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Cluster Headaches & Allergies (A MUST READ) (Read 14572 times)
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Cluster Headaches & Allergies (A MUST READ)
Jul 31st, 2010 at 5:06am
 
Hello all...I have had headaches since the age of 15. They were never severe until I got into my late 20s. I moved to London from the US 5yrs ago. My headaches intensified tremendously in the UK. A year ago, I sought medication attention after waiting far too long. I was prescribed steroids and verapamil to dilate the blood vessels of the brain. I am fortunate to have good health insurance and was seen by a top GP who diagnosed me with clusters. I had no idea that this headache had a name. Then I was referred to a top neurologist. I was taking up to 5 verapamil a day for over a year. I looked at this cite often and my symptoms were identical too many. The 2am alarm headache, the real ice pick one. The dailies at 8am and 4pm, everyday for months and months. Then the occasional shocker that nearly paralyses you, which was usually the peak of the cycle and I sort of looked forward to since the next day was not nearly as bad. So thousands of pounds had been spent on doctors, MRIs, and medication yet no solution. A month ago, I went to see an allergist. I had a cambrdige food allergy test done and an environmental allergy test. It turns out I am allergic to so many everyday foods that I have been consuming for 30 years. It is only 5 days of not eating these foods, but I have been headache free for 4 days now for the first time in nearly 5 years. I strongly encourage anyone suffering from clusters to get a thorough food allergy test done. I feel as if I have my life back!!! I have not taken verapamil this week. The first time in well over a year. I am amazed that all of the doctors and specialist I saw never drew the conclusion between the headaches and allergies. Also, I had no visible signs that I was allergic. I am allergic to tomatoes, wheat, raw egg (ice cream.) If your clusters intensify after an ice cream cone with raw egg, you are probably allergic. That is what triggered me to see an allergist. I had an ice cream with my son and my brain felt as if it was going to pop. My headaches were a result of my immune system over reacting and fighting off all of the perceived toxins in my body. Here is what I am allergic to: Raw eggs (no ice cream, mayo, or mousse,) scallops, nectarines, oranges, tomato,  barley (no beer,) wheat (no pasta,) rye flour, almonds, cashews, peanuts, pistachio and walnut. I ate most of these foods on a daily basis and I think I found the source of my cluster. I hope this helps at least 1 other person. 
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Linda_Howell
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #1 - Jul 31st, 2010 at 9:40am
 
Quote:
I was prescribed steroids and verapamil to dilate the blood vessels of the brain


I believe you meant to say contrict the blood vessels, not dialate.  Diation is what happens when we have a cluster attack and what causes the pain.

Here in the U.S.  we just had a convention in Atlanta, Ga. and were SO fortunate to have 2 of the very best Neurologists speak on our condition.  BOTH doctors made a point of telling us that allergies or food sensitivites are NOT a factor in Cluster headaches.

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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #2 - Jul 31st, 2010 at 10:35am
 
Glad you found something that has alleviated your pain. As Linda mentioned, allergies are typically not a component of CH. Many have had the allergy series done hoping to isolate a trigger and were unsuccesful. Praying your success continues and you'll be done with the headaches. Pain free time is truly a beautiful thing!

Joe
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #3 - Jul 31st, 2010 at 11:04am
 
None of us are trying to kick you in the shins by disagreeing that allergies cause CH. We are working with the relationship between two events: Is there are causal relationship or not?

I just did a scan in the largest medical library in the U.S. on the question and found only 21 hits covering the period 1978-2010. Surely says that allergies has not gained any attention as a causal factor.

But how to understand your experience which, by any standard, is a source of great relief, even joy for you....

We have universal agreement that, when we are in an active CH period, alcohol can be a trigger for an attack. This is not to say that alcohol is the CAUSE of CH (although it appears that to be the case) but that when those parts of our brain which are thought to be the cause AND then they are in the "right" condition to fire off--then alcohol can trigger the whole process.

So, then alcohol is like tripping on a toy at the top of the stairs. No toy, no trip & fall. I suspect, but no reports of studies along these lines, that I could find, that allergies may serve as a triggering mechanism for Cluster.

So, why the importance of this distinction? With alcohol, it gives us knowledge of how to avoid attacks under certain conditions (when we are in an active period)--but we don't stop using our preventive meds in the belief that not using alcohol will eliminate Cluster.

It may some mechanism along these lines re. allergies.

Best guess.............

Thanks much for sharing your good news!
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« Last Edit: Aug 2nd, 2010 at 8:28am by Bob Johnson »  

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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #4 - Aug 1st, 2010 at 12:02am
 
If you stick around long enough, you'll read a lot of great posts hear on CH.com.  If you stick around a little longer, you come across some exceptionally well-written, well thought out posts... 

