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Do You Have A Fever With A Migraine

How Are They Treated

Causes & Management of fever, body aches with severe headaches – Dr. Surekha Tiwari

You can’t cure migraines. But medicines and other treatments may help you feel better and limit how often you get migraines.

At first, your doctor may want you to try an over-the-counter pain medicine, such as acetaminophen, aspirin, ibuprofen, or naproxen. Brand names include Advil, Aleve, Aspirin, and Tylenol. Be safe with medicines. Read and follow all instructions on the label.

If these medicines don’t work, your doctor can prescribe stronger medicine to stop the migraine. Your doctor also may prescribe medicine to prevent migraines.

You may not be able to use some medicines if you are pregnant or have other health problems, such as heart problems.

If the first medicine doesn’t work, ask your doctor if you can try something else. It may take time to find what works best for you.

Some people also use other kinds of treatments, such as acupuncture. These may help reduce the pain or the number of migraines you have.

When you feel a migraine coming on:

  • Stop what you are doing, and take your medicine. Don’t wait for the migraine to get worse. Take your medicine exactly as your doctor told you to.
  • Rest in a quiet, dark room. Close your eyes, and try to relax or go to sleep. Don’t watch TV or read. Put a cold pack or cool cloth on the painful area.

Treatment If Your Headaches Get Worse

If treatment doesn’t stop your migraines, you and your doctor may make changes. You may try different medicines, a new mix of medicines, or different doses.

If you have already tried several types of medicine, your doctor may want you to have tests to look for any other cause for your headaches.

It is possible to be diagnosed with migraines when you really have another type of headache.

It can be hard to tell the difference between migraines and other types of headaches such as sinus, tension, or cluster headaches. The symptoms can be the same. And you may have more than one kind of headache. Different types of headaches need different treatment.

Any Illness Can Trigger A Migraine

Its thought that when you have any kind of illness including a viral or bacterial infection it can potentially cause headache, especially in people who have a genetic tendency to have migraine, says Strauss.

We know that when you are not sleeping, when you have poor hydration, or when youre not caring for yourself, any of those things can trigger a headache, and so it makes sense that an illness could trigger a headache as well, says Strauss.

Whether or not youve been diagnosed with migraine, if you experience a headache or other migraine symptoms and a fever, and its severe and persisting, you should check in with your doctor, she says. It could warrant a medical workup, she adds.

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Migraine And Neck Pain

While neck pain was previously thought to be a migraine trigger, recent studies show it is a symptom of migraine, not a cause. People with migraine often experience neck pain, including a stiff or tight neck or pain that spreads to or from the neck. Neck pain may be a common migraine symptom, including during the prodrome phase, but its often overlooked.

Do I Have A Migraine Or Just A Headache

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Migraines are severe, debilitating headaches that can last from a few hours to a few days. Usually migraines are not a serious health problem, but they can certainly interfere with your life. If you get bad headaches, you may wonder whether you might be suffering from migraines.

So how do you know if a headache is a migraine? Migraines have certain characteristic symptoms that you can spot.

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When Should I Seek Immediate Help Or Contact My Healthcare Provider

  • You are experiencing the worst headache of my life.
  • You are having neurologic symptoms that youve never had before, including speaking difficulty, balance problems, vision problems, mental confusion, seizures or numbing/tingling sensations.
  • Your headache comes on suddenly.
  • You have a headache after experiencing a head injury.

Schedule a visit with your healthcare provider if:

  • The number or severity of your headaches increase or your headache pattern changes.
  • Your medications no longer seem to be working or youre experiencing new or different side effects.

You Have Neck Pain Or Stiffness

This can be part of the prodrome or it can be accompanied by the head pain, Minen says. She estimates that up to 70 percent of people with migraine have neck pain.

Recent neuroimaging fMRI studies have shown that this is due to the nerve fibers extending down from the brain to the cervical spine the neck region, she says. These fibers then loop back up toward the brain. So while people may feel that their pain is muscular, it actually stems from the changes in the brain related to migraine.

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What Are Migraine Headaches

Migraines are painful, throbbing headaches that last from 4 to 72 hours. When you have a migraine, it may be so painful that you are not able to do your usual activities. But even though migraines make you feel bad, they don’t cause long-term damage.

Migraines are a health problem that can be treated. Talk to your doctor about your migraines.

Migraine Is Much More Than Just A Headache

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There are different types of migraine that involve different symptoms. There are many features or symptoms that are a part of migraine. There are also differences in how severe a symptom might be.

