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Headache : Migraine Last Updated: Oct 6, 2009 - 12:07:30 PM


Migraine headache Signs and Symptoms
By Zach
Oct 5, 2009 - 11:14:03 AM

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Phases of Migraine. Migraine is divided into four phases, all of which may be present during the attack:

  • Premonitory symptoms occur up to 24 hours prior to developing a migraine. These include food cravings, unexplained mood changes (depression or euphoria), uncontrollable yawning, fluid retention, or increased urination.
  • Aura. Some people will see flashing or bright lights or what looks like heat waves immediately prior to or during the migraine, while others may experience muscle weakness or the sensation of being touched or grabbed.
  • Headache. A migraine usually starts gradually and builds in intensity. It is possible to have migraine without a headache.
  • Postdrome (following the headache). Individuals are often exhausted or confused following a migraine. The postdrome period may last up to a day before people feel healthy.

Aura phase may occur 20 minutes to one hour before the headache phase or right as it begins. An aura consists of nerve-related symptoms that can affect your vision, senses and speech. You may have one or more symptoms during an aura. Each symptom develops gradually, lasts from five minutes to one hour, and then goes completely away. The most common aura symptoms are visual. You may have one or more of the following aura symptoms listed below. 

  •  Visual symptoms sensitivity to light, bright spots or zigzag lines, sparkling moving figures, blind spots, blurred vision and distorted objects
  • Sensory symptoms sensitivity to smells and sound; tingling or numbness that stays in one place or spreads across one side of your body and face 
  • Speech symptoms cannot speak normally
Some people think that auras only occur when a “migraine with aura” headache is about to begin. This is not true. Although less common, it is also possible to have an aura before other types of headaches or an aura alone without a headache.

Headache phase begins with or without an aura. Some common symptoms include: 

  • Head pain that typically lasts four to 72 hours. (Your headache may last less time if your medication is effective).
  • Throbbing and pulsating pain that usually varies from moderate to severe intensity
  • Pain in the front sides of the head; (the headache is usually one-sided in older teenagers and adults and on both sides in young children)
  • Nausea, vomiting or diarrhea
  • Headache that gets worse with ordinary activity such as walking and climbing stairs
  • Sensitive to light, sound, smells or touch
You may also feel tired, depressed, irritable, hyperactive, dull, confused, uncoordinated or dizzy during the headache phase.

Postrome phase is the recovery phase after a headache. After a severe migraine attack, people often feel tired or "washed out," irritable and listless. Other symptoms may include: 

  • Difficulty concentrating and thinking
  • Muscle weakness and aching
  • Food cravings or loss of appetite
  • Feelings of euphoria or hyperactive behavior

 

 

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