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Why Uncontrollable Yawning Is Impacting Migraine Sufferers Before the Pain Even Starts
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Why Uncontrollable Yawning Is Impacting Migraine Sufferers Before the Pain Even Starts

12 min

00:00
-12:00

Why does excessive yawning sometimes appear before a migraine attack even begins?

In this episode of Migraine Heroes Podcast, host Diane Ducarme explores one of the most overlooked early warning signs of migraine: uncontrollable yawning. Far from being “just tiredness,” yawning can be a neurological signal that your brain is already shifting into a migraine state long before the pain arrives. Blending neuroscience with practical migraine awareness, this episode helps you understand what your body may be trying to tell you—and how to respond before the migraine escalates.

You’ll discover: 💡 How repeated yawning can act as an early migraine warning sign, giving you a chance to intervene sooner 💡 What changes inside the brain during this phase, and why yawning is linked to dopamine and nervous system activity 💡 Simple actions you can take in the moment to calm the migraine cascade and potentially reduce its intensity This episode is about learning to recognize the subtle signals your brain sends before the storm fully hits. Because sometimes, the earlier you listen, the more power you have to change the outcome.

🎧 New episodes every Monday and Wednesday 🔗 Discover our work on migraineheroes.com

References:

  • The Migraine Generator Revisited (Schulte & May, 2016): This paper revisits the concept of the migraine generator and suggests that hypothalamic and brainstem changes occur throughout the migraine cycle. Read more here.
  • Pathophysiology of Migraine (Goadsby et al., 2017): This review explains migraine as a disorder of sensory processing, involving trigeminovascular pathways, altered excitability, and brain-network dysfunction. Read more here.
  • Migraine Prodromes Separated from the Aura (Blau, 1980): This paper distinguishes prodromal migraine symptoms from aura, describing early changes in mood, wakefulness, appetite, bowel activity, and fluid balance before headache begins. Read more here.
  • Yawning in Neurology (Teive et al., 2018): This review explores yawning as a neurological phenomenon, including its links with brainstem, hypothalamic, and neurotransmitter systems. Read more here.
  • Yawning and Dopamine (Mogilnicka & Klimek, 1984: This study examines how dopamine agonists such as apomorphine induce yawning, supporting the role of dopaminergic pathways in yawning behavior. Read more here.

Disclaimer: This podcast is for informational purposes only and does not substitute for providing medical advice. Always consult your healthcare professional before making any health-related decisions. For women, men, and children who suffer from migraine disease, Migraine Heroes is your go-to resource for understanding, managing, and overcoming migraine attacks. We cover all types of migraines and related headaches, including primary and secondary migraines, chronic migraines, and cluster migraines. We dive deep into the complexities of migraine with aura and migraine without aura, as well as rarer forms like hemiplegic migraine, retinal migraine, and acephalgic migraine (silent migraine). Our discussions also extend to cervicogenic headaches, ice pick headaches, and pressure headaches, which often mimic migraine or contribute to overall migraine burden.

Transcript

[00:00]

Ever caught yourself yawning over and over, and then hours later, a migraine hits?

[00:06]

That random yawn might actually be your body's early warning system trying to get your attention.

[00:15]

Welcome to Migraine Heroes, a podcast for people living with chronic migraines with

[00:20]

years of pain, misunderstanding and lack of answers.

[00:24]

I'm Diane Ducarme.

[00:26]

I've helped more than a thousand people reduce the burden of migraines and feel more in control.

[00:32]

My mission in life?

[00:33]

To help a million people.

[00:35]

Each episode brings you grounded insight into what your body might be asking for and what

[00:41]

can truly help.

[00:43]

Just to keep you fully supported, this podcast is educational.

[00:48]

For diagnosis or medication, always work with your doctor.

[00:53]

Now take a breath and let's dive in.

[01:01]

In this episode, you will learn how to recognize yawning as an early neurological signal so

[01:06]

that you can act before the migraine fully develops.

[01:10]

What is happening inside your brain when yawning appears and why it is not random at all.

[01:16]

And a simple, actionable way to respond in real time, helping you reduce the intensity

[01:21]

or even stop the migraine cascade entirely.

[01:25]

Stay with me till the end because at the end of this episode, you will understand how to

[01:29]

turn a simple yawn into a powerful early intervention signal.

[01:34]

Now let's be honest, you might have dismissed yawning as nothing.

[01:39]

Maybe you thought, I'm just tired, I'm bored, I need a rest.

[01:43]

And yet there's this confusing pattern.

[01:46]

The yawning comes first and then the migraine follows.

[01:50]

And that uncertainly feels a bit frustrating or unsettling.

