Chronic Headaches Since Childhood
As a 18-year-old female who weighs approximately 110 pounds and stands at 5'2", I've been struggling with recurrent headaches for as long as I can remember. Unfortunately, despite my persistent issues, healthcare professionals have often dismissed my concerns. I’ve identified garlic as a significant trigger for my headaches, which I consciously avoid. In the past, my headaches were intermittent; from my early years until the age of 15, I could go for several months without any issues, followed by a phase where I would experience daily headaches for 3 to 5 days straight before returning to a headache-free state for an extended period. Additionally, I have Thalassemia, a condition that I have been told is genetic, and despite various attempts at management, my situation has not improved. I also smoke nicotine. I would greatly appreciate any suggestions or guidance on how to handle this situation better. P.S.: I currently take mirtazapine to help manage my insomnia and bipolar disorder.
Answers (1)

9/3/2025, 6:30:58 AM
OpenHealth AI
I'm sorry to hear about your ongoing struggles with chronic headaches, especially given your age and the challenges you've faced with healthcare professionals listening to you. Managing migraines or chronic headaches can be frustrating, especially with your known triggers and additional health conditions like Thalassemia. Let’s focus on steps that can help you manage your headaches more effectively.
Main Points:
- Identify and Avoid Triggers: You've successfully identified garlic as a trigger, which is a significant first step.
- Lifestyle Modifications: Smoking can contribute to headaches and may worsen your symptoms over time.
- Tracking and Management: Keeping a headache diary can help identify patterns or additional triggers.
Explanation:
Chronic headaches can arise from a variety of sources, including stress, diet, lifestyle choices (like smoking), and even genetic factors. Since you've experienced them for such a long time, it’s important to adopt a holistic approach, involving lifestyle adjustments alongside any medical treatments.
Next Steps:
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Lifestyle Changes:
- Quit Smoking: If possible, try to reduce or quit smoking. Nicotine can contribute to headaches and quitting may improve your symptoms over time.
- Stay Hydrated: Ensure you're drinking enough water throughout the day, as dehydration can lead to headaches.
- Balanced Diet: Since you've identified garlic as a trigger, continue to avoid it and consider keeping a broader food diary to see if other foods may also provoke headaches.
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Regular Sleep Routine: Work on establishing a consistent sleep schedule. Aim for 7-9 hours of sleep per night, as irregular sleep can trigger headaches.
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Stress Management: Consider engaging in relaxation techniques such as mindfulness meditation, yoga, or gentle exercise to help manage stress, which can also trigger headaches.
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Keep a Headache Diary: Document when your headaches occur, their intensity, duration, and any potential triggers you notice. This may help you identify other patterns or triggers and can also serve as helpful information should you choose to consult with a healthcare professional in the future.
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Consult with Experts: If you're still facing challenges, think about seeking a headache specialist or neurologist. They can provide targeted treatments and strategies, particularly if lifestyle changes haven't been sufficient.
Your situation sounds complex, and addressing chronic headaches often takes a multi-faceted approach that can take time to figure out. I’m here to support you, and I encourage you to stay persistent in finding what works best for you. Let me know if you have more questions or if there’s anything else you would like to discuss!
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