The most common symptoms of a migraine attack include:

  • throbbing headache
  • sensitivity to light, noise and smell
  • nausea
  • lethargy

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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 :

  • Sumatriptan.
  • Butterbur.
  • 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.

You Have To Urinate Frequently

Some people feel a need to urinate frequently during the premonitory phase of the migraine, according to the American Headache Society this urge can also be accompanied by pelvic pain, says the Association of Migraine Disorders.

After the migraine attack, which can last for hours or up to three days, comes whats called the postdrome, or the migraine hangover. The MRF estimates that approximately 80 percent of people can experience fatigue, body aches, dizziness, and sensitivity to sound and the organization points out that these symptoms can be just as debilitating as those of a migraine itself.

By recognizing your symptoms early on, theres a chance that you can ward off some of the pain associated with a migraine attack, either by taking medication or making adjustments to your everyday routine.

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Immediate Action Required: You Should Call 999 Or 112 For An Ambulance Immediately If You Or Someone You’re With Experiences:

  • paralysis or weakness in one or both arms or one side of the face
  • slurred or garbled speech
  • a sudden very painful headache resulting in a severe pain unlike anything experienced before
  • headache along with a high temperature , stiff neck, confusion, seizures, double vision and a rash

These symptoms may be a sign of a more serious condition.

What Are The Stages Of A Migraine

Fever

The Migraine Research Foundation says that migraine is a neurological disease that affects 39 million people in the U.S. Migraines, which often begin in childhood, adolescence or early adulthood, can progress through four stages: prodrome, aura, attack and post-drome. Not everyone who has migraines goes through all stages.

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Stages Of A Migraine Attack

It is often difficult to know when a migraine attack is going to happen. However, you can often tell the pattern of each attack as there are well defined stages.

It is these stages and their symptoms that distinguish a migraine from a headache.

However, not everyone will experience all of the symptoms of each stage and the stages can overlap. In adults, we can divide a migraine attack into four or five stages that lead on from each other.

Learning to recognise the different stages of a migraine attack can be useful. You might get one, all, or a combination of these stages, and the combination of stages may vary from attack to attack. Each stage can vary in how long and how bad it is. Recognising different symptoms at different times during your attack can give your doctor information which may help them make a diagnosis. Taking medication as soon as you notice the pain may stop or shorten an attack.

Migraine attacks in children are often much shorter than in an adult. It may be easier to tell the different headache stages in a child.

What Else Can I Do To Prevent Migraines

While there are no sure ways to keep from having migraine headaches, here are some things that may help:

Eat regularly and do not skip meals.

  • Keep a regular sleep schedule.
  • Exercise regularly. Aerobic exercise can help reduce tension as well as keep your weight in check. Obesity can contribute to migraines.
  • Keep a migraine journal to help you learn what triggers your migraines and what treatments are most helpful.

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Fever And Headache Pain

A fever is a rise in your body temperature. This can happen when your body is fighting an infection. Viruses, bacteria, fungi, and parasites can cause infections.

Other illnesses and inflammation can also trigger a fever. You might have a fever if your body temperature is higher than 98.6°F . A fever can lead to changes in your body that may lead to a headache.

What Is An Aura

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An aura is a group of sensory, motor and speech symptoms that usually act like warning signals that a migraine headache is about to begin. Commonly misinterpreted as a seizure or stroke, it typically happens before the headache pain, but can sometimes appear during or even after. An aura can last from 10 to 60 minutes. About 15% to 20% of people who experience migraines have auras.

Aura symptoms are reversible, meaning that they can be stopped/healed. An aura produces symptoms that may include:

  • Seeing bright flashing dots, sparkles, or lights.
  • Blind spots in your vision.
  • Numb or tingling skin.

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The Headache Or Main Attack Stage

This stage involves moderate to severe head pain. The headache is typically throbbing and is made worse by movement. It is usually on one side of the head, especially at the start of an attack. However, you can get pain on both sides, or all over the head.

Nausea and vomiting can happen at this stage, and you may feel sensitive to light, sound, smell and movement. Painkillers work best when taken early in this stage.

Throbbing Pain On One Or Both Sides Of The Head

Pulsating pain is a classic sign of migraines. The throbbing is often felt on one side of the head.

In an online survey of patients with migraines, the National Headache Foundation found that 50% “always” have throbbing on one side, while 34% say they “frequently” have this symptom.

Migraine pain often burrows behind the eye.

People will blame it on eye strain and many will get their eyes checked, but that won’t make their headaches any better, Dr. Messina says.

