What Are The Symptoms Of Migraines
The primary symptom of migraine is a headache. Pain is sometimes described as pounding or throbbing. It can begin as a dull ache that develops into pulsing pain that is mild, moderate or severe. If left untreated, your headache pain will become moderate to severe. Pain can shift from one side of your head to the other, or it can affect the front of your head, the back of your head or feel like its affecting your whole head. Some people feel pain around their eye or temple, and sometimes in their face, sinuses, jaw or neck.
Other symptoms of migraine headaches include:
- Sensitivity to light, noise and odors.
- Nausea and vomiting, upset stomach and abdominal pain.
- Loss of appetite.
- Feeling very warm or cold .
- Pale skin color .
- Euphoric mood.
What Questions Should I Ask My Healthcare Provider
- Will my child grow out of their migraines?
- What medications do you recommend for me?
- What should I change about my lifestyle to prevent my migraine headaches?
- Should I get tested?
- What type of migraine do I have?
- What can my friends and family do to help?
- Are my migraines considered chronic?
A note from Cleveland Clinic
Migraine headaches can be devastating and make it impossible to go to work, school or experience other daily activities. Fortunately, there are some ways to possibly prevent a migraine and other ways to help you manage and endure the symptoms. Work with your healthcare provider to keep migraines from ruling your life.
Last reviewed by a Cleveland Clinic medical professional on 03/03/2021.
What Medications Are Used To Relieve Migraine Pain
Over-the-counter medications are effective for some people with mild to moderate migraines. The main ingredients in pain relieving medications are ibuprofen, aspirin, acetaminophen, naproxen and caffeine.
Three over-the-counter products approved by the Food and Drug Administration for migraine headaches are:
- Excedrin® Migraine.
- Advil® Migraine.
- Motrin® Migraine Pain.
Be cautious when taking over-the-counter pain relieving medications. Sometimes overusing them can cause analgesic-rebound headaches or a dependency problem. If you’re taking any over-the-counter pain medications more than two to three times a week, report that to your healthcare provider. They may suggest prescription medications that may be more effective.
Prescription drugs for migraine headaches include:
Triptan class of drugs :
- Co-enzyme Q10.
Drugs to relieve migraine pain come in a variety of formulations including pills, tablets, injections, suppositories and nasal sprays. You and your healthcare provider will discuss the specific medication, combination of medications and formulations to best meet your unique headache pain.
Drugs to relieve nausea are also prescribed, if needed.
All medications should be used under the direction of a headache specialist or healthcare provider familiar with migraine therapy. As with any medication, it’s important to carefully follow the label instructions and your healthcare providers advice.
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What Is The Prognosis For People With Migraines
Migraines are unique to each individual. Likewise, how migraines are managed is also unique. The best outcomes are usually achieved by learning and avoiding personal migraine triggers, managing symptoms, practicing preventive methods, following the advice of your healthcare provider and reporting any significant changes as soon as they occur.
What Are The Four Stages Or Phases Of A Migraine Whats The Timeline
The four stages in chronological order are the prodrome , aura, headache and postdrome. About 30% of people experience symptoms before their headache starts.
The phases are:
It can take about eight to 72 hours to go through the four stages.
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Whats A Migraine Journal
- Keeping a migraine journal is not only beneficial to you, but it helps your healthcare provider with the diagnosis process. Your journal should be detailed and updated as much as possible before, during and after a migraine attack. Consider keeping track of the following:
- The date and time of when the migraine began specifically when the prodrome started, if youre able to tell its happening. Track time passing. When did the aura phase begin? The headache? The postdrome? Do your best to tell what stage youre in and how long it lasts. If theres a pattern, that may help you anticipate what will happen in the future.
- What are your symptoms? Be specific.
- Note how many hours of sleep you got the night before it happened and your stress level. Whats causing your stress?
- Note the weather.
- Log your food and water intake. Did you eat something that triggered the migraine? Did you miss a meal?
- Describe the type of pain and rate it on a one to 10 scale with 10 being the worst pain youve ever experienced.
- Where is the pain located? One side of your head? Your jaw? Your eye?
- List all of the medications you took. This includes any daily prescriptions, any supplements and any pain medication you took.
- How did you try to treat your migraine, and did it work? What medicine did you take, at what dosage, at what time?
- Consider other triggers. Maybe you played basketball in the sunlight? Maybe you watched a movie that had flashing lights? If youre a woman, are you on your period?
Hearing Changes And Headache Can Be Caused By Pressure In The Brain
In addition to vestibular migraine, Rajneesh explains that another kind of headache is associated with tinnitus: idiopathic intracranial hypertension.
