Common Symptoms of Left-Sided Migraine Attacks - Internal Medicine

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Common symptoms of migraine?


I have been healthy since childhood and have never experienced headaches before.
However, during my sophomore year in college, I started having headaches.
The symptoms are as follows: the pain is primarily on the left side, and my entire left side feels uncomfortable.
When the pain is severe, it radiates to the bones above my left eye.
Usually, the discomfort is around my left temple, accompanied by nausea.
I feel uneasy when I see food, and eating makes me nauseous and leads to vomiting (even though I usually love to eat).
I can't sit still or stand; I just want to lie down and sleep.
Is this normal? Is this how typical headaches feel, or are there many different types depending on each person's constitution?

Amei, 20~29 year old female. Ask Date: 2004/09/29

Dr. Cai Zonglong reply Internal Medicine


Hello: It is recommended to consult a neurologist for headaches, as they can provide a more detailed explanation for your condition.
Wishing you good health.

Reply Date: 2004/09/29

More Info


Understanding the symptoms of left-sided migraine attacks can be quite complex, especially since migraines can manifest differently in each individual. Based on your description, it sounds like you are experiencing a classic case of migraine, particularly with the left-sided pain and associated symptoms.

Migraines are a type of primary headache disorder characterized by recurrent headaches that can be moderate to severe in intensity. They often present as a throbbing or pulsating pain, typically on one side of the head, which aligns with your experience of left-sided pain. The pain can be exacerbated by physical activity, light, or sound, and is often accompanied by other symptoms such as nausea, vomiting, and sensitivity to light and sound.

Your symptoms of discomfort on the left side of your body, particularly around the left temple and extending to the eye area, are common in migraine sufferers. The sensation of nausea and the aversion to food, which you described, are also typical migraine symptoms. Many individuals report that during a migraine attack, they may feel an overwhelming urge to lie down in a dark, quiet room, as you mentioned wanting to sleep.

The fact that you have not experienced headaches before your second year of college might suggest that your migraines could be triggered by various factors associated with this life change. Stress, changes in sleep patterns, dietary habits, and hormonal fluctuations are common triggers for migraines, particularly in young adults. It’s also worth noting that migraines can sometimes be preceded by an aura, which may include visual disturbances or sensory changes, although you did not mention experiencing these.

It’s important to recognize that while migraines are a common type of headache, there are many other types of headaches, including tension-type headaches and cluster headaches, which can also cause significant discomfort. Tension-type headaches, for example, often present as a tight band-like sensation around the head and are usually not associated with nausea or vomiting. Cluster headaches, on the other hand, are characterized by severe pain around one eye and can occur in cyclical patterns.

Given the severity and frequency of your symptoms, it would be advisable to consult with a healthcare professional, preferably a neurologist, who specializes in headache disorders. They can provide a thorough evaluation, which may include a physical examination and possibly imaging studies, to rule out other potential causes of your headaches. Additionally, they can help you identify specific triggers and develop a tailored treatment plan, which may include lifestyle modifications, preventive medications, or acute treatments to manage your migraine attacks.

In summary, while your symptoms are consistent with left-sided migraines, it is essential to seek professional medical advice to confirm the diagnosis and explore effective management strategies. Migraines can significantly impact quality of life, but with the right approach, many individuals find relief and can manage their symptoms effectively.

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