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This throbbing type of headache is marked by the fact that symptoms other than pain occur with the headache. Nausea and vomiting, lightheadedness, sensitivity to light (photophobia), and other visual disturbances are common migraine symptoms.
Migraines are also unique in that they have distinct phases. Not all people have each phase, however. The phases of a migraine headache may include:
Premonition phase. A change in mood or behavior that may occur hours or days before the headache.
Aura phase. A group of visual, sensory, or motor symptoms that come right before the headache. Examples include hallucinations, numbness, changes in speech, and muscle weakness.
Headache phase. Period during the actual headache. Throbbing pain occurs on one or both sides of the head. Sensitivity to light and motion is common, as are depression, fatigue, and anxiety.
Headache resolution phase. Pain lessens during this phase, but may be replaced with fatigue, irritability, and difficulty concentrating. Some people feel refreshed after an attack, while others do not.
Migraine classification helps to guide treatment. The categories below help to narrow down the classification process.
Migraine without aura. This more common type of migraine does not include an aura phase (symptoms that come just before the headache).
Migraine with aura. Fewer migraine sufferers have this type of migraine, which is preceded by aura symptoms, such as a flashing light or zigzag lines. These symptoms usually appear within 30 minutes before an attack.
Migraine headaches are diagnosed primarily based on reported symptoms, but a thorough medical exam, which may include other tests or procedures, may be used to rule out underlying diseases or conditions.
Tracking and sharing information about your headache with your doctor helps with the process of making an accurate diagnosis. Consider writing down the following information to take to your medical appointment:
Time of day when your headaches occur
Specific location of your headaches
How your headaches feel
How long your headaches last
Any changes in behavior or personality
Effect of changes in position or activities on the headache
Effect of headaches on sleep patterns
Information about stress in your life
Information about any head trauma
Diagnostic tests that may be used to confirm a migraine diagnosis include computerized tomography (CT) scans, magnetic resonance imagining (MRI), and spinal tap (lumbar puncture). These tests help to rule out other problems, such as tumors, infection, or blood vessel irregularities that may cause migraine-like symptoms.
Specific treatment for headaches will be determined by your doctor based on:
Your age, overall health, and medical history
Type of migraine
Severity and frequency of the migraine
Your tolerance for specific medications, procedures, or therapies
Your opinion or preference
The ultimate goal of treatment is to stop migraines from occurring. Adequate management depends on the knowing the type of headache and may include:
Avoiding known triggers, such as certain foods and beverages, lack of sleep, and fasting
Changing eating habits
Resting in a quiet, dark environment
Medicines, as recommended by your doctor
You may need to take certain medicines to treat your migraines. These include:
Abortive medicines. These are medicines prescribed by your doctor. They act on specific receptors in both the brain and the blood vessels in the head, stopping a headache once it is in progress.
Rescue medicines. These are pain relief medicines available over the counter to diminish or stop the headache.
Preventive medicines. These are medicines prescribed by your doctor that you take every day to stop severe migraine headaches.
Some headaches may need medical attention right away. This may include a hospital stay, diagnostic testing, or even surgery. Treatment is based on the condition that is causing the headache. Full recovery depends on the type of headache and other health problems you may have.
Bayhealth is Southern Delaware’s healthcare leader with hospitals in Dover and in Milford. Bayhealth provides a wide range of medical services, including cardiovascular, cancer, orthopaedics and rehabilitation, pediatrics, respiratory care, sleep care, surgical weight loss and women’s services.