Migraine is more than just a bad headache—it’s a neurological condition that affects millions of people worldwide. For those who experience it, a migraine can be debilitating, causing severe pain and disrupting daily life. But what exactly happens during a migraine, and how can you tell if it’s really a migraine or something else? Let’s break it down.

Signs and Symptoms of Migraine

Migraines often come with a variety of symptoms, which can vary from person to person. However, the following are common signs to watch for:

  1. Severe Headache: Migraines typically cause intense, throbbing pain on one side of the head, although it can affect both sides.
  2. Sensitivity to Light and Sound: Many migraine sufferers find bright lights and loud noises unbearable during an attack.
  3. Nausea and Vomiting: Feeling sick to your stomach or even vomiting is another common symptom.
  4. Visual Disturbances: Some people experience an “aura” before a migraine hits. This can include flashes of light, zigzag patterns, or blind spots in vision.
  5. Fatigue and Irritability: A migraine can drain your energy, making you feel tired and irritable even after the pain subsides.

What’s Different About Migraines?

Migraines aren’t just about the pain—they’re about the whole experience. Unlike a typical headache, migraines may last for hours or even days, and the symptoms often come in stages:

  • Prodrome: Subtle warning signs, like mood changes or cravings, may appear hours or days before a migraine starts.
  • Aura: This is a short phase, where some people see visual disturbances or feel numbness or tingling.
  • Migraine Attack: The main event—severe headache, nausea, and sensitivity to light and sound.
  • Postdrome: After the pain fades, a “migraine hangover” may linger, leaving you feeling drained and confused.

Is It a Migraine or Something Else?

While migraines are common, other conditions can cause similar symptoms. It’s important to rule out other possibilities:

  • Tension-type Headache: This is the most common type of headache and feels like a tight band around the head. It doesn’t usually cause nausea or sensitivity to light, making it distinct from migraines.
  • Cluster Headache: These headaches are rare but incredibly painful, often affecting one eye. They occur in clusters, meaning they come in bursts over a period of days or weeks, then disappear for months.
  • Sinus Headache: Caused by sinus infections, these headaches often come with facial pain, congestion, and a runny nose. People sometimes mistake these for migraines, but sinus headaches usually don’t involve nausea or auras.
  • Trigeminal Neuralgia: This is a nerve condition that causes sharp, shooting pain in the face. While it can be intense, it’s more localized than a migraine and typically doesn’t last as long.
  • Brain Tumors: Though rare, persistent headaches could sometimes signal more serious issues, like a tumor or stroke. However, migraines tend to have a familiar pattern, while these conditions usually come with other symptoms like weakness, slurred speech or change in behaviour.

Conclusion

Migraines are a unique and challenging condition but understanding the symptoms and knowing what to watch for can help you manage them better. If you think you may have migraines, it’s important to consult a healthcare professional for proper diagnosis and treatment. Managing triggers, lifestyle adjustments, and medications can all help make life with migraines a little easier.

By knowing the difference between migraines and other headaches, you can take the first step toward relief and better health.