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

A migraine is considered to be one of the worst headaches of all. It causes excruciating pain along with a range of other symptoms. Notably, a migraine pain is very different in nature compared to general headache. A migraine pain is mostly felt on any one side of the brain. Since a migraine is difficult to diagnose, here is a list of 5 signs that will help you to understand, if your headache qualifies as a migraine:

Vision splotches: It is very common among migraine patients to experience blind spots and a sudden flash of light. While this might appear to be a little unusual, it is pretty normal for migraine patients. The visual cortex of the brain is responsible for incidences like these. They often pace up and slow down to cause such unnatural feelings. For cases like this, the nerve gets activated by the optical lobe and crashes immediately resulting in such sensations. These visible auras are felt by both the eyes.
A spinning sensation: A migraine patient often gets a swirling sensation. This requires them to immediately lie down. This is accompanied with nausea and throwing up. Certain migraine-induced changes caused in the brain causes hearing imbalance which is very similar to vertigo. These auras often serve as the onset of a migraine and can last for over one hour before the actual migraine cycle starts. If a person is suffering from these symptoms, it is a clear indication that he is suffering from a migraine.
Light sensitivity: Migraine patients often becomes oversensitive to sound and light. This is perhaps the reason why most migraine sufferers like to spend more time in dark and solicitude. Studies have shown that sudden exposure to light activates the optic nerve fiber which in turn activates the pain receptors in the brain. A study conducted by the Nature Neuroscience journal conducted in the year 2010 showed that even blind person (with a migraine) suffers from a sudden glow of light.
Touch sensitivity: Sensory auras often cause sharp pain from tiniest of touches. This is a condition known as the allodynia. This is a condition by which the spine and the brain get super excited by the inflamed blood vessels. This condition should be reported to a doctor since the most common medicine of a migraine does not work well if a patient is suffering from allodynia.
Funny Face: Aura of the tongue, face and lips are known as cheiro-oral. There is a type of aura that makes even speaking and eating difficult. At time sufferers feel that they are suffering from serious diseases such as brain tumor. If this condition prevails, it makes sense to contact your doctor at the earliest and start medication.

5 Signs You Are Suffering From 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!

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 is a very common form of a headache which strikes nearly 15 % of the population. Females are more prone to migraines. Science has not been able to find the real cause behind migraine attacks and the way it treats these massive headaches is also patchy at best. A migraine occurs for a definite period of time, usually, comes with a warning and paralysing pain.

Ayurvedic view
According to Ayurveda, migraine is a tri-dosha disorder. It occurs when vata or the wind element goes out of sync. Vata controls the nervous system and brain activity. Vata imbalances are linked to many diseases like joint problems, dizziness and it happens because of faulty metabolism, poor elimination, sleeplessness, etc. Pitta the fire element also has a role to play in migraines. It causes dilation of the blood vessels, which brings on a migraine attack.

Ayurvedic physicians can identify which dosha is causing a migraine. If the patient is constipated, has acute pain and has dry skin, his Vata is out of whack. If a patient has nosebleeds, is hypersensitive to light, has burning eyes and is irritable, pitta is out of balance. And if a patient has fatigue, is depressed and has a dull throbbing in the head, he is suffering a Kapha imbalance.

Ayurvedic therapies

Shirolepa: Application of herbal pastes to pacify pitta like sandalwood, camphor, Jatamansi.
Shiro Dhara: Medicated oils are poured on the scalp.
Taila dhara: Oils like ksheerabala taila, chandanadi taila are poured on scalp for calming higher vata imbalances. 
Ksheera dhara: Here cow milk is poured on the scalp to pacify pitta.
Takra dhara:  Also known as buttermilk is poured when there is obstruction to passage of vata.
Kavala graha: Oil pulling done with oils like chandanadi taila and mahanarayana taila.
Shirovasti: Medicated oils are retained on the scalp by wearing a leather cap.
Sneha nasya: Oils like Anu tailam are poured into nostrils.
Apart from there therapies herbs like Kumari or Aloe vera, Amalaki or amala and Bala or Sida cardifolia are very useful as migraine cures. Several Ayurvedic medicines are also very useful in migraine-like-

Pathyadi khada: It is used in the treatment of headaches, earaches, and migraine etc.
Shirashooladi vajra rasa: It is used in the treatment of headache, migraine, tension headache, vascular headache etc.
Bhoonimbadi khada: Used as a cure for fever, cold, sinusitis, headache.
Kamadugha rasa: Used to cure all high pitta conditions.
Godanti Bhasma: 250 mg of this medicine is also given twice a day for immediate relief from migraines.
Patients should also eat warm, nutritive foods like sesame, sweet fruits, cumin, garlic, jaggery and rice for balancing Vata. For balancing pitta, they should stay away from smoking and drinking at the very least.

Migraine - 8 Ayurvedic Remedies For Treating It!

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

Consult for Migraine - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES