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Though migraine causes aren't fully understood, genetics and environmental factors appear to play a role Changes in the brainstem and its interactions with the trigeminal nerve, a major pain pathway, might be involved. Headache specialists don't use this term anymore, but it has been used to describe migraines that occur with changes in vision The term often is used to refer to two different conditions that cause visual changes Migraine with aura and retinal migraine. Learn more about migraine that causes pain and sensory disturbances (aura), such as flashes of light, blind spots or tingling in your hands or face. Recording your symptoms in a headache diary can help you learn more about what triggers your migraines and what treatment is most effective It also can help your healthcare professional diagnose your condition and track your progress between visits. During physical activity, your body releases certain chemicals that block pain signals to your brain These chemicals also help reduce anxiety and depression — two conditions that can make migraines worse. People assigned male at birth may be more likely to have cluster headaches than people assigned female Recent studies suggest that people assigned female at birth may be misdiagnosed with a different headache disorder such as. Keeping a headache diary can help you determine what triggers your headaches so that you can avoid the triggers Include details about every headache, such as when it started, what you were doing at the time and how long it lasted. Is there a link between migraines and gastrointestinal problems There may be a connection between headaches and the gut Nausea and vomiting often occur with migraine attacks And research suggests that people who have headaches often may be more likely to develop gastrointestinal conditions. Cdh may be caused by an infection, minor head injury or taking pain medications — even nonprescription pain medications — too often. Connect with others like you for support and answers to your questions in the headache & migraine support group on mayo clinic connect, a patient community.