I've read a lot of great posts, but Bob, in all honesty...  your last on this thread was the greatest of all times... It's a hands down, top notch, straight from the head and heart winner!  Well done my friend!

V/R, Batch
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #5 - Aug 1st, 2010 at 1:37am
 
Batch wrote on Aug 1st, 2010 at 12:02am:

I've read a lot of great posts, but Bob, in all honesty...  your last on this thread was the greatest of all times... It's a hands down, top notch, straight from the head and heart winner!  Well done my friend!

V/R, Batch


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There's no getting around the fact that Bob is a true class act...
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #6 - Aug 1st, 2010 at 8:57am
 
Thanks, all! After a fresh pot of coffee my brain works a little better.

B
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #7 - Aug 1st, 2010 at 8:46pm
 
Quote:
I am fortunate to have good health insurance and was seen by a top GP


Have you ever herd of the NHS ??

Ok I know that they can be painfully slow, but I always get the impression with the uk's privet medical community that if you pay them to find something thay will find something just to justify there ridiculous fees and from what Ive seen on the TV and newspapers etc. allergy tests are one of there biggest money spinners because they can always find something that you are allergic to , even if it has never caused problems to you in the past.

any how I hope the pain freeness continues for you and you haven't just gone out of cycle.

God bless

Nigel
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #8 - Aug 29th, 2010 at 1:00pm
 
Bob Johnson wrote on Jul 31st, 2010 at 11:04am:
None of us are trying to kick you in the shins by disagreeing that allergies cause CH. We are working with the relationship between two events: Is there are causal relationship or not?

I just did a scan in the largest medical library in the U.S. on the question and found only 21 hits covering the period 1978-2010. Surely says that allergies has not gained any attention as a causal factor.

But how to understand your experience which, by any standard, is a source of great relief, even joy for you....

We have universal agreement that, when we are in an active CH period, alcohol can be a trigger for an attack. This is not to say that alcohol is the CAUSE of CH (although it appears that to be the case) but that when those parts of our brain which are thought to be the cause AND then they are in the "right" condition to fire off--then alcohol can trigger the whole process.

So, then alcohol is like tripping on a toy at the top of the stairs. No toy, no trip & fall. I suspect, but no reports of studies along these lines, that I could find, that allergies may serve as a triggering mechanism for Cluster.

So, why the importance of this distinction? With alcohol, it gives us knowledge of how to avoid attacks under certain conditions (when we are in an active period)--but we don't stop using our preventive meds in the belief that not using alcohol will eliminate Cluster.

It may some mechanism along these lines re. allergies.

Best guess.............

Thanks much for sharing your good news!


Bob, I'm not quite sure what you're saying especially in conjunction with what Linda wrote.

For some people MSG is a trigger.  Alcohol seems to universally be a trigger.  For this person, apparently many foods were a trigger. ???? 

If allergies and food sensitivities are not a factor in clusters - how can food(s) and alcohol be triggers?  Maybe it was because I wasn't at the convention and am not taking Linda's statement in context, but I'm really confused.

I know a number of clusterheads that went to Diamond and did exactly what the OP did, and by avoiding the food triggers, they have become pain free.

Gary has done the allergy testing (food and environment).  Unfortunately the only thing he's allergic to are bee stings and jellyfish.  Never had the opportunity to figure out if those are triggers.   Grin

I really am not trying to be contentious, I'm just trying to figure out what's being said. 

Thanks,

Laurie
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« Last Edit: Aug 29th, 2010 at 1:02pm by Garys_Girl »  

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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #9 - Aug 29th, 2010 at 7:59pm
 
Garys_Girl

Think of CH as an underlying condition that Average Joe doesn't know he has.  Average Joe then goes on an airplane trip and gets the mother of all CH hits.  Is he then allergic to flying or did the flying bring out his previously unknown underlying condition?

I believe the point Bob was trying to make is that allergies are not Causing his condition but triggering it. It's like poking an angry dog with a stick, eventually you will get bitten.

<
Edited because my brain and fingers are too damned tired to work.
>
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« Last Edit: Aug 29th, 2010 at 8:03pm by JustNotRight »  

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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #10 - Aug 29th, 2010 at 9:40pm
 
I agree with the others that although CH can be triggered by allergies, allergies are not the cause.

Allergies are a huge trigger for me, especially wheat. I got markedly better for quite a while after I quit eating all sources of gluten.   But then I got a concussion and everything came back worse than ever.