[01:54]

And maybe, just maybe, you did try to share that with your partner.

[02:00]

I swear, each time I start to yawn like this, I get a migraine.

[02:05]

And instead of being hard, you were met with love but a really puzzled look.

[02:11]

And yet we are here to discover you were right.

[02:14]

Not only has Eastern medicine long understood these subtle pre-attack shifts in the body's

[02:19]

energy and rhythms, but now Western science recognizes yawning as a potential early neurological

[02:26]

signal in migraine in what is called the prodrome phase.

[02:30]

So what you felt, what you noticed, what you tried to explain, it wasn't random.

[02:37]

It was awareness, it was your body speaking and you, you were listening.

[02:43]

Now, let's start with the act of yawning under normal circumstances and what purpose

[02:48]

that serves.

[02:49]

So yawning has a few very normal and helpful roles in the body.

[02:54]

At its core, yawning is a regulation tool.

[02:57]

It helps your brain and nervous system shift states.

[03:00]

More simply, yawning tends to happen when you're moving between levels of alertness.

[03:05]

Waking up, getting tired, feeling bored, or transitioning into or out of focus.

[03:13]

It's your brain's way of saying, let's adjust.

[03:16]

And physiologically, a yawn does a few things.

[03:19]

It increases oxygen intake and blood flow.

[03:21]

It helps cool the brain slightly, which supports its optimal function.

[03:26]

It activates and resets part of the nervous system, especially the balance between calm

[03:31]

and alert states.

[03:32]

So you can think of it as a mini reset button for your brain.

[03:37]

Now from a Western scientific migraine perspective, yawning is increasingly recognized as part

[03:43]

of the prodrome phase of a migraine.

[03:45]

The early morning state that can occur hours or even days before the actual migraine pain.

[03:51]

A pivotal study published in Nature Reviews Neurology by Goldsby highlights that the hypothalamus

[03:57]

becomes active early in a migraine attack, even before pain begins.

[04:03]

And this region is deeply connected to behaviors like yawning.

[04:07]

Now I just want to remind you, we put all of the links to these scientific journals

[04:12]

and articles in the show notes.

[04:15]

Now another study, which was this one published in Cephalalgia, documented that up to 70%

[04:22]

of migraine patients report prodromal symptoms, including yawning, fatigue, and mood changes.

[04:27]

And these are not random.

[04:28]

They are predictive neurological signals that a migraine is coming.

[04:34]

Yawning, in particular, is quite strongly linked to dopamine activity.

[04:39]

And there was a research done in the Journal of Neuroscience that showed that yawning is

[04:43]

triggered by dopaminergic pathways in the brain.

[04:47]

So during the prodrome phase of migraine, dopamine sensitivity increases, which explains

[04:52]

why people may experience excessive yawning.

[04:55]

So additionally, functional imaging studies, such as those in Brain, the journal Brain

[05:01]

I mean, demonstrates early activation of the hypothalamus and brainstem before the

[05:07]

migraine onset, reinforcing that symptoms like yawning are biological markers, not coincidences.

[05:15]

Now you have it scientifically based for your partner.

[05:18]

But now concretely, what's happening?

[05:21]

Let's take all of that jargon out.

[05:23]

Your brain is starting to change state, quietly, subtly, before the pain even begins.

[05:30]

It's a bit like dimming the lights before a show starts, nothing dramatic yet, but something

[05:35]

is clearly shifting.

[05:37]

Or like when the clouds grow dark before a storm, the air feels a lot heavier, the light

[05:43]

softens, the wind begins to rise, and you can sense something is coming, even if you

[05:48]

can't see it yet.

[05:50]

And inside your brain, the systems that keep everything steady, your mood, your energy,

[05:54]

your alertness, begin to wobble slightly.

[05:57]

And one of the key players here is dopamine, a chemical that helps regulate motivation

[06:03]

and wakefulness.

[06:05]

And when it fluctuates, your body can respond, including with yawning.

[06:09]

At the same time, a part of your brain called the hypothalamus, your internal regulator,

[06:14]

your control center, starts noticing that something is off.

[06:19]

It begins sending early signals that your system is moving out of balance.

[06:23]

In your nervous system, it starts preparing, quietly shifting gears in the background,

[06:28]

without asking you.

[06:30]

So the yawning isn't random, it's not boredom, it's not you being off.

[06:36]

Yawning is simply one of the first visible signs that the internal shift has begun.

[06:42]

It's not the problem, it's the body's first response.

[06:45]

Like when the sky darkens before the storm, you don't just stand there, you start closing

[06:50]

the windows, bringing things inside, preparing.

[06:54]

That's what your body is doing.

