Migraine headaches classically present as one-sided headaches (which could progress to involve the entire head), described as throbbing or pulsating in nature, usually preceded by an aura (symptoms that are like a warning sign that there is an impending migraine attack; these symptoms are usually visual and include seeing zigzags of light), and associated with nausea with or without vomiting, photophobia (extreme irritation from light, so the affected individual seeks a dark room), phonophobia (inability to tolerate loud noises, so you would want to be in a quiet place). Attacks are usually precipitated by hunger (such as when fasting), stress (physical or emotional). They last between few to longer hours.
As headache is the most commonly reported complaint worldwide, and due to the large variety of types of headaches, you should first and foremost be sure of the diagnosis. If indeed you are a migraineur, the first line of therapy is usually non steroidal anti inflammatory drugs; if these fail to relieve the symptoms, beta blockers or others may be given a try. The main concept behind migraine therapy is to provide with a baseline treatment that serves as a sort of maintenance of no headache and prevent frequent attacks of headache, and an abortive treatment which deals with the acute attacks when the befall.
You need a comprehensive evaluation by a neurologist to establish the correct diagnosis and devise the plan of treatment that is suitable for your case. It is also especially important to recognize and report to your physician any red flags, such as headaches starting to wake you up at night, or impairing your daily functions, or getting worse quickly.
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