rare.

Hemiplegic migraines mimic strokes by causing temporary paralysis or numbness on one side of the body, loss of balance or coordination, and confusion or an inability to understand speech. Hemiplegic migraines can also cause speech difficulties such as slurring, dysphasia (words get mixed up or switched around in sentences), or aphasia (an inability to speak).

Most frightening, this type of migraine can cause changes in consciousness including seizures or coma. No one in my family who suffered from migraines ever carried anything other than pain medication, and though migraines with aura significantly increase the risk for stroke, no one in my family ever wore a medical alert. Now, however, medical ID bracelets are being recommended for people diagnosed with hemiplegic migraines since so few physicians are familiar with the symptoms.

Once I got over my initial shock at my doctor’s suggestion that I wear a medical ID bracelet, I welcomed the idea of the bracelet, if only because I thought I would feel safer wearing a medal with “Hemiplegic Migraines, Aphasia & Seizures” inscribed under my name and emergency contact numbers. To my surprise, I was terribly depressed upon receiving the bracelet. For months, I was so depressed that I found myself constantly “forgetting” to put the medical alert bracelet on. Because my doctor insisted I wear it, I had to figure out why the medical ID bracelet depressed me. This is what I came up with.

My medical condition was no longer private.

Many people describe migraines as an “invisible illness” because the suffering can’t be seen, and I suppose I felt more comfortable having a condition that most people didn’t know about. With the medical ID bracelet, instead of my life partner and close friends being the only ones who know I have migraines, everyone who sees me now knows something’s wrong with me. I’m wearing a bracelet that says so. Even though the bracelet is for my safety, it felt like an intrusion into my privacy.

I felt like a failure.

I take care of myself by getting plenty of sleep, avoiding dietary and situational triggers, and by walking, doing yoga, and meditating almost every day. I’ve tried every anti-depressant and anti-seizure medication on the market to get my migraines under control, but wearing a medical bracelet listing my condition made me feel as if I hadn’t done enough. The bracelet didn’t change the frequency or severity of my migraines, but it made me feel I have somehow failed to prevent them.

I felt like my migraines were my fault.

Migraines are neurological conditions, and researchers are still investigating whether all types of migraines may be inherited. Both sporadic (not inherited) and familial (inherited) hemiplegic migraines definitely involve genetic defects or mutations that upset neurochemicals in the brain, causing the symptoms of the aura and the pain of the migraine. Despite knowing all that on a conscious level, having to wear the medical ID bracelet made it somehow seem as if the migraines were my fault, which I had never felt before.

I felt like I was wearing a sign on my forehead.

I readily admit that I’ve had to make a lot of lifestyle changes and adjustments because of my migraines. I can’t go to concerts or movie theatres because the high volume triggers a migraine. I avoid grocery aisles with humming or flickering fluorescent lights that can instantly cause both a severe migraine and its associated seizures. I use only unscented lotions, soaps, or shampoos, nor can I be around anyone who’s wearing perfume because it causes migraines. I have to know every ingredient of every dish I eat that I don’t make myself to avoid food triggers like artificial sweeteners or additives (e.g., MSG): those things can cause migraines, and hemiplegic migraines can cause seizures which can lead to coma.

I’ve been called “neurotic” by more than one person in my life, including doctors who dismissed my symptoms as “all in my head” when they didn’t know anything about hemiplegic migraines. I guess I never minded being considered “neurotic” because I knew that I was taking care of myself. Though I’m unable to work when I have a migraine, I never considered myself to have a chronic illness let alone a disability. Wearing the medical ID bracelet made me feel like I was chronically ill as well as disabled. Further, the medical alert made me feel like I was wearing some shameful Disabled sign on my forehead for everyone to see.

To my surprise, my life partner was very pleased when I got the ID bracelet. He admitted, for the first time in almost 25 years together, that he has always been concerned about my having a migraine-induced seizure: he worried that he would be unable to adequately explain hemiplegic migraines to medical personnel. The instructors in my T’ai Chi and Kundalini Yoga classes looked so relieved when I showed them the bracelet that I felt quite guilty for not having gotten it sooner. When I went to a new dentist and then to an oral surgeon to have a dying tooth extracted, both doctors immediately asked about the medical alert and were then pleased to know that my medical condition, which neither had ever heard of before, was clearly indicated on the bracelet.

One day when I went to the grocery last month, I actually forgot to put my bracelet on. After I realized that I’d left it at home, I became anxious that I might experience an aura and have difficulty speaking while I was among strangers. That was when I understood that my initial depression over wearing the medical ID bracelet had completely disappeared.