This condition is caused by too much cerebrospinal fluid, the fluid around the brain and spinal cord, he says. Idiopathic intracranial hypertension can cause a severe headache and visual loss.
People who have this describe their tinnitus as almost like a gushing sensation in the ear or as though they are standing by the ocean and hearing the waves come in, says Rajneesh.
This condition is rare, occurring in about 1 out of 100,000 people, though its more common in women ages 20 to 45 with obesity, with an incidence of about 20 out of 100,000, according to the National Organization for Rare Disorders.
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Other Phase 3 Migraine Symptoms
In addition to pain, other phase 3 symptoms may include:1,3,4
- Nasal congestion
- Neck pain and stiffness
Many treatments exist to treat migraine head pain. Generally, migraine medicines work better when taken as early as possible during an attack.2 Though migraine is best known for causing severe head pain, in some rare cases, people skip this phase and only have prodrome, aura, and postdrome.
Vestibular Migraine And Hearing Problems
The type of migraine known as vestibular migraine originates in the part of the inner ear and brain that is responsible for balance, says Rajneesh. In that type of migraine, youre going to get some motion sickness, dizziness, and maybe some hearing changes during the attack, which could include fluctuating changes decreased hearing or hypersensitivity and tinnitus, he says.
Tinnitus is most often described as a ringing in the ears, but it can also be experienced as roaring, clicking, hissing, or buzzing. The perceived sound can be soft or loud, high-pitched or low-pitched, and it can be present in one or both ears, according to the National Institute on Deafness and Other Communication Disorders. People who have hearing problems also tend to have tinnitus, says Rajneesh.
If you have tinnitus, its a good idea to talk with a neurologist or primary care doctor to find out if this is a hearing issue or if this is coming from the brain. Depending on the underlying cause, the treatments are different, he says. If the tinnitus is related to migraine, then treating the migraine may improve it.
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Can Migraine Cause Hearing Problems
Migraine doesnt cause hearing loss, says Rajneesh. Some of the common hearing-loss problems are associated with migraine, but we dont know the nature of the association, he says.
Its unclear if one condition leads to the other or if they coexist, he says, adding that there is evidence to suggest that people with hearing loss tend to have more migraine attacks. But, he notes, We dont have enough big studies to determine the relationship.
What Can I Do To Prevent Migraines
One of the best ways to prevent migraines is to try to avoid the things that might trigger your attacks. Most people benefit from trying to get stable sleep, eating regular meals, drinking plenty of fluids to keep hydrated, and trying to manage stress. Taking regular exercise may also help prevent migraines since it helps with breathing, improving blood sugar balance and maintaining general wellbeing. Although you should take care not to engage in very strenuous activity that your body is not used to as this can sometimes act as a migraine trigger.
Keeping a diary of your migraines can be a useful way to record when and where you experience attacks, check for any patterns, and try to identify your triggers. Take the diary when you see your GP so you can communicate your symptoms with them and they can find the best way to help you.
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Who Gets Migraines What Are The Risk Factors
Its difficult to predict who may get a migraine and who may not, but there are risk factors that may make you more vulnerable. These risk factors include:
- Genetics: Up to 80% of people who get migraine headaches have a first-degree relative with the disease.
- Gender. Migraine headaches happen to women more than men, especially women between the ages of 15 and 55. Its likely more common in women because of the influence of hormones.
- Stress level. You may get migraines more often if youre high-stress. Stress can trigger a migraine.
Side Effects Not Requiring Immediate Medical Attention
Some side effects of tadalafil may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
- stomach discomfort, upset, or pain
- burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings
- burning, dry, or itching eyes
- burning feeling in the chest or stomach
- dryness or soreness of the throat
- excessive eye discharge
- feeling of constant movement of self or surroundings
- feeling of warmth, redness of the face, neck, arms and occasionally, upper chest
- lack or loss of strength
- loose stools
- pain in the arms or legs
- pain or burning in the throat
- redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid
- reduced sensitivity to touch
- swelling or puffiness of the eyes or face
- swollen joints
- tender, swollen glands in the neck
- tenderness in the stomach area
- trouble with sleeping
Applies to tadalafil: oral tablet
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Chills Fever Headache And Numbness Or Tingling
- Medical Author: Dan Brennan, MD
Reviewed on 6/15/2020
Your symptoms are present in a wide variety of medical conditions, including infections, migraineheadaches, and damage to your peripheral nerves. Have you had a recent tick bite? Keep track of how you are feeling. If you are concerned about your symptoms, then you should contact your doctor right away.
