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 Medicines Help Relieve Migraine Pain
For mild to moderate migraines, over-the-counter medicines that may help relieve migraine pain include:
- an acetaminophen, aspirin, and caffeine combination
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.
How Should You Talk To Your Boss Or Co
Conversations with bosses or co-workers can be difficult, especially if they are under the false impression that youre trying to get special treatment.
Diamond says it may make sense to tell your boss or HR representative about your triggers, while making sure they realize youre still committed to being a team player and pulling your weight. That might also involve pushing back sometimes, and learning to advocate for yourself for the sake of your health.
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The Complex Migraine Journey
Sometimes it seems as though the choices we have to make are impossible, and trying to figure out what to do is overwhelmingly stressful. Maybe you can already feel your anxiety rising as you think through some of the choices you have to make today, this week, or this coming month! How do we navigate all this? How do we figure out what is a good choice and what is bad? Is it black and white, or is it possible that this is just another example of the complex migraine journey that doesnt have any easy answers?!
Can Migraines Be Prevented
You can’t prevent every migraine. But learning your triggers and trying to avoid them can help. Take a break from activities that might start a migraine, such as using the computer for a long time. If you know that some foods are triggers, skip them. Some people find that cutting back on caffeine or drinking a lot of water can help prevent migraines.
Make a plan for all the things you have to do especially during stressful times like exams so you don’t feel overwhelmed when things pile up. Regular exercise also can reduce stress and make you feel better.
The more you understand about your headaches, the better prepared you can be to fight them.
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Treatment Of Acute Migraine Headache
BENJAMIN GILMORE, MD, David Geffen School of Medicine, University of California, Los Angeles, California
MAGDALENA MICHAEL, MD, Mountain Area Health Education Center, Hendersonville, North Carolina
Am Fam Physician.;2011;Feb;1;83:271-280.
;Patient information: See related handout on this topic at .
Migraine headache is one of the most common, yet potentially debilitating disorders encountered in primary care. Approximately 18 percent of women and 6 percent of men in the United States have migraine headaches, and 51 percent of these persons report reduced work or school productivity.1 Patients typically describe recurrent headaches with similar symptoms, and approximately one-third describe an aura preceding the headache.1 This article reviews treatment options for acute migraine headache.
What Are The Treatments For Migraine
There is no absolute cure for migraine. However, lots of treatments are available to help ease the symptoms of a migraine attack.
When a migraine attack occurs, most people find that lying down in a quiet, dark room is helpful. Sleeping can also help. Some people find that their symptoms die down after they have vomited .
Most people affected by migraine will already have tried paracetamol, aspirin and perhaps;anti-inflammatory drugs;such as ibuprofen before they seek advice from their doctor. If ordinary painkillers alone are not relieving your symptoms, your GP might prescribe you a;triptan; to be taken in addition to over-the-counter painkillers . Triptans are available in different forms to suit individuals , although it is important to note that some people develop short-term side effects when taking triptans. Your doctor may also prescribe you;anti-sickness medication. If your situation does not improve after treatment, you might be referred to a specialist migraine clinic.
It is important to avoid taking painkillers on more than two days per week or more than 10 days per month as this can in fact make things worse by triggering;medication overuse headaches.
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Q Are There Any Preventative Medications That I Can Take
A. There are several preventative medications that you can take so that you dont have to go through migraine pain. These types of medications are usually prescribed to those people who have migraine attacks that last a long time. Examples of preventative medications include antidepressants, Fremanezumab, medications that lower your blood pressure, and anti-seizure drugs.
The Migraine Community Reveals The Er Is Either A Lifesaver Or A Pain
What do people with Migraine hate more than attacks themselves? The ER. Specifically, going to a hospital emergency room in the midst of an attack that just won’t stop. Or, even worse, a migraine attack plus a pandemic.
As Migraine experiences go, the ER has always been one of the most painful. It’s not as bad as losing a spouse or a job but sometimes it feels close – especially with the added anxiety that you’ll be exposed to COVID-19 while you’re there.
A survey of nearly 1000 people with Migraine showed that 74% of them were afraid to go to the Emergency Department when experiencing acute symptoms.
Depending on where you live and how familiar your local hospital is with Migraine, it can either be a horror story or a lifesaver.
We’re sharing first-hand accounts of what really happens when you go to the ER with Migraine, as told by members in our . If you haven’t already ‘Liked’ our page, take a minute and do so now. It’s a great place to discover people just like you who are struggling with the brutal reality of unpredictable pain.
Most people report going to the ER because of an intractable Migraine attack that can’t be resolved at home; or symptoms that are different, strange and stroke-like, requiring further assessment. For others, friends and co-workers insist they get hospital care because they feel scared and helpless watching the Migraine unfold.
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Living With Migraine: Good Choices Bad Choices
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One of the greatest challenges of living with migraine is trying to figure out choices. So many things that other people take for granted, frequently arent so easy for us. All too often we struggle with cost versus benefit, guilt versus realistic expectations, hopes and dreams versus life with a chronic illness.
What Are The Symptoms Of Migraine
The main symptoms of migraine are an intense, throbbing or pounding headache often affecting the front or one side of the head, nausea and sometimes vomiting , and an increased sensitivity to light smells and sound. The throbbing headache is often made worse by the person moving.
Other symptoms of migraine might include poor concentration, feeling hot or cold, perspiration , and an increased need to pass urine. This can occur before, during or after the migraine attack.
People might also experience stomach aches and diarrhoea.
It is common for people to feel tired for up to two or three days after a migraine.
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How To Identify Triggers
If you have migraine, almost anything can be a trigger. This means it can be very difficult to identify your potential triggers. It may also be a combination of a few things that seems to lead to a migraine attack. And a trigger may not lead to a migraine attack every time, which can confuse things even more.
Here is an example of how combinations of triggers can work: A young woman has identified that her migraine attacks appear to be triggered when she skips meals, is feeling stressed and when she is about to have her period. If she comes home late from a very stressful day at work, her period is just about to start, and she goes straight to bed without eating a proper meal, she will almost certainly have a migraine attack. However, if she skips dinner another time, when the other triggers did not happen, she will probably not have migraine attack.
Many people find that they sometimes go a long time without having a migraine attack. During this time, your body may seem to be less sensitive to triggers and you may find that even the combination of your usual triggers doesnt result in a migraine attack.
Risk Factors For Developing Chronic Migraine
Its estimated that chronic migraine affects about 1 to 2 percent of the general population and approximately 8 percent of people with migraine. About 3 percent of people with episodic migraine convert to having chronic migraine each year, according to a paper published online in July 2016 in Nature Reviews Neurology.
An analysis published in March 2019 in the journal Headache looked at risk factors for developing chronic migraine. The factors that had the strongest evidence for progressing from episodic migraine to chronic migraine include the following:
- Acute medication overuse, which by definition is three or more days per week of using acute medications to treat headache
- Increasing headache day frequency
The good news is that chronic migraine is often reversible. About 1 in 4 people with chronic migraine go into remission within two years of chronification , according to the paper in Nature Reviews Neurology.
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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 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.
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How To Accurately Assess The Number Of Migraine Days Youre Having
Chronic migraine is defined by how many headache days you have per month. Episodic migraine is when a person has fewer than 15 headache days per month, and chronic migraine is when a person has 15 or more days per month of headache with migrainous features, according to the;Migraine Research Foundation.
Dougherty finds that people tend to underreport migraine days to their doctors and often ignore headache days if the headaches dont cause disability.
Disability can mean different things for different diseases. In migraine, disability is measured by scales like the;Migraine Disability Test, which asks questions about missed days of social or leisure activities, missed days of work or school, and how many days or parts of days that migraine impacted work productivity, including both household and paid work.
Headache days can be assessed more accurately, Dougherty says, by asking people how many days they have zero headache, then working backward from there.
If your own doctor hasnt taken this approach to counting migraine and headache days with you, why not try it on yourself, then let your doctor know your results?
Migraine Without Head Pain
Also called a Silent or Acephalgic Migraine, this type of migraine can be very alarming as you experience dizzying aura and other visual disturbances, nausea, and other phases of migraine, but no head pain. It can be triggered by any of a persons regular triggers, and those who get them are likely to experience other types of migraine, too. The International Headache Society classifies this type as typical aura without headache.
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You Have To Prove Your Pain And That You’re Not A Drug Addict
The abuse of and addiction to opioids such as heroin, morphine, and prescription pain relievers is a serious global problem that’s escalating annually. ERs are trained to screen us all the same: hmmm, could you be one of the 36 million opioid abusers worldwide?
That complicates the problem of Migraine as an invisible illness for which there’s no scan or blood test to easily prove your diagnosis. The stigma continues.
“They think you are there because you are a “druggie”, ask you a million and one questions that you can’t answer because of the migraine fog.” Jaselle H.
“They assumed I was a drug addict because I was in my mid-twenties and writhing in pain with “no discernible reason”. Then I got an IV and froze for a few hours before going home.” Lorenzo T.
“I’m allergic to normal migraine meds and when I told them that, the doctor stormed out, came back with a syringe, gave it to the nurse and told me that he’d give me Demerol this time to help get rid of the headache but that I’d better never come back again because he was never giving me that med again. He said if I wanted it, I’d have to get it from someone else. It was the first and only time I’d gone to the ER for a migraine. I was so insulted and demeaned, I would never go back again. I couldn’t believe it.” Andi S.
Have A Treatment Plan
A solid plan can give you the power to relieve a migraine before the pain becomes severe. This may be the most important weapon you have against future migraine attacks.
Your plan will likely include taking medications when you feel a migraine coming on. Knowing which medication to take can lower your stress level because it removes some of the guesswork of what you should do. Your plan may include over-the-counter pain relievers, prescription medications, or some combination of the two. You should work with your doctor to develop a migraine treatment plan thats right for you.
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What Will This Summary Cover
This summary will cover:
- Medicines to treat severe migraines in the ER
- What researchers have found about how well the medicines work
- Possible side effects of the medicines
- Things to talk about with the ER doctor
Note: This summary does not cover what researchers found about treating migraines at home or ways to prevent migraines. It only covers what researchers found about treating migraines in the ER.
How Long Is Too Long For A Migraine
How long is too long for a migraine? A typical migraine lasts between four and 72 hours. If a migraine lasts longer than 72 hours, it is paramount to consult with a doctor. Also, if a person experiences 15 or more headache days per month, a doctor may diagnose this individual with chronic migraines.
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Coeliac Disease And Gluten Sensitivity
Coeliac disease is a serious condition where a persons immune system reacts when they eat gluten and causes damage to the lining of their gut. When this happens, they have symptoms such as diarrhoea, bloating, vomiting and stomach cramps. There can also be serious complications if it is not treated, such as anaemia. There is no cure for coeliac disease and people with it need to avoid gluten all their life.
There have been studies into the link between coeliac disease and migraine. There is no evidence to suggest that coeliac disease causes migraine. It is thought that if people with coeliac disease and migraine follow a gluten-free diet, this may help with both of their conditions.
Gluten sensitivity is when a person has a bad reaction if they eat gluten. They may have similar symptoms to coeliac disease, but there is no damage to the lining of their gut or the risk of serious complications that can happen with coeliac disease.
Gluten is found in foods that contain wheat, barley or rye. These include pasta, bread, cakes, some sauces and most ready meals.
One of the symptoms of gluten sensitivity is headache. But there is no evidence that gluten sensitivity causes migraine. However, if you are sensitive to gluten, you may find that if you eat food containing gluten, it makes migraine attacks more likely or the symptoms more painful.