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What Are The Symptoms

Migraine symptoms happen in certain stages, though you might not have them all.

Prodrome

A day or two before you get a migraine, you might notice:

  • Hearing sounds that arenât there
  • Movements you canât control

Attack

This is the headache itself. Most of the time:

  • Itâs usually a severe throbbing or pulsing pain.
  • It affects one side of your head or one eye.
  • It can last from 4 to 72 hours.
  • Youâre extra-sensitive to light so much so that you may need to retreat to a darkened room.
  • Youâre also sensitive to smells, sounds, and touch.
  • You might feel sick to your stomach or throw up.
  • You could get lightheaded or faint.
  • Your vision might get blurry.

Postdrome

This is the last phase. It usually lasts about 24 hours after the headache ends. You might feel:

  • Elated
  • Sensitive to light and sound

A Hemiplegic Migraine Attack Can Include Fever

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Familial hemiplegic migraine and sporadic hemiplegic migraine are both rare types of migraine the two diseases are essentially the same, but FHM is inherited and SHM is not.

The hallmark symptom of this type of migraine is weakness on one side of the body that happens just before or during the headache phase of the migraine attack, according to the National Organization for Rare Disorders. A visual aura is usually present in this type of migraine, and visual symptoms can include a bright light in the center of the field of vision that causes blind spots, flashing lights, and double vision.

In severe attacks, hemiplegic migraine can cause confusion, memory loss, personality or behavioral changes, fever, seizures and even coma, according to MedlinePlus.

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Common Causes Of A Headache And A Fever

You may have a headache and a high temperature because you have mild infections like a cold or the flu, or a more serious infection, like meningitis. Other infections that may cause both symptoms include those spread by mosquitoes in tropical areas, such as malaria or dengue fever.

Sometimes, the cause may not be an infection. Instead, it may be due to something like heat exhaustion or a side effect of a medication. Here are some of the main causes of a headache and fever.

Headache Accompanied By Vision Problems

An ocular migraine can temporarily cause blindness or flashing lights in one eye. These symptoms will sometimes accompany a typical migraine headache as well.

If your migraines or regular headaches are accompanied by these visual disturbances, you need to tell your doctor. Its possible that spasms in the retina cause these symptoms. People who experience ocular migraines may be more prone to long-term vision loss.

Migraines with auras, formerly known as classic migraines, can also cause floating lights or blind spots. In that case, however, the symptoms will occur in both eyes.

Besides the specific headache symptoms described above, any new or unusual headaches should be discussed with your doctor. Pay particular attention to headaches that:

  • first develop after age 50
  • suddenly change in frequency, location, or severity
  • get consistently worse over time
  • affect your vision or speech

Women who are experiencing menopause might find that they have new headache patterns or experience migraines when they never have before.

COPING WITH HEADACHES

Headaches are very common, but certain characteristics can signal a serious condition. For more common headaches, such as tension, cluster, or even migraine headaches, there are triggers, which can vary from person to person. Paying attention to your triggers and making small adjustments to your lifestyle may help avoid headache attacks. Seunggu Han, MD

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What Medicines Help Relieve Migraine Pain

For mild to moderate migraines, over-the-counter medicines that may help relieve migraine pain include:

  • aspirin
  • acetaminophen
  • an acetaminophen, aspirin, and caffeine combination
  • ibuprofen
  • naproxen
  • ketoprofen

People who have more severe migraines may need to try abortive prescription medicines. A medicine called ergotamine can be effective alone or combined with other medicines. Dihydroergotamine is related to ergotamine and can be helpful. Other prescription medicines for migraines include sumatriptan, zolmitriptan, naratriptan, rizatriptan, almotriptan, eletriptan, and frovatriptan.

If the pain wont go away, stronger pain medicine may be needed, such as a narcotic, or medicines that contain a barbiturate . These medicines can be habit-forming and should be used cautiously. Your doctor may prescribe these only if they are needed and only for a short period of time.

Types Of Migraines And Their Symptoms

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You may have one or more types of migraine headache. Each type has its own features. For example, some people get migraines with an aura. Some get them without an aura. Some women get menstrual migraines, which happen before, during, or shortly after their menstrual period.

It can be hard to tell the difference between a migraine and another type of headache, such as a tension or sinus headache. You may think that you have sinus headaches. But it’s more likely that they are migraine headaches if they happen often and interfere with your daily life.

Migraines can occur along with many other health problems, such as asthma or depression. More serious conditions, such as tumours or infections, can also cause migraine symptoms. But most headaches are not caused by serious health problems.

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