Feb
Which foods cause migraines?
Migraine triggers are foods that can provoke a migraine attack in sensitive individuals. The most common food triggers are chocolate, alcohol, aged cheeses, citrus fruits and artificial sweeteners. These foods contain specific chemical compounds that affect blood vessels and neurotransmitters in the brain, which can cause migraine headaches.
Which foods are the most common migraine triggers?
The best-known migraine triggers are chocolate, red wine, aged cheeses, citrus fruits, artificial sweeteners, processed meat and caffeine. These foods contain substances such as tyramine, histamine and nitrates that can cause migraines in sensitive individuals.
Chocolate contains tyramine and phenylethylamine, two compounds that can affect blood vessels. Dark chocolate has higher concentrations of these substances than milk chocolate. Aged cheeses such as mature cheddar, brie and camembert are also rich in tyramine, especially when they have been aged for a long time.
Alcoholic beverages, particularly red wine, contain both tyramine and histamine. These substances can together affect blood vessels in the brain. Citrus fruits contain natural acids that can trigger migraines in some people, especially in those who are sensitive to migraines with aura.
Artificial sweeteners such as aspartame and sucralose are known as potential migraine triggers. Processed meat contains nitrates and nitrites as preservatives, which can cause headaches. Sudden changes in caffeine consumption can also trigger migraines.
How do food-related migraine triggers work in your body?
Food triggers work through chemical compounds that affect blood vessels in the brain and disrupt neurotransmitters. Tyramine, histamine and nitrates are the main substances that cause these reactions in people who are sensitive to this type of migraine.
Tyramine affects blood pressure by stimulating the release of noradrenaline. In migraine patients, this can lead to vasodilation (widening of blood vessels) in the brain, causing headaches. This substance occurs naturally during the ripening process of cheeses and the fermentation of alcoholic beverages.
Histamine causes inflammatory reactions and can make blood vessels dilate. In people with histamine intolerance, this can lead to migraines. The body normally breaks down histamine with the enzyme DAO, but in some people this process works less efficiently.
Nitrates and nitrites from processed meat are converted in the body into nitric oxide, which can dilate blood vessels. This reaction can lead to migraines in sensitive individuals within a few hours. These substances can also affect oxygen supply to the brain.
When should you consider a food as a migraine trigger?
A food is likely a migraine trigger when there is a consistent pattern between consumption and headaches within 2-24 hours. You should experience the same reaction at least three times before considering a food as a trigger.
The timing between eating and migraine is crucial. Most food-related migraine attacks begin within 2 to 12 hours after consumption. In some people, this can even take up to 24 hours. Also pay attention to the amount: small portions may not cause a reaction, while larger quantities can trigger migraines.
A food diary helps recognise patterns. Note what you eat, when you eat it and when migraines occur. Other factors such as stress, sleep and hormonal changes can also influence migraines, so look at the complete picture.
Avoid false positive conclusions by taking into account other possible causes. Stress, weather changes or hormonal fluctuations can also cause migraines. A real food trigger causes problems consistently, regardless of other circumstances.
What are the best strategies to prevent food-related migraines?
The best prevention is systematically eliminating known triggers from your diet and carefully reading ingredient lists. Start with the most common triggers and replace these with safe alternatives that do not cause migraines.
Start with an elimination diet where you remove all suspected foods for two weeks. Then reintroduce one food per week and monitor your reactions. This helps identify specific triggers without having to guess.
Learn to read labels to avoid hidden triggers. Look out for terms such as ‘natural flavours’, ‘yeast extract’, ‘sodium nitrite’ and various names for artificial sweeteners. Many processed foods contain multiple potential triggers.
Plan social situations ahead by informing hosts about your restrictions or bringing safe food yourself. Choose restaurants where you can enquire about ingredients. Always keep migraine tips handy for emergencies.
Replace problematic foods with safe alternatives. For example, use fresh herbs instead of processed flavour enhancers, or choose fresh instead of processed meat. This way you don’t have to sacrifice too much in terms of taste and variety.
How does chiropractic care help with migraines caused by food triggers?
Chiropractic treatment can reduce sensitivity to food triggers by optimising the nervous system and improving communication between the brain and digestive system. This helps the body better cope with potential trigger substances.
We focus on restoring nerve function in the neck and upper back, where important nerves run that regulate blood supply to the brain. By removing tension and blockages, the body can respond better to food triggers and recover more quickly from migraine attacks.
Our specialised treatments include:
- Optimisation of the cervical spine for better blood circulation
- Improvement of nerve communication between brain and digestive system
- Reduction of general tension that increases migraine sensitivity
- Support of the body’s natural healing process
At Ruggensteun we understand that migraine is more than just headaches. Our holistic approach combines chiropractic care with practical migraine tips to reduce your sensitivity to food triggers and improve your quality of life.
You can contact us directly, without referral from your GP. Contact us today for a personalised treatment plan that suits your specific migraine triggers and needs.
Frequently Asked Questions
How long does it take before you see results from eliminating food triggers?
Most people notice improvement within 2-4 weeks if they consistently avoid all known triggers. However, it can take up to 6-8 weeks before you see the full effect, as your body needs time to recover from previous inflammatory reactions and the nervous system needs to stabilise.
What should I do if I accidentally ate a food trigger?
Drink plenty of water immediately to dilute the trigger substance and take your usual migraine medication if necessary. Rest in a dark, quiet room and apply cold or warm compresses to your head or neck. Record the episode in your food diary to better recognise patterns.
Can food triggers change over time?
Yes, your sensitivity to certain foods can change due to hormonal fluctuations, stress, age or other health changes. Therefore, it is important to periodically evaluate your food diary and possibly retest whether old triggers are still problematic.
Is it possible to become completely migraine-free by only adjusting diet?
For some people, dietary adjustment can drastically reduce or even eliminate migraine attacks, but migraine often has multiple causes. A combination of dietary management, stress reduction, regular sleep and possibly professional treatment usually gives the best results.
How do I deal with social situations where I cannot avoid my triggers?
Prepare by eating beforehand, always bringing your own safe snacks and informing hosts in advance. Learn to diplomatically say 'no' to offered food and always have an emergency plan ready including medication and a quiet place to retreat.
What role do food additives and E-numbers play in migraines?
Many food additives such as MSG (E621), sulphite (E220-E228) and certain colourings can trigger migraines. Always read ingredient lists carefully and choose unprocessed, natural foods without artificial additives where possible.
Can I carry out a reliable elimination diet myself or do I need professional help?
You can carry out a simple elimination diet yourself, but with complex food sensitivities or if you suspect many different triggers, guidance from a dietitian or doctor is advisable. They can ensure your diet remains nutritionally sound and help with systematically reintroducing foods.

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