Many people seek to contend with migraine on their own , which can mean lots of hours in a dark , smooth room seek to carry off pain in the neck and other symptoms with over - the - parry medications . The condition can go undiagnosed for long time , stand for the person who has it may miss out on effectual treatment .
[ 1 ]
Although some the great unwashed use the term “ migraine ” interchangeably with “ head ache , ” a migraine is more than that . It ’s actually a neurological disease . A headache is usually one part of a migraine flak , which let in other bothersome symptoms , such as visual disturbances , nausea , and giddiness .
If you regularly experience headaches and othersymptoms of migraine , it may be time to assay a diagnosis . Your basal care doctor can commonly value your symptoms and determine what intervention will influence best for you , but in some lawsuit , you may be referred to a neurologist .
Once you have a migraine diagnosis , you could start the treatment you need .
Ask the Headache Specialist Live
Is It Important to Know What Kind of Headache or Migraine I Have?
[ 2 ]
[ 3 ]
[ 4 ]
[ 5 ]
How Severe or Frequent Should My Headaches Be Before I Seek a Diagnosis?
“ For people who experience migraine once or twice a calendar month and are able-bodied to manage it with an over - the - counter medication such as ibuprofen , it ’s really up to the someone if they need to seek further treatment , ” saysSandhya Kumar , MD , a neurologist and headache specializer at Wake Forest Baptist Health in Winston - Salem , North Carolina .
If you have headaches more than four times a month and they ’re impacting your quality of life , you should consider look for a diagnosis and further treatment that is specific for megrim , she enjoin .
“ Even for multitude who have more infrequent attacks , say once or twice a month , but they are debilitating , and they have to take the whole daytime off employment or remain in layer all day , that individual should seek a diagnosing andmedical treatment for megrim , ” say Dr. Kumar .
“ We have a passel of medicament we can utilize — not onlyrescue medicationswhen they have a headache , but also preventative medications to decrease the grimness and oftenness of their headaches , ” she adds .
When Should I Bring My Symptoms to the Attention of a Doctor?
“ Any headache that has neurologic sign , such as change in speech or impuissance or numbness on one side of the body , even if it ’s just for one individual headache , should get quick aesculapian attending , ” says Kumar .
If you ’ve been managing your vexation with over - the - tabulator medications oft ( more than once or twice a workweek ) , you should talk with your doctor about your symptom , she say .
“ Using these medicinal drug this frequently can dress you up for what we call ‘ repercussion headache , ’ or medication - overuse headaches , ” says Kumar . “ You really want to forfend this , because it leads to more frequent headaches that are very difficult to treat . ”
How to Prepare for a Doctor Appointment to Discuss Potential Migraine Symptoms
[ 6 ]
Do I Need to See a Neurologist or Headache Specialist for a Diagnosis?
[ 7 ]
[ 8 ]
After a treatment with your primary care supplier , you may resolve to see a headache specialist or a neurologist . Both are specially trained to treat head pain disorders , including migraines .
Personal and Family History in Migraine Diagnosis
There are many different factor that your doctor will consider when determining if you have hemicrania or a different type of worry disorder .
Your Dr. will review your personal medical history , let in any inveterate illnesses you are bring off or medications you take , and also ask you about sick headache in your family .
[ 9 ]
Your physician will also ask about the severity and frequency of your symptoms and how they move your day-after-day life .
Symptoms of Migraine Necessary for a Diagnosis
[ 10 ]
At least one of the succeed symptoms should be present :
When Is Additional Testing for Migraine Needed?
[ 11 ]
sure signaling and symptoms are considered “ red flags ” and not typicalsymptoms of headacheor migraine . They do n’t always indicate a serious aesculapian yield , but they do postulate further investigation . Your doctor may order an MRI or another type of brain scan to rein out other possible causes , such as a brain tumor , aneurysm , or high pressure in the brain .
Some of the rare type of megrim , such ashemiplegic migraineorvestibular migraine , may require additional testing , because their symptoms can overlap with other conditions .
[ 12 ]
[ 13 ]
Your Everyday Guide to Living Well With Migraine
Tests That May Be Used to Rule Out Other Diseases
[ 14 ]
Blood testsBlood tests can be done to predominate out some other disease that can cause headache .
[ 15 ]
magnetized plangency imagination ( MRI)Similar to a CT scan , an MRI can also produce detailed images of your brain and blood vessels to help oneself your doctor diagnose any tumors , stroke , bleeding , infection , or other neurological condition that may be causing symptom .
[ 16 ]
Lumbar punctureIf your doctor suspects that your symptoms may be due to an infection or neurological damage , you may be ask to undergo this routine ( sometimes visit a spinal tap ) . In a lumbar puncture , your doctor will first desex the skin overlie two vertebra ( usually in your lumbar pricker ) , then anesthetize the area with an injectant of a local anesthetic . After that , the doctor will insert a thin acerate leaf into the quad between the vertebra to transfer a sample of cerebrospinal fluid for science laboratory analytic thinking .
Is a Psychological Examination Necessary for Diagnosing Migraine?
A psychological evaluation is n’t necessary to get a diagnosis of hemicrania . But your health care provider may recommend that you get one because of thelink between depression , anxiousness , and migraine .
[ 17 ]
[ 18 ]
Do I Need a Formal Diagnosis of Migraine to Receive Treatment?
If you see most , but not all , of the ICHD touchstone , your doctor may diagnose you with likely migraine , according to the American Headache Society . You may be call for to continue to track your symptom and the frequency and rigorousness of your vexation to receive a formal diagnosing of migraine .
In the lag , depending on which symptoms you have , your caution supplier will develop a intervention plan for how practiced to manage your flack .
Jason Chua , MD , Ph.D. , is an assistant professor in the Department of Neurology and Division of Movement Disorders atJohns Hopkins School of Medicine . He obtain his preparation at the University of Michigan , where he hold medical and alumna degrees , then complete a residence in neurology and a combined clinical / research family in movement upset and neurodegeneration .
Dr. Chua ’s primary research interests are in neurodegenerative disease , with a special focus on the cellular housework pathway of autophagy and its encroachment on disease development in diseases such as Parkinson disease . His work has been supported by multiple research preparation and career evolution grants from the National Institute of Neurological Disorders and Stroke and the American Academy of Neurology . He is the primary quill or coauthor of 14 equal - reviewed scientific publication and two compeer - reviewed online learning faculty from the American Academy of Neurology . He is also a kick in source to The Little Black Book of Neurology by Osama Zaldat , MD and Alan Lerner , MD , and has peer reviewed for the scientific daybook Autophagy , eLife , and Neurobiology of Disease .
Becky Upham has been professionally involved in wellness and wellness for almost 20 years . She ’s been a race music director , a recruiter for Team in Training for the Leukemia & Lymphoma Society , a salesperson for a major pharmaceutical caller , a blogger for Moogfest , a communicating manager for Mission Health , a fitness instructor , and a health coach .
She majored in English at the University of North Carolina and has a master ’s in English writing from Hollins University .
Upham enjoys teaching cycling course of study , running , reading fable , and draw playlist .
Migraine