After wearing my medical ID bracelet for almost a year, I can honestly say that I am happy to have it. I wear it every day, even at home, and have it on 24-hours a day when I have a migraine in case of seizure. I feel only safety wearing the medical alert bracelet now, and I encourage anyone who has a severe, chronic, or rare medical condition to wear one.

This article, in a slightly altered form, was first published
on  The Mighty and reprinted on MigraineMantras.

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This Is Your Brain on Migraine

Impacting not just the head but the entire body, migraine is the most common neurological disorder, affecting 10-15% of the adult population. For comparison, epilepsy is the fourth most common neurological disorder (after migraine, stroke, and Alzheimer’s disease). Unfortunately, few people completely understand the mechanism of migraine. Even doctors, neurologists, and scientists who specialize in migraine research do not necessarily understand everything about this disorder, if only because few of them have ever suffered its agonizing pain.

To make the process of migraine clearer for everyone, let’s imagine your body as a house run entirely by electricity. When the power supply works well and is uninterrupted, you have all the modern conveniences: light, heat, air-conditioning, refrigeration, computers, and Internet. The brain’s 100 billion nerve cells (neurons) are your body’s power system: its wiring and its electricity. Neurons enable you to breathe, move, and think. The neurons in the brain’s outermost layer — the cortex — process information from the senses, regulate body temperature, initiate movement, and enable such complex processes as memory, attention, speech, analytical thinking, and problem-solving. Electrical power makes your house and your body run more efficiently.

Now, imagine your house during an electrical brownout. Too little voltage, as in a dip, and lights noticeably dim, fans slow, and electronic devices sound a warning. Too much voltage, as in a surge, and appliances and electronics can be damaged. This is your brain during an aura. Cortical neurons fire abnormally, in dips and surges, causing symptoms which can include visual disturbances, nausea, clumsiness, or vertigo. Strange tastes, unusual smells, rapid fluctuations in body temperature, and speech difficulties are relatively common. The irregularities in your brain’s electrical system during an aura’s brownout can cause insomnia, depression, irritability, anxiety, brain-fog, and fatigue.

Of course, if you aren’t home during an electrical brownout, or if you’re asleep during an aura, you won’t notice the electrical havoc. Only 20-25% of those with migraines report aura, though some researchers suspect that migraine sufferers may not always notice aura symptoms or associate them with subsequent head pain. Some people with migraine may not associate fleeting irritability, occasional insomnia, or mild depression with an aura because, just as electrical brownouts are not always followed by a complete power outage, auras are not always followed by the crippling pain of a migraine.

Now, imagine your house during a complete power outage. Though the house is still standing, nothing in it that depends on electricity will work. That means no light, no washers and dryers, no television or computers. Without electricity, almost all modern conveniences are unavailable or inoperable. This is your brain on migraine. Instead of firing abnormally, in dips and surges, the cortical neurons across the brain begin to shut down completely. In a wave called Cortical Spreading Depression (CSD), the neurons in the brain’s cortex — the nerve cells that process sensory input, control movement, and enable both speech and thinking — go into “electrical silence” and don’t fire at all. It’s a power outage in your brain.

Why is this neural blackout in the brain so painful? Research indicates that migraine pain is likely due to inflammation of the trigeminal nerve — the largest nerve in the head — responsible for motor control, touch sensation, and pain perception in the scalp, face, eyes, nose, sinuses, cheeks, jaw, teeth, and gums. This inflammation of the trigeminal nerve appears to be directly triggered by the brain’s electrical blackout during Cortical Spreading Depression. When deliberately induced in the brain of a rat, a CSD neural blackout activated the pain-transmitting trigeminal nerve system in the meninges: the sensitive membranes covering the brain. Trigeminal nerve pain, as anyone who has ever experienced a migraine knows, is excruciating and debilitating.

Usually, after a blackout in a residential area, electrical power is restored, and life in your home returns to normal. Since people rarely die during power outages, they are usually not life-threatening. You don’t suffer physical pain during a power outage either, so it’s merely an inconvenience. This is where the analogy ends.

People with migraine suffer incapacitating pain during CSD’s neural blackout. Even after a migraine, when the neurons start firing relatively normally again, it’s highly probable that another wave of CSD and its associated pain will strike. Despite taking medication, effecting lifestyle changes, and avoiding as many triggers as possible, people with migraine cannot entirely eliminate the auras or the pain. Unlike the electrical system of a house, which can be upgraded to reduce brownouts and power outages, our brains cannot be upgraded to reduce abnormal neuron-firing, Cortical Spreading Depression, or CSD-triggered migraine pain.

