It's true: Holidays are a headache

By Susan T. Lennon

Holiday cheer can mean holiday hell for America's 28 million migraine sufferers. "Headaches tend to get worse this time of year because exposure to a number of important triggers increases," says Richard Lipton, M.D., director of the Montefiore Medical Center's headache unit in New York. He suggests keeping a headache diary. Knowing how your body reacts to triggers and minimizing exposure to them can help you avoid attacks. Watch out for these five:

5 migraine triggers

Alcohol. Abstain if you're sensitive, but if you choose not to, drin kmoderately and stick with clear, not colored, spirits. Vodka and gin spark fewer headaches than scotch or bourbon, and white wine is better than red. Alcohol dehydrates -- that's another trigger -- so match each cocktail with at least one glass of water.

Stress. Holidays can bring social pressure, family friction and angst. For some, acute stress sparks migraines, but the "letdown" headache -- when you're relaxing later -- is morecommon. The best antidote? "Plan for and anticipate problems before they come up," Lipton says. "Allow yourself extra time, have realistic expectations about how much you're going to get done, and practice relaxation techniques 10 minutes a day." Meditation and yoga, practiced consistently, can change brain chemistry and your body's reaction to stress, helping to prevent migraines.

Changes in routine. Strive to be consistent with your sleeping andeating habits during the holidayseason, Lipton says: "Don't miss meals."

Foods. Dietary triggers include chocolate, cheese, processed meats and MSG. Avoid them if you're vulnerable.

Travel. If the holidays take you on the road, Lipton encourages plenty of rest, hydration and healthful eating.