BRENDA MARSHALL, MD

Neurological & Other Conditions

Neurological & Other Conditions

This section addresses frequently asked questions about neurological symptoms and chronic conditions such as migraines, brain fog, and fatigue.

What triggers a migraine?

Migraine triggers vary from person to person, but some common ones include:

  • Hormonal changes (especially in women during menstruation or perimenopause)
  • Certain foods like aged cheese, chocolate, and processed meats
  • Caffeine (either too much or withdrawal from it)
  • Stress or lack of sleep
  • Bright lights, loud noises, or strong smells
  • Weather changes or barometric pressure shifts

Keeping a migraine diary can help identify personal triggers so you can work on avoiding them.

What exactly is a migraine and how is it different from a regular headache?

A migraine isn’t just a bad headache—it’s a neurological condition that involves a variety of symptoms. While a typical tension headache might feel like a band of pressure around your head, migraines often bring throbbing or pulsating pain, usually on one side. They can also include nausea, vomiting, sensitivity to light and sound, and even visual disturbances called auras. Migraines can last from a few hours to several days and may significantly impact your ability to function.

How is chronic fatigue diagnosed?

Diagnosing chronic fatigue can be tricky because there’s no single test for it. Doctors typically use a process of elimination to rule out other conditions such as thyroid disease, anemia, sleep apnea, and depression. A thorough health history, physical exam, and sometimes blood tests are involved. For a diagnosis of chronic fatigue syndrome (CFS), also known as myalgic encephalomyelitis (ME), symptoms must last for at least six months and include post-exertional malaise (worsening of symptoms after even minor physical or mental activity).

Ready to Take the Next Step in Your Wellness Journey?

Dr. Marshall offers personalized, remote consultations for California residents—designed to uncover root causes and guide you toward lasting healing. Secure your spot today and begin your path to better health.