DEAR DR. ROACH: Is it true that fructose is a trigger for migraines? — L.J.S.
ANSWER: Migraine headaches are a form of episodic headache, often associated with nausea, as well as sensitivity to light and sound. There are many subtypes of migraine, including migraine without headache, and any given person may identify his or her own trigger for migraine. It’s possible fructose is a trigger for some people.
Stress and sleep changes are among the most common. Women sometimes get migraines around the time of menstruation. These are called catamenial migraines (thank you, Dr. Abby Spencer, who taught me that word years ago).
Among foods, caffeine and wine are very commonly identified triggers for migraine. Some people identify chocolate as a trigger, but it may not be. It’s possible to get food cravings, such as for chocolate, at the beginning of the migraine syndrome, so although it seems as though