The Four Phases of Migraines

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Understanding the Four Phases of Migraines


Overview


Migraines are a neurological condition primarily marked by severe, debilitating headaches that can affect one or both sides of the head. These headaches are frequently accompanied by sensitivity to light and sound, as well as nausea.

Common Phases of a Migraine


Migraines can vary widely in how they present themselves, but many sufferers experience four distinct phases:

1. Prodrome Phase
2. Aura Phase
3. Headache Phase
4. Postdrome Phase

Prodrome Phase


The prodrome phase occurs in about 40% to 60% of people who suffer from migraines. This stage may include mood changes such as irritability, depression, or euphoria, as well as physical symptoms like fatigue, excessive yawning, and specific food cravings. These signs may appear several hours or even days before the headache itself, serving as an early warning of an impending migraine.

Aura Phase


The aura phase involves specific neurological symptoms that often precede the headache. These symptoms develop over 5 to 20 minutes and typically resolve before the headache starts. Commonly sensory in nature, auras can include:

- Visual Disturbances: These are the most common, featuring unformed flashes of light or dazzling zigzag patterns.
- Blurred or Shimmering Vision: Some people describe it as looking through cloudy or tinted glass.
- Sensory Changes: Tingling sensations that start in the fingers or around the mouth and can extend to the face and tongue.

Headache Phase


The headache phase is characterized by a throbbing pain that is usually unilateral but can spread to both sides. Physical activity can exacerbate the pain, which tends to peak and then diminish over a span of 4 to 72 hours in adults. Accompanying symptoms often include nausea, vomiting, and extreme sensitivity to light and sound. Other possible symptoms are vision changes, nasal congestion, and changes in mood or concentration.

Postdrome Phase


During the postdrome phase, individuals often feel drained, fatigued, and irritable. Some may experience euphoria or a sense of relief, while others might feel downcast or unwell. Residual symptoms like scalp tenderness or mood changes can also occur.

Important Note


This information should not replace professional medical advice. If you or someone you know suffers from migraines, consult a healthcare provider for the most up-to-date treatment options.

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