Hello dear Understand your concern. There is no specific cause of migraine. But there may be Genetic predisposition Hormonal imbalance Vascular abnormality that affect the brain blood circulation Age and family history But it can be aggravated by factors like noise, light, stress, exertion, some food, Alcohol, skipping meal. You should consult the neurologist and do MRI and needed investigation or change in medicine. Advice for you. 1. Pain relieving medication: - first use:Ibuprufen 500 mg three times a day or you can use aspirin or acetaminophen - If not responds, you can use sumatriptan, combination of ergots and caffine - In resistance case you can use opioids and glucocorticoids like prednisolone - You can put ice pack on head. Stay hydrated eat health diet. Life style changes should be done as below 1. Enough sleep 2. Muscle relaxation exercise 3. Rest and relaxation 4. Keep headache diary: Identify trigger factor and which treatment is effective Alternate therapy: Acupuncture therapy Massage and music therapy Cognitive behavioral therapy Vitamin B-2 and CO Q can be useful in relieving pain. Hope this may help you. Best regards Dr. Sagar