Why Some People Get More Migraines During Ramadan and How to Manage Them

We all look forward to Ramadan. There’s nothing quite like the energy of this holy month and nothing that unites families more than Ramadan. But this anticipation is sometimes short-lived. You see, by day three of fasting, some of us find ourselves huddled in bed, eyes shut tight against the constant thudding in our heads. The migraines are back with a vengeance.

Most individuals find themselves grappling with aggravated migraines during Ramadan without fully understanding why or how to get around it. From what numerous credible neurologists in Dubai have explained, fasting has the potential to activate migraines based on dehydration, withdrawal from caffeine, and an irregular sleep schedule, all usual occurrences during Ramadan.

So, Why Do Migraines Worsen During Ramadan?

For people with a tendency toward migraines, Ramadan can be a difficult time. A few factors can go toward the heightening of attacks in frequency and severity:

• Dehydration: Protracted fasting times translate to your body probably not receiving the amount of water that it requires all day. Dehydration is an often-observed migraine cause, as blood vessels in the brain narrow, producing severe headaches.
• Caffeine Withdrawal: It’s a challenging moment for caffeine enthusiasts! If you depend on coffee or tea to begin your day, abruptly eliminating it during fasting hours can result in withdrawal symptoms, such as migraines. Your body is addicted to caffeine, and without it, your blood vessels expand, leading to headaches.
• Irregular Sleep Patterns: Suhoor and evening prayers can interfere with your normal sleep pattern. Lack of sleep is a known migraine trigger, and when coupled with fasting, can exacerbate attacks.
• Low Blood Sugar (Hypoglycemia): When you don’t eat for long periods of time, your blood sugar levels fall. In some, this provokes migraines as the brain becomes hypersensitive to the absence of glucose.
• Dietary Triggers during Iftar: Consuming processed foods, too much sugar, or too much salt during the meal that breaks the fast can trigger headaches. Spikes and dips in blood glucose levels post-Iftar may increase migraines.

But How Do We Control This?

And no, you don’t need to stop fasting and lose the essence of this month! The good news is that if you have the right strategies in place, you can still have a rewarding Ramadan while managing migraines.

Hydration is key!

It’s not merely having water at Iftar and Suhoor; it’s a matter of being maximally hydrated. Coconut water, electrolyte drinks, and hydrating fruits such as watermelon, cucumber, and yogurt may assist. At least 2-3 liters of fluid between Iftar and Suhoor can prevent dehydration-induced migraines to a large extent.

Gradually Decrease Caffeine Intake

Quitting caffeine abruptly can worsen headaches. Instead, in the weeks leading up to Ramadan, try reducing your intake gradually. Switch to decaffeinated or herbal teas to minimize withdrawal symptoms. If caffeine is essential, consume a small amount at Suhoor to prevent sudden withdrawal effects.

Prioritize Sleep

Make an effort to keep a regular sleep pattern, even during Ramadan. Taking a short nap in the daytime can contribute to compensating for lost sleep at night. Sleep for a minimum of six to seven hours to keep migraine-causing elements at bay.

Plan Your Suhoor and Iftar Meals

What you eat counts. A balanced Suhoor with carbohydrates (oats, whole grains), protein (eggs, yogurt), and healthy fats (avocado, nuts) can help maintain blood sugar levels stable during the day. During Iftar, attempt to steer clear of processed food, too much sugar, and fried foods. Instead, opt for lean proteins, vegetables, and healthy fats.

Identify Triggers

Migraines are not a one-size-fits-all affair. Some people are sensitive to certain foods, while others are sensitive to changes in sleep. Maintaining a migraine diary during Ramadan, where you record what you eat, how much water you consume, and your sleep pattern, can help you pinpoint certain triggers and steer clear of them.

Know When to See a Doctor

When the migraines become a burden or begin to get in the way of everyday activities, it may be time to see a specialist. Some drugs can be taken outside fasting times, and a physician can suggest personalized approaches depending on your history of migraines. To the surprise of many, an ENT in Dubai may also be involved in diagnosing and treating migraines. Sinus problems, nasal congestion, and even ear issues can at times lead to chronic headaches. Therefore, it’s always good to try all options.

Fasting for Patients with Other Health Conditions

For individuals with chronic diseases like diabetes or hypertension, fasting can make migraines even harder to handle. Variations in blood pressure and unpredictable blood sugars can exacerbate headaches. Endocrinologists can be consulted before Ramadan to assess if it is safe to fast and advise on measures to be taken. They could suggest dietary modifications, altering the timing of medication intake, or even alternative methods of fasting for higher-risk populations.

Ramadan is a time for reflection, spirituality, and community, but it does not have to be at the expense of your health. Knowing why migraines tend to get worse during fasting and taking steps ahead of time to prevent them can allow you to enjoy all the blessings of the month. Minor changes can make a huge difference, enabling you to concentrate on the spirit of Ramadan without the pain of incessant headaches.