While each individual migraine varies, migraines typically consist of 4 stages:
Focusing on the first 2 stages we will explain common symptoms that a migraine attack is going to happen.
The prodrome can start 12-24 hours before pain in the head. 60% of sufferers experience prodromal symptoms before the onset of headache. These include:
The aura stage occurs for 20-30% of migraine sufferers, tends to develop in 5-20 minutes and lasts 5-60 minutes. There are 3 main forms of an aura:
Visual disturbances are the most common and often occur in the centre of the visual field and move outwards.
These changes in sensation may start on one side of the body before progressing to other areas
Communication may become more difficult due to:
Other signs are possible during the aura stage such as memory loss, feelings of confusion and fear. Partial paralysis and fainting are rarer signs.
You should contact your doctor if you have any concerns particularly if you have severe headaches, associated symptoms like nausea and migraine attacks are getting in the way of your life (sick days off work, missing school).
Symptoms may indicate a more sinister underlying cause of disease if the following apply:
In these cases the doctor may need to rule out causes of permanent deficits such as strokes or retinal tears for example.
Typically establishing that you suffer from migraines will lead to preventative treatment, medication and sometimes medical devices that you can use. A doctor will usually recommend that you keep a headache diary to keep track of the signs and symptoms unique to you to tailor your treatment.