Migraine vs. Headache: know the difference

How to differentiate between a migraine and headache?

When you feel pain or pressure in your head, it may become difficult for you to assess whether you are experiencing a common headache or a migraine. Let's understand how different they are from each other.

A typical headache usually affects both sides of your head and varies from a mild to moderate pain. It can last from 30 minutes to up to a period of one week.

Some specific areas which get affected by a headache are:

  temples

  forehead

  back of your neck

Factors that trigger this headache type are a muscle strain, stress or anxiety. 

A migraine, on the other hand, is also a type of a headache which results in an acute throbbing sensation in one part of your head. Usually, migraine headaches are highly painful. Migraine pain makes it difficult for a person to carry out his/her daily tasks. Symptoms or signs associated with migraine attacks are:

  vomiting

  nausea 

  sensitivity to sound or light

  pain in the temples

  temporary loss of vision

  pain behind your ear or eye

What are the common causes of a migraine?

  hormonal imbalances in women - fluctuations in oestrogen, especially during menopause or pregnancy seem to trigger a migraine

  drinks like wine and extremely caffeinated beverages 

  foods such as salty foods, aged cheese as well as processed foods can trigger the migraine attack.

  medications - vasodilators such as nitroglycerine and oral contraceptives can intensify migraine pain.

How to treat a headache?

Fortunately, you can get rid of stress-induced headaches through over-the-counter treatments, which include:

  aspirin

  acetaminophen

  ibuprofen

How to treat a migraine?

If you experience migraine attacks less frequently, these medicines may give you quick relief:

  triptans, such as rizatriptan (Maxalt) or almotriptan (Axert)

  antinausea medicines, such as chlorpromazine (Thorazine), promethazine (Phenergan) or prochlorperazine (Compazine)

  non-steroidal anti-inflammatory drugs (NSAIDs), such as acetaminophen, naproxen sodium, aspirin or ibuprofen

Some preventive tips:

  make changes in your diet such as avoid such foods, including caffeine and alcohol which are believed to trigger headaches.

  you can also try muscle relaxation exercises, yoga or meditation to ease the migraine attack. 

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 8 Common Migraine Triggers You Must Stay Away From

Migraine Vs. Headache: Know the Difference

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them and possibly even prevent them. The two types of migraine are- 

Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.
Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
Motor: Usually related with the movement problems like the limb weakness
Verbal: It is related with the speech problems
Headache: In case of a migraine attack one might experience:

Pain on both sides or one side of the head
Pain is throbbing in nature
Vomiting and nausea
Sensitivity to smells, sound and light
Vision is blurred
Fainting and lightheadedness
Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

Onset of headaches >50 years 
Thunderclap headache - subarachnoid haemorrhage 
Neurological symptoms or signs 
Meningism 
Immunosuppression or malignancy 
Red eye and haloes around lights - acute angle closure glaucoma 
Worsening symptoms 
Symptoms of temporal arteritis
These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.
Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.
Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Your doctor can help find the right medication for you.

Migraine - Identifying the Early Signs!

Migraine, the extreme headache that comes back to haunt its victims every chance it gets, can actually be managed with a controlled diet. Of course, medication is the solution, and so is surgery with botulinum toxin in extreme chronic cases. But let s try lifestyle changes before going for any of that.

Symptoms of Migraine:

Pain on the sides of the head is the characteristic symptoms of migraine, but there are others:

A throbbing sensation in the head.

Nausea from constant pain.

Photosensitivity.

More than the usual aversion to loud noises.

Sweating, stomachache, and diarrhea rarely come with the more common symptoms of migraines, as stated above.

Causes of Migraine:

Migraine is often genetic. Pain triggers include:

Hormonal changes, as in during menstruation or pregnancy or puberty.

Emotional disturbances like anxiety, depression, shock, or even excitement.

Poor posture that puts stress on the neck or head.

Tiredness or lack of sleep.

Side-effects of medication such as sleeping pills, some contraceptive pills, and medication for hormone replacement therapy.

External triggers like second-hand smoke, loud noises, very bright lights, lack of oxygen in a poorly ventilated room, dust, any strong smell.

Food Triggers

Foods that trigger migraines include:

Aged cheese with high tyramine: Blue cheese, cheddar, feta, mozzarella, brie, parmesan, gorgonzola, English stilton, Swiss cheese,

Alcohol: Red wine, scotch, champagne, beer, and vodka trigger migraine by dehydrating the body and/or due to the sulfite preservative in them.

Food preservatives: Nitrite or nitrate compounds in preserved foods like ham, sausages, hotdogs, bacon, pepperoni, and deli meat.