I'm so glad you found a trigger that you can avoid and control.  Just be careful, because even if you're in remission, it's only remission.  Chances are the headaches will come back, it's just the nature of the beast.  And we have seen a few people around here who got so upset when the CH came back that felt completely depressed and hopeless.   Depression, hopelessness, and extreme pain are a huge risk for suicide.

Please be VERY CAREFUL about your attitude.

In the mean time, congratulations on being pain free and good luck!
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #11 - Aug 29th, 2010 at 11:10pm
 
Oh gotcha!  Color me dense.  The presentation at the conference must have been that food is not a factor in causation of cluster headaches.  The objection being voiced is a reaction to the OP seeming to think the allergies were causing the attacks, not triggering them.

Thank you, I get it now.   Smiley
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #12 - Aug 30th, 2010 at 8:19am
 
Great post, Bob...and thanks to all who helped clarify this topic. I did recently have allergy tests done only to find...nothing. Small allergic reaction to chlorine and benzine, but definitely not a strong trigger. I wanted there to be one, because if there was, that would make it much easier to control these things. But there wasn't. For those who have identified food or environmental triggers...great! Just beware of the morphing beast who galumphs through our preventatives by changing its plan of attack! lance
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #13 - Sep 1st, 2010 at 2:31am
 
It really can be confusing.  Just google Histamine Headache.  The very first specialist I saw about 25 years ago said to me, "You have what used to be called Histamine Headaches."

However, it seems that if allergens were the only cause...more people would have Clusters.  In my experience, allergens are a trigger for me.  Some day, we will all know.
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #14 - Sep 1st, 2010 at 12:30pm
 
Joni wrote on Sep 1st, 2010 at 2:31am:
However, it seems that if allergens were the only cause...more people would have Clusters.  In my experience, allergens are a trigger for me.  Some day, we will all know.


I think it is a function of how people think about causality. Some diseases have relatively simple cause and effect - (Tuberculosis, HIV, ruptured appendix) while others are pretty complex and involve lots of variables that interact with each other (heart disease, cancer, etc).

Allergies are probably not the central mechanism for CH, but there is evidence that the immune system plays a role. In particular, there is a theory on the causation of clusters called the neuroimmune hypothesis. It has been shown that clusterheads have certain immune glitches, and that these can affect neurotransmitters and brain function.

Quote:
Headache. 1996 May;36(5):312-5.
Putative neuroimmunological mechanisms in cluster headache. An integrated hypothesis.

Martelletti P, Giacovazzo M. Department of Clinical Medicine, Headache Centre, University La Sapienza, Rome, Italy.

During the last decade, numerous studies have been carried out to explore the function of the immune system in cluster headache and the release of reciprocal informational molecules from pain-sensitive structures. These neuroimmunological findings in cluster headache syndrome, although carefully considered, have varied from genetic aspects (HLA antigens) to functional activity of the immune system (NK cytotoxicity), and from study of the receptor expression of classical neurotransmitters of pain (5-HT, histamine) on immunocompetent cells, to the study of cytokines with a potent pro-inflammatory activity (interleukin-1). Other aspects considered have ranged from the study of the effectiveness of substances possessing a wellknown activity on the immune system (prednisone, lithium carbonate) in shortening cluster attacks to the 5-HT receptor expression changes observed on a peripheral substrate (monocytes) after the administration of sumatriptan. Although this was an exciting area of pioneering research, we have always interpreted our findings cautiously. In summary, we now believe that the neuroimmunological aspects of cluster headache can be proposed as an integrative model and that this immunological mechanism could improve our understanding of the pathogenic basis for this still obscure disease.

PMID: 8682673 [PubMed - indexed for MEDLINE]

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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #15 - Sep 1st, 2010 at 12:51pm
 
monty wrote on Sep 1st, 2010 at 12:30pm:
I think it is a function of how people think about causality. Some diseases have relatively simple cause and effect - (Tuberculosis, HIV, ruptured appendix) while others are pretty complex and involve lots of variables that interact with each other (heart disease, cancer, etc).

Allergies are probably not the central mechanism for CH, but there is evidence that the immune system plays a role. In particular, there is a theory on the causation of clusters called the neuroimmune hypothesis. It has been shown that clusterheads have certain immune glitches, and that these can affect neurotransmitters and brain function.

Interesting stuff, monty. Personally, I suffer from hidradenitis suppurativa, which is responding quite well to my dermatologist's off-label application of Etanercept. This med, a biologic immunosuppresant, helps to damper down my body's seeming need to produce too much TNF (tumor necrosis factor, a substance in the body that causes inflammation).