There is some good news, however. In 2017, an international team of researchers discovered a “genetic particularity” that is more common in those who have migraine, with or without aura. This is the “first irrefutable genetic link” regarding the most frequent forms of migraine. Perhaps, one day soon, researchers will be able to determine ways to adjust and regulate the brain’s complex electrical system, reducing or even eliminating the neural brownouts that are thought to cause aura, as well as the CSD neural blackouts that trigger the incapacitating pain of migraines.

[Illustration of trigeminal nerve branches credit:
Trigeminal Nerve Branches, by John Charles Boileu Grant,
An Atlas of Anatomy, by Regions, 1962. Public Domain. Courtesy of Wikipedia]
(This article was originally published on MigraineMantras.)

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What Is Hemiplegic Migraine?

The smell of smoke woke me in the middle of the night. I got out of bed fast, prepared to evacuate my apartment. I heard people talking and assumed that others were already leaving the building. When I got to the hallway, however, it was empty: there was no smoke, and there were no people.

Cautiously, I went to the floors above and below mine, where I could still smell something burning and hear the hum of voices. I went to the parking lot, thinking people were congregating outside. No one was around, and all the apartments in the building were dark. I went back to my place, firmly convinced that there was an electrical fire in one of my outlets.

After an hour of crawling around smelling each outlet, I was more confused than ever. No smell seemed to be coming directly from any of the outlets, yet when I stood back up, I could most definitely smell electrical fire. I could still hear people talking, too, though no one seemed to be close enough for me to hear them clearly: I couldn’t make out the actual words of the conversation. I was up most of the night, crying and waiting for disaster to strike. The next day, when I smelled gasoline and still heard several voices faintly talking to each other, despite my being at home alone all day, I thought I was losing my mind.

Gasoline, cigarette smoke, electrical fire, propane gas – I’ve smelled all of them for no reason in my life, and it took years before I was brave enough to admit it to anyone. Even then, I only told my doctor because I was also experiencing such dreadful tingling and weakness in my left hand that I kept dropping things, and because my left foot was numb so often that I limped and stumbled along, unable to feel my foot.

When I finally admitted smelling strange, non-existent odors, along with hearing “voices” without understanding the words, my doctor began to question me about other possible symptoms. She mentioned strange tastes, temporary mental confusion, an infrequent inability to speak, instances of my words coming out jumbled and mixed up, or my losing consciousness without warning.

I’d been having non-convulsive seizures during the migraine attacks at least since the age of 9, when a doctor noticed that I sometimes lost consciousness during migraine. Because I was diagnosed with migraine at age 5, and because virtually all the women in my family also had migraine, the doctor said she thought she knew what was causing all those frightening neurological symptoms.

After sending me for multiple medical tests to ensure that I was not developing multiple sclerosis and that I had not had a stroke, the doctor diagnosed Familial Hemiplegic Migraine, a rare form of migraine disorder.

Hemiplegic Migraine

Hemiplegic Migraine (HM) is caused by mutations in one of at least 4 genes, preventing the neurons from firing normally, causing partial numbness, tingling, or paralysis on one side of the body (hemiparesis) along with the other migraine aura symptoms such as visual disturbances or speech difficulties. HM can also cause impaired consciousness, ranging from confusion to profound coma. Familial HM is inherited: other family members with migraine have similar neurological symptoms. Though Sporadic HM can occur after head trauma, and though he same genetic mutations are involved, Sporadic HM is not inherited, so it does not run in families.

The pronounced neurological symptoms of Hemiplegic Migraine make it a subdivision of Migraine with Aura, which can cause heightened sensitivity to smells and to light, as well as nausea and vomiting during the migraine itself. Although the debilitating pain of migraine does not always follow the aura symptoms of light sensitivity or nausea in other forms of migraine, virtually everyone who experiences the one-sided neurological symptoms of Hemiplegic Migraine, whether familial or sporadic, has the excruciating one-sided head pain after the aura.

Though it’s uncommon for the neurological symptoms to remain after the pain of the migraine has passed, HM can cause prolonged weakness, extended memory problems, or mild but permanent difficulties with movement and coordination. A few doctors and researchers seem to believe that Hemiplegic Migraine “disappears” after age 50, but most people do not get miraculous relief from these migraine attacks as they age. Unfortunately, triptans and ergotamines, which are sometimes used to prevent or treat other forms of migraine, are contraindicated in those with Hemiplegic Migraine because those prophylactic medications often trigger strokes.

