When we think about a migraine headache, we often think it is simply a headache. but there are several phases
of a migraine headache with various symptoms in each phase.
There are actually four phases of a migraine
headache and not all individuals will go through each phase but some individuals
might.
Migraine Headache Symptoms and Sign
- Phase 1: Prodrome
- Phase 2: Aura
- Phase 3: Headache
- Phase 4: Postdrome
So Discuss the signs and symptoms
in each phase
Phase 1: Prodrome
Approximately three-quarters of
patients who experience migraine headaches will experience a prodrome. So there
are some signs and symptoms in the prodrome phase.
- Yawning: include yawning and those who do experience a prodrome
about a third of patients. will experience yawning what we can see is that
there can be repetitive yawning, and the yawning seems to be due to
dopaminergic activity within the hypothalamus. so there is abnormal dopamine
activity within the hypothalamus leading to this symptom of yawning. - Lethargy: lethargy is simply feeling tired or lacking energy
- Photophobia: is a sensitivity to light photo means (light) and phobia
means (fear). but in this context it is sensitivity migraine is actually the
most common associated condition. so if an individual does experience
photophobia or sensitivity to light. it is highly likely that they could be
experiencing a migraine they could be having a pro drone of a migraine could be
in another phase of the migraine this appears to be due to some visual pathway
dysfunction although the etiology is not entirely. - Phonophobia: during the prodrome of a migraine headache so
phonophobia means sensitivity to sound. The underlying
pathophysiology of why phonophobia occurs is unknown. - Food Craving: may be related to abnormal dopaminergic activity in the
hypothalamus - Excessive thirst: this mechanism here is likely related to or similar to the
mechanism of why they have food cravings as well. - Cold Sensitivity: this may be due to changes in temperature perception so
they may experience feeling colder than normal. - Sweating: this also may be due to changes in temperature perception.
So that changes in temperature perception can be experienced as issues with
cold sensitivity or issues with sweating. so they can feel very hot and they
can have issues where they're sweating - Mood Change: They can go from being happy, sad, angry rapid changes in
mood. - Energetic & Restless: you read about lethargy in the upper section. patients who
can feel very tired but can also feel very energetic and restless as well.
Phase 2: Aura (visual
Migraine)
So individuals who have migraine
headaches can have an aura and we're going to tell about what an aura is. is here
in a moment about a quarter of patients who suffer from migraine headaches
experience an aura. so the aura of a migraine headache has several different
subcategories we are told about here. and it's all changes in perception. so
individuals who have an or who do experience an aura can have visual
abnormalities or visual changes.
Auditory and other sensory
- Tinnitus: changes as well these include tinnitus or tinnitus where an
individual has ringing in their ears so they can hear a buzzing sound or ringing. - Reduction: they can have a reduction or loss of hearing entirely and
this is oftentimes temporary during the aura. - Paresthesias: they can also have certain sensory abnormalities like paresthesias
so numbness and tingling sensations in their extremities. - Transient dysphonia: an individual going through an aura may have issues with
articulating certain words they may have issues with speech in the signs and
symptoms of an aura can last for as long as the aura can last upwards of 60 minutes.
Phase 3: headache Attack
In a migraine so the migraine
headache has particular features that make it
easy to identify one is that it's most often unilateral so instead of a tension-type
headache. where
it can be a band across the head and oftentimes occurs bilaterally a migraine headache is unilateral which means
it occurs
on one side. it
has a characteristic of pulsatile or
throbbing so it can be pulsating
in a throbbing type of headache. so
it can
feel like your head is pounding oftentimes the intensity of the pain can be quite severe it can be anywhere
from. Moderate to severe in intensity
a migraine headache oftentimes lasts for four to 72
hours. it's
worsened with physical activity so any movement of the head or walking around doing any type of activity can worsen the headache. and it's improved with rest often
times it
can be improved with
being in a dark environment and at rest.
Associated Symptoms
- Photophobia: that sensitivity to light.
- Phonophobia: that sensitivity to sound.
- Nausea & Vomiting: We can also see issues with nausea and vomiting during this
phase as well so an individual that has a severe migraine can have some nausea
and vomiting. - Rhinorrhea: runny nose they can also have issues with lacrimation so
tears run from their eyes. and they can also have - Allodynia: allodynia is a sensation of even a very mild touch of a
particular part of your body is painful.
Phase 4: Postdrome
So after that 4 to 72 Hour period of
phase three an individual can experience a postdrome or also known as a migraine
hangover. so the postdrome itself can last for anywhere from a few hours to
upwards of a day. And some of the signs and symptoms of the postdrome include Exhaustion.
so individuals who have gotten over their migraine headaches feel incredibly
exhausted they can have issues with Irritability. they can have issues
with Poor concentration as well so difficulty focusing on tasks and
completing tasks. and they can also have issues with some Dizziness as
well.
So Migraine headache is not simply a
headache it can have multiple phases including a prodrome aura the migraine
headache Itself and a postdrome and each phase has particular signs and symptoms
that occur.
Disclaimer: This post does not provide medical advice, and this post's
information is only for educational purposes.

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