Most people can name one or two things that seem to set off their migraines. Fewer can say it with confidence, because triggers don’t reveal themselves one attack at a time. They show up as patterns — and patterns need months of honest data.

This is a guide to tracking triggers properly: what to record, how long to wait before trusting it, and the important limits of what the data can actually tell you.

Triggers are patterns, not single events

The day you get a migraine, it’s tempting to blame whatever was unusual — the wine, the late night, the stressful meeting. Sometimes that’s right. Often it’s a coincidence your brain dressed up as a cause.

The only way to tell the difference is comparison: across many attacks and many quiet days, does a factor show up more often before attacks than you’d expect by chance? That’s why a single entry proves nothing and a few months of entries can be genuinely revealing.

What to track

Alongside each attack, log the candidates worth comparing later:

  • Sleep — hours, and whether it was disrupted.
  • Meals — skipped or late.
  • Stress — including the let-down after a stressful period, a common pattern.
  • Light — bright, fluorescent, or flickering.
  • Weather — pressure swings and heat.
  • Food and drink — alcohol especially; specific foods if you suspect them.
  • Hydration, screens, and your menstrual cycle.

You don’t need all of them every time. Capture what’s plausible; consistency across weeks matters more than completeness on any single day. The broader headache-diary guide covers how to keep this light.

Honest correlations, not predictions

Here’s the part most apps oversell. Tracking can show you a correlation — “attacks were more common on days after short sleep.” It cannot prove causation, and it cannot predict your next migraine.

Migrainely is deliberate about this: its trigger analysis surfaces honest correlations and never dresses them up as forecasts. That restraint matters, because chasing a false trigger — cutting out a food that was never the cause — costs you effort and tells you nothing. Treat patterns as hypotheses to discuss with your doctor, not verdicts.

Common triggers worth logging

The American Migraine Foundation, Mayo Clinic, and The Migraine Trust list broadly similar suspects: sleep disruption, skipped meals, stress, bright light, weather, alcohol, dehydration, and hormonal changes. Use these as a starting checklist — then let your own data tell you which ones actually track with your attacks.

Watch for medication-overuse headache

One pattern is worth watching closely: how many days a month you take acute medication. Taken too often, acute painkillers and triptans can cause medication-overuse headache — more headaches, not fewer. A trigger tracker that also counts your medication days helps you catch this drift early. If your count is creeping up, raise it with your doctor.

Turning patterns into action

After a couple of months, you’ll likely have one or two plausible patterns. Don’t overhaul your life around them. Test one at a time — protect sleep, or eat on a regular schedule — and keep logging to see whether attack frequency actually moves. And when you next see a specialist, bring the patterns with you: a clean summary for your neurologist turns months of logging into a five-minute, useful conversation.