Despite the worrying symptoms, a diagnosis of Hemiplegic Migraine can actually be a relief for migraine sufferers. Their strange neurological symptoms are part of a rare migraine disorder that not only has a name, but is a recognized illness and disability.

(This post is an excerpt of my post originally published on MigraineMantras.)

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The Best Natural Nausea Relief

We’ve all been nauseous. Whether from pregnancy’s morning-sickness or medication side-effects, from the annual flu bug or a migraine attack, from anxiety or dehydration, or from eating a bit too much of that delicious holiday dinner, we can find nausea an unwelcome companion. Prescription anti-emetics can do an excellent job of preventing vomiting, but they can also make you dizzy or incontinent. Worse, since these powerful medications are to prevent vomiting, they don’t necessarily eliminate nausea. Over the last several years, I’ve come to rely more on natural remedies to relieve nausea, no matter its cause, and I’ve learned to keep many of these items in my pantry year round. Ginger is the best natural nausea antidote, and it’s generally regarded as safe to eat regularly.* I always have plenty of ginger in the house, whether as fresh root, crystallized, or as a major ingredient in some very yummy products. Fresh ginger root or crystallized ginger, which is made from the root, more effectively relieves nausea than culinary powdered ginger or herbal capsules containing powdered ginger.

Though I always have plenty of fresh ginger root (sliced, then frozen to maintain freshness) for baking and stir-fry dishes, crystallized ginger is now one of my kitchen staples. Years ago, I saw ginger listed in an herbal anti-nausea supplement, so I bought some crystallized ginger at a health food store. The next time I got nauseous, I opened the bag and popped a slice into my mouth. It was delicious. Even better, two slices later, my nausea had completely disappeared. Since that time, I keep an airtight glass container on the counter filled with crystallized ginger. When I have the flu, am getting a migraine, or have nausea for any reason, I eat a few slices of crystallized ginger. It immediately relieves nausea, and if the upset stomach returns later, I simply eat another piece.

Once we moved to Big Rock Candy Mountain, however, I couldn’t find crystallized ginger in the local grocery, and the closest health food stores are over two hours away. At first, I decided to make my own. It’s not difficult: you just slice fresh, firm, dry ginger root, add sugar and water, and boil until the ginger is tender and the water turns into syrup. Then you strain and cool the ginger slices before rolling them in sugar. Time-consuming, but, honestly, easy-peasy. In addition to eating the crystallized ginger, I put a couple slices into my iced tea, water, seltzer, carbonated water, lemonade, smoothies, and even iced coffee. I love the taste, but when I’m nauseous, I’m usually also dehydrated or having a migraine attack, so putting the crystallized ginger into my beverages helps all the nasty symptoms I may be experiencing. At the rate I was eating my homemade crystallized ginger, I soon found it more convenient to purchase it online rather than drive to the big city every week.

Since I have severe allergies and migraine whose attacks can be triggered by many different foods additives or preservatives, I have to be very careful about which ginger products I buy. I can only have ginger root that has not been exposed to sulfites, artificial sweeteners, artificial colors, or preservatives. I also prefer non-GMO and organic ginger. All of these products meet my stringent migraine and allergy requirements. I’ve listed each product’s ingredients based on its packaging in the most recent version I’ve bought rather than on any online listings since item’s actual ingredient list sometimes contain known allergens or migraine triggers. Here are a few of my favorite crystallized ginger products to relieve nausea.**

Caveat
Eating crystallized ginger or adding it to your beverages takes away your appetite along with your nausea. In fact, ginger root is such a strong appetite suppressant that it’s almost always one of the ingredients in herbal diet supplements. Fresh or crystallized ginger is a more powerful anorectic than any herbal diet pills, so if you have difficulty keeping weight on, you may want to monitor your intake of ginger.

Best Crystallized Ginger

Best Ginger For Beverages
No matter what kind of tea I having — black, green, rooibos, or herbal — I drop a couple slices of crystallized ginger into the bottom of the cup before I add the boiling water. If I have cold tea, I drop some slices into my glass before adding the ice. I don’t like too much sugar in my tea, and 2-4 crystallized ginger slices make it sweet enough for me. For my tea, whether hot or cold, I prefer NOW Foods Crystallized Ginger Slices, which contains ginger root, evaporated cane syrup, and cane sugar. NOW ginger is certified organic and verified non-GMO. NOW Foods brand is not dried out to the point of being hard, and it’s not too sugary. These slices give Perrier a very slight ginger ale flavor and are also excellent added to lemonade, limeade, or orange juice.