While it is far from a controlled study due to the fact that I've taken other actions to rid myself of CH attacks, I can say that my CH has been better in the last 6 months (the time I've been on the Etanercept) than in the past 20 years.
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #16 - Sep 1st, 2010 at 12:54pm
 
monty wrote on Sep 1st, 2010 at 12:30pm:
Joni wrote on Sep 1st, 2010 at 2:31am:
However, it seems that if allergens were the only cause...more people would have Clusters.  In my experience, allergens are a trigger for me.  Some day, we will all know.


Some diseases have relatively simple cause and effect - (Tuberculosis, HIV, ruptured appendix) while others are pretty complex and involve lots of variables that interact with each other (heart disease, cancer, etc).

Allergies are probably not the central mechanism for CH, but there is evidence that the immune system plays a role. In particular, there is a theory on the causation of clusters called the neuroimmune hypothesis. It has been shown that clusterheads have certain immune glitches, and that these can affect neurotransmitters and brain function.

Quote:
Headache. 1996 May;36(5):312-5.
Putative neuroimmunological mechanisms in cluster headache. An integrated hypothesis.

Martelletti P, Giacovazzo M. Department of Clinical Medicine, Headache Centre, University La Sapienza, Rome, Italy.

During the last decade, numerous studies have been carried out to explore the function of the immune system in cluster headache and the release of reciprocal informational molecules from pain-sensitive structures. These neuroimmunological findings in cluster headache syndrome, although carefully considered, have varied from genetic aspects (HLA antigens) to functional activity of the immune system (NK cytotoxicity), and from study of the receptor expression of classical neurotransmitters of pain (5-HT, histamine) on immunocompetent cells, to the study of cytokines with a potent pro-inflammatory activity (interleukin-1). Other aspects considered have ranged from the study of the effectiveness of substances possessing a wellknown activity on the immune system (prednisone, lithium carbonate) in shortening cluster attacks to the 5-HT receptor expression changes observed on a peripheral substrate (monocytes) after the administration of sumatriptan. Although this was an exciting area of pioneering research, we have always interpreted our findings cautiously. In summary, we now believe that the neuroimmunological aspects of cluster headache can be proposed as an integrative model and that this immunological mechanism could improve our understanding of the pathogenic basis for this still obscure disease.

PMID: 8682673 [PubMed - indexed for MEDLINE]





I find that a fascinating study.  Thank you for finding it.

Interesting in several ways, not the least of which being that I also have an auto-immune disease.  I have wondered in the past if there was a link between the conditions somewhere...
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #17 - Feb 16th, 2021 at 5:50pm
 
I completely disagree with the posts on this thread and am kind of shocked by what a bunch of arrogant and closed minded people are about possible causes when medical science still doesn't have answers.  I would think that the pain of the CH would be enough of an incentive that people would want to at least try something before criticizing people over it.  I totally agree with the first post and that allergies are definitely  connected to CH. 

It's taken me years but I now know for sure that I am allergic to eggs and have the tests to prove it.

Via experimentation I am also positive that eggs create more CH's and increase the pain.  That doesn't mean everyone should stop eating eggs but do get yourself tested for allergies and then avoid those things and I'm positive you'll get a beneficial response.

Why else do we all follow the anti-inflammatory vitamin mix and expect results?  Isn't the body all connected after all and that the vitamin mix helps, therefore avoiding the inflammation in the first place is even better.

I can hear the flame posts coming already because I don't agree with the establishment here but do yourselves a favor and check it out before posting flames.
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Re: Cluster Headaches & Allergies (A MUST READ)
Reply #18 - Feb 16th, 2021 at 9:38pm
 
I just re-read the thread,  Neuro,  and saw no flaming and there's also no need to worry about flames in reply your post here.

No-one is saying for a moment that allergies play no part in CH because it's openly accepted that they certainly do.  The discussion so far has been about the difference between causing Cluster Headaches as opposed to triggering an individual attack.

Eggs seem to be a big trigger for you and in avoiding them you've taken away a serious trigger which is allowing you a far greater joy in life.  It's the same as alcohol for many,  certain smells for others,  and all sorts of other things can trigger a hit for some.

As you say,  medical science doesn't know the cause of this dread condition but understanding your personal triggers,  be they allergies or otherwise,  is a very important part of managing the nightmare we must live with.

I'm thrilled you've found something that works well for you and thanks for passing it on as it may help others,

Brian in Oz.

 
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My name is Brian. I'm a ClusterHead and I'm here to help. Email me anytime at briandinkum@yahoo.com
 
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