Symptoms of Migraine

A Warning

A warning may precede a migraine. In the hours or days before the headache, symptoms may include:

• A change in mood
• A change in behavior
• A change in the level of activity
• Fatigue
• Bloating
• Tense muscles
• Yawning
• Food craving or decreased appetite
• Nausea, vomiting, diarrhea
• Sensitivity to sound or light

An Aura

Some migraines are preceded by an aura. The most common aura is visual. The aura lasts about 15-30 minutes and may produce the following sensations:

• Flashing lights, spots, or zig zag lines
• Temporary, partial loss of vision
• Speech difficulties
• Weakness in an arm or leg
• Numbness or tingling in the face and hands
• Restlessness
• Confusion
• Dizziness, lightheadedness
• Speech disturbances
• Cognitive dysfunction

Very rarely, an aura can occur by itself, with no subsequent headache. In these cases, it is important to seek medical attention to make sure the symptoms are not due to a more serious cause such as stroke or seizure.

The Migraine Headache

Migraine pain starts within an hour of the aura ending. Symptoms include:

• A headache, usually on one side but may involve both sides. Typically, the headache feels:
  • Intense
  • Throbbing or pulsating
  • More severe with movement
• Nausea or vomiting
• Diarrhea
• Sensitivity to light or sound
• Sore or achy muscles
• Lightheadedness or dizziness

A Post-Headache Period

Migraines usually last from 4 to 72 hours. They often go away with sleep. After the headache, you may experience:

• Food intolerances or cravings
• Trouble concentrating
• Fatigue
• Sore muscles
• Irritability
• Restlessness
• Mood changes