MSG: Monosodium glutamate in soy sauce or anything labeled  hydrolyzed  is a trigger.

Sourdough: Baked yeast products like bread, rolls, donuts, and cakes.

Nuts: Peanuts, peanut butter, dried fruits, and some seeds and nuts trigger migraine in not all but some people.

Smoked or Dried Fish

Tomatoes

Onions

Citrus Fruits: Like lemon, orange, grapefruit, Greek citron, etc.

Beans: Like lima, fava, pinto, snow peas, lentils, pole, and broad beans.

Caffeine: Anything more than 200mg of caffeine can trigger migraines.

Artificial sweeteners: Due to aspartame or sucralose content.

Chocolate: Due to beta-phenylethylamine

Avoiding these food items can alleviate symptoms of migraine. This is why one should avoid these foods in their diet. However, it is advisable to consult a Dietician or Nutritionist before avoiding or taking any food item.

Food Which Help to Cure Migraine

The elimination of diet tactics is not enough to manage migraines. There are foods that must be included in the diet. They are:

Salmon: For the vitamins, and omega 3 fatty acids that reduce inflammation and blood pressure.

Dark chocolate: Due to the magnesium content.

Fresh figs: Due to potassium and electrolytes. Avoid dried figs as they contain tyramine.

Shrimp: Due to astaxanthin and vitamins and minerals to help with inflammation.

Carrots: Beta-carotene helps.

Sweet potatoes: Vitamin C, niacin, pantothenic acid, phosphorus, Vitamin B group, manganese, copper, and potassium to the rescue.

Collard Greens

Kale

Quinoa

Ginger

Fresh fruits: Like bananas and apples.

Herbs: Like feverfew, butterbur.

Conclusion

Avoiding trigger foods, having migraines relieving foods, and having plenty of water along with enough sleep and some exercise can manage migraines well enough to not need medication.

All The Foods That Trigger Or Alleviate Migraine!

Migraine headache is characterized by a severe headache usually affecting one side of the head. There are other symptoms along with headache like nausea/vomiting, sensitivity to light and sound. Some patients experience neurological phenomena like changes in vision, temporary loss of sensation and altered sensation, a phenomenon known as an aura (flashes of light, zigzag patterns, bright spots, tingling in the arms and the legs). Migraine headache can last for 2 to 3 days. 

Symptoms: The symptoms depend on the stage of a migraine attack. The stages of a migraine attack can be: 

Prodrome, Aura, Headache or attack, and Postdrome. 
Prodorme: One to two days prior to the migraine attack, patient may experience; 
Mood swings. 
Cravings for food. 
Increased yawning. 
Stiff neck. 
Constipation and frequent thirst and urination. 
In case of an aura (during or before a migraine), there may be visual, motor, speech, and sensory illusions and disturbances such as, 

Loss of vision. 
A strange sensation of needles pricking an arm or a leg. 
One side of the body becomes weak and numb. 
There are visual illusions such as the appearance of flashes of light, zigzag patterns, bright spots. 
There is a problem in hearing and speaking. 
In some cases, there may be a hemiplegic migraine (the limb becomes weak). 
During a Migraine Attack (lasts for 4 to 72 hours), there may be 

A throbbing pain on either one or both sides of the head 
Blurred vision, light-headedness. 
Nausea and vomiting 
Sensitivity to light and sound 
Sensitivity to touch and smell (though rare) 
In Postdrome (after a migraine), there can be 

Mood swings. 
A person may be sensitive to light and sound. 
Dizziness and weakness 
Confusion 
Extreme fatigue 
An amalgamation of environmental and genetic factors may be responsible for a migraine. Trigger varies for each patient: 

Stress and extreme physical exertion 
Obesity 
Alcohol and caffeinated drinks and beverages 
Salty and processed foods 
Altered sleeping habits 
Hormonal alterations in women (Constant fluctuation in the level of oestrogen) 
Oral contraceptives and certain vasodilators (nitroglycerin) 
Preservatives like MSG (monosodium glutamate) and Aspartame (sweetener) 
Sunshine, certain odours, travel, etc can trigger migraine. 
Treatment and Prevention: 

Medicines under supervision to abort an attack of migraine and special drugs to stop attacks. 
Lifestyle changes are helpful to decrease attacks: 
Avoid your trigger for migraine. 
Follow regular sleep -wake cycle. 
Regular exercise, meditation. 
Avoidance of alcohol, caffeine containing beverages. 
Other treatment options that can be availed from pain specialist: 
Transcutaneous supraorbital nerve stimulation 
Intramuscular stimulation. 
Botulinum toxin injection. 
Occipital nerve block.

Migraine Pain - Facts About It!