Best Ginger For Baking and For Smoothies
I’ve heard of people eating gingersnaps for nausea, but store-bought brands, even those with a strong ginger flavor, simply don’t have enough ginger to alleviate the fierce nausea that accompanies a migraine attack. Sometimes I make my own gingersnaps, and for that, I prefer NOW Food Brands Crystallized Ginger Dices, also certified organic and verified non-GMO.

Because they’re made for baking, the dices are shaped like little gumdrops, but not as sweet as candy. The dices are a little chewier than the slices and have slightly less sugar, but the taste is the same, and so is their anti-emetic and anorectic properties. The dices knock out nausea just as quickly as the slices, but because they’re smaller, I have to eat a whole handful to quell nausea. When I have a migraine, I often drink homemade smoothies as meals, and if I want crystallized ginger in my smoothies, I use the NOW dices because they get chopped and blended more easily.

Best Ginger For Eating
My favorite crystallized ginger for eating straight from the bag, whether to prevent nausea during the flu or a migraine attack, or throughout the day to keep my appetite under control, is Gerbs Organic Crystallized Ginger, sourced from Thailand. Made with ginger and cane sugar, Gerbs ginger comes in 2- or 4-pound resealable bags. Because Gerbs is a bit more expensive, I don’t like to put it in smoothies, tea, Perrier, etc., because its texture gets lost. Although both NOW and Gerbs crystallized gingers come in hefty slices, and though both are great for eating, Gerbs Organic Crystallized Ginger is slightly thicker and a bit moister. I keep some slices in a candy dishes on my desk and nightstand, as well as in an airtight jar on the kitchen counter, so that I always have some around if the nausea of a migraine attack begins.

Australian Crystallized Ginger

Top-Rated Crystallized Ginger
Based on articles and reviews of crystallized ginger by bakers, chefs, and cookbook authors, I tried Australian Crystallized Ginger, which is said to be the best in the world, and Thai Crystallized Candied Ginger. Both of these brands contain only cane sugar and ginger, and are free of sulphur (sulfites). These two brands of crystallized ginger are divine — sweet, very plump, and extremely moist. Both come in multiple pound bags. The Thai Crystallized Candied Ginger is especially sweet — very candy-like — though it is more ginger root than sugar and so, technically, is probably not “candy.” Because it’s actual ginger root, it quells nausea better than any “ginger candies” on the market: ginger candies are much like prepackaged gingersnaps — they may taste good, but they don’t have enough ginger to relieve nausea.

Thai Crystallized Candied Ginger

 

I wish I could buy these two brands all the time, but I found myself devouring these gingers even when I wasn’t nauseous, i.e., like candy. I went through several pounds of the Australian and Thai crystallized gingers so quickly that I didn’t have enough the next time I was nauseous from a migraine. Even my guy liked these brands of crystallized ginger, and he is a confirmed ginger-hater. If you don’t love crystallized ginger (or actually hate ginger in any form), Australian or Thai Crystallized Ginger might be the type you’d want to keep around the house to relieve nausea.

Ginger is the best natural remedy I’ve ever found to quell nausea, whether it’s from migraine, medications, motion-sickness, flu, or holiday overindulgence. It has none of the side-effects of pharmaceutical anti-emetics (prescription or OTC) and can be added to liquids so you ensure that you remain hydrated. Even if you’re not fond of ginger, you’ll find that crystallized ginger, which is often made from baby ginger, has little of the heat of restaurant stir-fry gingers and none of the bitterness. The only thing you may have to worry about with crystallized ginger is that you’ll like it so much, you’ll find yourself eating it like candy, whether or not you’re nauseous.


*Safety*
It’s generally regarded as safe to eat ginger — up to 1000mg per day. if you eat too much in one day, you might get heartburn or diarrhea, so start slowly. Also, ginger may be an anti-coagulant: consult your physican if you are on prescription blood-thinners, and do not consume any ginger products for two weeks before scheduled surgical procedures. (back to article)

**Caution**
If you experience unrelenting nausea, it may be a sign of an ulcer or of something more serious. If nausea is accompanied by vomiting, it may be food poisoning or gastritis. Please check with your health care provider if you have daily nausea that is not relieved by ginger or OTC anti-emetics. (back to article)

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Filed under chronic pain, Chronic Pain Treatment, hemiplegic migraines, migraine, migraine self-care, Migraine Treatment, Migraine with Aura, Migraine Without Aura, migraines