While the list below can be considered as a guide to educate yourself about these conditions, this is not a substitute for a diagnosis from a health care provider. There are many other medical conditions that also can be associated with your symptoms and signs. Here are a number of those from MedicineNet:
In Babies And Children
Ear infections are common in babies and children. Sometimes doctors may recommend watchful waiting to see if the infection goes away.
Although fever and headache are common symptoms in babies and children, they may be unable to express feelings of a headache.
Parents and guardians should check for other signs when a child has a fever, such as excessive fatigue, lack of appetite, vomiting, among others.
Antipyretics and pain relievers may help, but parents should seek medical attention first.
Babies and children may also develop meningitis, which can be life-threatening.
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How To Tell You’re Having A Migraine
Migraines are severely disabling, with symptoms ranging from intense head pain to nausea, vomiting, and fatigue. If you suffer from migraines, it’s helpful to know some common warning signs, so you can prepare for or try to prevent one. Watch this video for signs that a migraine might be around the corner.
Side Effects Requiring Immediate Medical Attention
Along with its needed effects, tadalafil may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking tadalafil:
- Arm, back, or jaw pain
- blurred vision
- chest pain, discomfort, tightness, or heaviness
- pain or discomfort in the arms, jaw, back, or neck
- pounding in the ears
- Painful or prolonged erection of the penis
Incidence not known
- blistering, peeling, or loosening of the skin
- fast, irregular, pounding, or racing heartbeat or pulse
- headache, severe and throbbing
- inability to move the arms, legs, or facial muscles
- inability to speak
- loss of heat from the body
- numbness or tingling of the face, hands, or feet
- red skin lesions, often with a purple center
- red, irritated eyes
- redness or soreness of the eyes
- scaly skin
- sores, ulcers, or white spots in the mouth or on the lips
- stomach pain
- swelling of the feet or lower legs
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Use A Thermometer To Confirm A Fever
In some cases when a person reports having a fever every time they have a migraine, its possible they may not actually have a fever, says Strauss. I often discuss the definition of fever with patients in medicine we consider a fever 100.4 degrees F or higher, she says.
Feeling warm, or having someone else feel your forehead, isnt a reliable way to confirm if you have a fever, says Strauss. You actually want to take the objective temperature with a reliable method, such as an ear thermometer an oral thermometer, to be certain, and if its under 100.4, its not a fever, she explains.
I have a lot of patients who dont meet that threshold but say, Well, this is high for me I normally have a temperature of 97, and now its 98, says Strauss. That still doesnt make it a fever.
If you are taking your temperature and it meets the criteria for a fever, and its happening with a lot of your headaches, that could mean an underlying illness something other than migraine may be causing the headaches, says Strauss.
Symptoms Of Mononucleosis Or Sinusitis Can Include Headache And Fever
Epstein-Barr virus, which causes most cases of mononucleosis, or mono, is a member of the herpesvirus family and very common, says Strauss. Its notorious for causing a pretty refractory headache, she adds.
The headache caused by an Epstein-Barr virus infection resembles a tension-type headache, with aching pain but not with the other symptoms that often accompany migraine, such as nausea and vomiting, according to the National Headache Foundation.
Sinusitis or a sinus infection due to either a virus or bacterial infection could cause worsened headaches and fever, says Strauss. This can even occur in a person with established migraine if they develop sinus disease, they could have fever with migraine, she says.
Other signs or symptoms of a sinus infection include facial pain, teary or reddened eyes, postnasal drip, and head pain that gets worse while leaning forward, she adds.
When You Get A Migraine
Try to treat your symptoms right away. This may help make the headache less severe. When migraine symptoms begin:
- Drink water to avoid dehydration, especially if you have vomited
- Rest in a quiet, dark room
- Place a cool cloth on your head
- Avoid smoking or drinking coffee or caffeinated drinks
- Avoid drinking alcoholic beverages
- Try to sleep
Over-the-counter pain medicines, such as acetaminophen, ibuprofen, or aspirin, are often helpful when your migraine is mild.
Your health care provider may have prescribed medicines to stop a migraine. These drugs come in different forms. They may come as a nasal spray, rectal suppository, or injection instead of pills. Other medicines can treat nausea and vomiting.
Follow your provider’s instructions about how to take all of your medicines. Rebound headaches are headaches that keep coming back. They can occur from overuse of pain medicine. If you take pain medicine more than 3 days a week on a regular basis, you can develop rebound headaches.