A migraine often causes throbbing pain at one side of the head accompanied by sensitivity to sound and light, nausea and vomiting. The pain can last from a few hours to few days. Some warning signs of the pain take over include tingling of the leg or face, flashes of light and blind spots. Medication can help in avoiding the pain or manage it considerably.

Diagnosis:
Detection of a migraine is fairly easy for a medical professional. If a patient has a family history of a migraine, a doctor can prescribe the following to lock in on the diagnosis:

Blood tests: Through blood tests, a doctor tries to understand any possible problems in the blood vessels, spinal cord or presence of other toxins in the system
Magnetic Resonance Imaging: Better known as MRI, this is a process of capturing the detailed image of the blood vessels and the brain. It readily detects any possible problems related to a migraine.
Computerized tomography: More commonly known as CT scan, this is a process of capturing an image through a line of x-rays to detect any possible problems related to a migraine.
Lumbar puncture: This test is prescribed in extreme cases when a doctor suspects that there is a possible chance of bleeding in the brain.
What are the treatment options available?
There are two kinds of medications available- preventive medication and pain relieving medication. The treatment strategy is decided based on the frequency of the headaches and other health factors.



Some pain reliever medication includes triptan, ergots, opioid, glucocorticoids, anti-nausea medications etc. These medicines constrict the blood vessels and block the pathways of the pain in the brain cells. While some medicines are required to be consumed immediately after the symptoms starts, some should be taken regularly to avoid the pain in the first place. These pain relievers have side effects and should be consumed after prior discussion with a doctor.



Preventive medication, on the other hand, is only suggested by a doctor when a patient suffers from a migraine twice or more in a month, the pain lasts for more than 12 hours and the pain relievers do not work. Some of the common group of medicines that are suggested for these set of patients include cardiovascular drugs, anti-seizure drugs, anti-depressants etc.

Alternative medicine approach:
Alternative medicines are often witnessed to fetch positive results for migraine patients:

Acupuncture: this form of treatment involves inserting thin needles into the skin at various points to give relief from pain
Cognitive behavioral therapy: This is a form of treatment which focuses on perceiving pain with behavioral changes.
Biofeedback: This is a relaxation technique that teaches to control physical responses such as pain, stress, muscle contraction etc.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Migraine - Treatment Options Available!

A migraine is one of the worst form of headache. It is reported that over 90 percent of people who suffers from a migraine are unable to work. The intense pain totally makes them vulnerable. A mammoth 113 million workdays are wasted globally due to this problem. This being said, if the pain is slowly starting to set in, it is possible to manage it at the workspace.

Here is a convenient guide to do just that:

1. Pain Medication: If you are a migraine patient, it is likely that you have your migraine medication with you. The first step is to try the medication. If on the other hand, the medication is not available basic painkillers can be given a shot to manage the pain. Basic pain medications, such as ibuprofen are easily available over the counter and are capable of providing temporary relief.

2. Educate co-workers: Despite awareness about migraine pain, many organisations continue to turn a deaf ear about the problem. Instead of fighting with the whole organisations, it makes sense to educate your immediate colleague about a migraine. All you require is 1-2 people who have your back.

3. Control the environment: With the onset of the pain, it becomes more and more difficult to resume work. Few environmental changes such as adjusting the monitor to the eye level, using a sachet of odour neutralizer and switching off the nearest light will help you to manage the pain for few hours.

4. Staying hydrated: Migraine tends to increase multifold if the body is not hydrated. It is, therefore, essential to drink as much water as you can. Apart from the water, a few other drinks such as lime juice and green tea can be of great assistance to hold the pain back for quite some time. The best time to drink green tea is in the morning as it helps in improving mental alertness.



5. Small snacks: Although eating during a migraine can be tough because of the buzzing pain it is a good idea to have small snacks throughout the working hours. An empty stomach creates acidity and further aggravates the pain. Small time snacks such cookies and chocolate bar can come really handy at this time.

6. Get enough air: A centralized workplace can be claustrophobic and intensify the pain for many. Get out of the workspace to get some fresh air. A sudden gush of oxygen can be a welcome relief from the monotonous and crowded office floor.

7. Apply water on the skull: While this might sound like a crazy idea, applying a small amount of water in the middle of the skull can give temporary relief from the throbbing effect of a migraine. If ice is available in the office pantry, make no hesitation in applying it on the migraine side of the forehead. Ice is capable of spreading a cooling effect throughout the forehead and the skull. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Migraine - 7 Ways You Can Deal With at Workplace

Don't wait any longer, manage your Migraine Prophylaxis online with a Lybrate doctor today

Consult for Migraine Prophylaxis - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES