Migraine Symptoms & Diagnosis

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Migraine Guide

Cary Cook BSN RN

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Symptoms

Migraines occur in phases that may include:

Warning

A warning may come before a migraine. In the hours or days before the headache, symptoms may include:

  • A change in mood
  • A change in behavior
  • A change in the level of activity
  • Fatigue
  • Yawning
  • Food craving or decreased appetite
  • Nausea, diarrhea
  • Sensitivity to light

Aura

The most common aura is visual. The aura lasts about 15-30 minutes. It may produce the following sensations:

  • Flashing lights, spots, or zig zag lines
  • Temporary, partial loss of vision
  • Speech difficulties
  • Weakness in an arm or leg
  • Numbness or tingling in the face and hands
  • Confusion
  • Dizziness, lightheadedness
  • Speech disturbances
  • Cognitive dysfunction

More rarely, an aura can occur by itself. In these cases, it is important to seek medical attention to make sure the symptoms are not due to a more serious cause. This can include stroke or seizure.

The Migraine Headache

Migraine pain starts within an hour of the aura ending. Symptoms include:

  • A headache (usually on one side but may involve both sides) that often feels:
    • Moderate or severe intensity
    • Throbbing or pulsating
    • More severe with movement
  • Nausea or vomiting
  • Diarrhea
  • Sensitivity to light or sound
  • Lightheadedness or dizziness

A Post-Headache Period

Migraines usually last from 4-72 hours. They often go away with sleep. After the headache, you may experience:

  • Trouble concentrating
  • Fatigue
  • Sore muscles
  • Irritability
  • Mood changes

Diagnosis

The doctor will ask about your symptoms and medical history. A physical exam will be done. You may also be given a neurological exam.

To rule out other conditions your doctor may order a:

The doctor may order blood tests or other tests before starting treatment.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Copyright © 2012 EBSCO Publishing All rights reserved.

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