[06:55]

It senses the shift before you fully feel it, and it begins to protect you.

[07:00]

Now, from an Eastern medicine perspective, yawning is not something insignificant.

[07:05]

It's not brushed aside.

[07:07]

It's understood as the body trying to create movement when something is starting to get

[07:12]

stuck.

[07:13]

Very often, before a migraine, there's a sense of pressure building, like energy, tension,

[07:17]

or heat, beginning to rise towards the head, as much as you feel that sometimes.

[07:21]

And this is where yawning becomes incredibly interesting.

[07:25]

Deep yawn is not passive.

[07:27]

It's not just tiredness.

[07:28]

It's a full body response.

[07:31]

When you yawn, you actually take a long, deep inhale, and your lungs expand fully.

[07:39]

Your diaphragm moves strongly, right between your chest and your abdomen, just above your

[07:45]

liver, and it creates a kind of internal pump.

[07:50]

What I'm explaining here is super important.

[07:53]

It forms a liver pump.

[07:55]

You have a heartbeat.

[07:56]

Now, you also have a liver beat, and it's that beautiful diaphragm that is pumped by

[08:01]

your lung organ.

[08:02]

That movement, it matters.

[08:05]

That movement is a movement you do passively all day long.

[08:09]

The average person is going to breathe 20,000 to 25,000 times per day.

[08:14]

And in that moment, your body decides to do that super deeply, to fill your lungs to the

[08:20]

fullest.

[08:21]

And it's not random.

[08:23]

It helps bring fresh oxygen up to the brain, create circulation, release some of the pressure

[08:29]

that may be building.

[08:31]

So from an Eastern Lens perspective, you could say your body is trying to get things moving

[08:36]

again, especially when that upward pressure is starting to build.

[08:41]

It's trying to cool the head, soften the intensity, and regulate itself early before things escalate.

[08:48]

So yawning is not a problem.

[08:50]

It's the body's first response, like when a storm is approaching and you start closing

[08:55]

your windows or bringing things inside, preparing without even thinking.

[08:59]

Your body is doing exactly that, anticipating, adjusting, protecting.

[09:05]

It's instilling movement where there is tension.

[09:08]

It's preparing you to handle what's coming.

[09:10]

So the next time it happens, try this.

[09:13]

The next time you notice repeated yawning, don't brush it off and don't suppress it.

[09:18]

The worst thing you can do is to feel ashamed or embarrassed.

[09:23]

Embrace it.

[09:24]

If you need to, step out of the room and allow yourself to fuel fully.

[09:30]

There is nothing to be ashamed of.

[09:32]

Your body is already trying to help you.

[09:34]

Then, pause immediately.

[09:37]

Sit or lie down, close your eyes, and take slow, deep breaths, inhaling through your

[09:41]

nose for 4 seconds and exhaling for 6 seconds for at least 3 minutes.

[09:47]

And after that, drink a glass of warm water and gently reduce sensory input, dim the lights,

[09:54]

step away from the screens, soften the environment around you.

[09:58]

This simple intervention supports what your body has already started, helping you to calm

[10:03]

your nervous system, restore balance, and potentially soften the intensity of what

[10:09]

might be building.

[10:10]

Now, inside the Migraine Heroes app, we've created the Migraine Now button.

[10:14]

It's a space designed to guide you in real time, whether you feel something is coming

[10:19]

or you're already much further along in the process.

[10:22]

It gives you simple, immediate steps to follow.

[10:24]

And I'm now on version 6.0 and I'm keep on refining it and refining it.

[10:29]

But here's the truth.

[10:30]

If a piece of advice, just like this one, works for you, it works.

[10:34]

And that's incredibly valuable.

[10:36]

The idea that you could potentially stop a migraine in its tracks using something so

[10:40]

simple as embracing your yearning and storing your state to what you would like it to be,

[10:45]

is super powerful.

[10:46]

Now, I want to be honest, it won't always work.

[10:50]

Migraines are complex and yours is unique.

[10:53]

If there are deeper root causes driving your migraines, this alone may or may not be enough.

[10:59]

Especially at the beginning.

[11:00]

But that doesn't make it useless.

[11:03]

Quite the opposite.

[11:04]

Every time you recognize the signal earlier, every time you respond instead of pushing

[11:09]

through, you're moving closer to a place where these simple interventions can work.

[11:15]

That's the journey.

[11:17]

And remember, every small step you take moves you closer to freedom.

[11:22]

You are powerful, you are resilient and you are not alone. Keep rising. Migraine Hero. You are powerful, you are resilient and you are

[11:27]

not alone. Keep rising.

[11:28]

Migraine Hero.

Originally published June 2026

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