The Four Stages of Migraines
Migraines are a neurological illness, of which the most common symptom is an intense and disabling episodic headache. Migraines are normally characterized by extreme pain on one or both sides of the head and are typically accompanied by hypersensitivity to light, hypersensitivity to sound and nausea.
The signs and symptoms of migraine differ amongst persons. Therefore, exactly what an individual experiences before, during and after an attack can not be defined precisely. The four “signs and symptoms” below prevail amongst individuals but are not always experienced by all migraine patients:
1. The prodrome, which takes place hours or days before the headache
. 2. The aura, which instantly precedes the headache.
3. The headache stage. 4. The postdrome.
The first phase or prodrome Prodromal symptoms occur in 40 % to 60 % of migraineures. This stage includes modified state of mind, irritation, depression or ecstasy, fatigue, yawning, excessive drowsiness, craving for certain food (e.g., chocolate), and other vegetative signs. These symptoms typically precede the headache phase of the migraine attack by a number of hours or days and experience teaches the person or watchful family that the migraine attack is near.
The second stage or the Aura
The migraine aura is consisted of focal neurological phenomena that precedes or accompany the attack. They appear slowly over 5 to 20 minutes and generally decrease prior to the headache begins. Signs of migraine aura are generally sensory in nature.
Visual aura is the most common of the neurological events. There is a disruption of vision consisting generally of unformed flashes of white or hardly ever of multicolored lights (photopsia) or formations of spectacular zigzag lines (set up like the battlements of a castle, hence the term fortification spectra or teichopsia).
Some persons experience blurred or shimmering or cloudy vision, as though they were looking through thick or smoked glass. The somatosensory aura of migraines include digitolingual or cheiro-oral paresthesias, a feeling of pins-and-needles experienced in the hand and arm along with in the ipsilateral nose-mouth location. Paresthesia migrate up the arm and then extend to include the face, lips and tongue.
The third phase: The Headache The normal migraine headache is unilateral, throbbing, moderate to extreme and can be exacerbated by physical activity. Not all of these functions are needed. The discomfort may be bilateral at the start or begin on one side and end up being generalized, generally alternates sides from one attack to the next.
The onset is usually gradual. The pain comes to a head and then subsides, and typically lasts between 4 and 72 hours in grownups and 1 to 48 hours in children. The frequency of attacks is very variable, from a couple of in a lifetime to a number of times a week, and the typical migraineur experiences from one to three migraines a month.
The head pain differs greatly in strength. The pain of migraines is usually accompanied by other features. Anorexia prevails, and queasiness occurs in practically 90 percent of individuals, while throwing up happens in about one third of individuals.
Many individuals experience sensory hyperexcitability manifested by photophobia, phonophobia, osmophobia and seek a dark and peaceful room. Blurred vision, nasal stuffiness, diarrhea, polyuria, pallor or sweating might be noted throughout the headache stage. There may be localized edema of the scalp or face, scalp tenderness, prominence of a vein or artery in the temple, or stiffness and inflammation of the neck. Problems of concentration and mood are common. Lightheadedness, rather than real vertigo and a feeling of faintness may take place. The extremities tend to be cold and damp.
The 4th phase
: postdrome stage The individual might feel exhausted, “rinsed”, irritable, listless and might have impaired concentration, scalp inflammation or mood modifications. Some people feel uncommonly refreshed or euphoric after an attack, whereas others keep in mind depression and despair.
The information presented here must not be interpreted as medical recommendations. If you or somebody you know struggles with migraines, please seek professional medical advice for the most recent treatment alternatives.
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