Monthly Migraines: Symptoms and Diagnosis Explained - Internal Medicine

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Periodic attacks, I suspect it's a migraine. Please take a look?


I would like to ask if experiencing the following symptoms once a month is considered "migraine": 1.
The onset of visual disturbances such as bright spots, leading to blurred vision.
2.
The bright spots may disappear, but sometimes they do not, followed by a headache (which is typically located in the forehead area above the eyes).
3.
Accompanied by the headache, there is a sensation of nausea that occurs after a while.
In summary: Could this be classified as "migraine"?

Liu, 10~19 year old female. Ask Date: 2007/06/13

Dr. Chen Qingbin reply Internal Medicine


It is likely a migraine; it is best to visit a hospital for diagnosis and treatment.

Reply Date: 2007/06/13

More Info


Migraines are a common neurological condition characterized by recurrent headaches that can be moderate to severe in intensity. They often come with a variety of symptoms, including visual disturbances, nausea, and sensitivity to light and sound. Based on the symptoms you've described, it does sound like you may be experiencing a type of migraine known as a "migraine with aura."
1. Symptoms of Migraine with Aura: The symptoms you mentioned, such as the appearance of light spots (often referred to as "aura"), followed by a headache, are classic indicators of a migraine with aura. Auras can manifest as visual disturbances, including flashing lights, zigzag lines, or temporary vision loss. These symptoms typically precede the headache phase and can last from a few minutes to about an hour.

2. Headache Phase: After the aura phase, the headache usually begins, often localized to one side of the head, although it can occur bilaterally. The pain can be throbbing or pulsating and is often accompanied by nausea or vomiting, which you also mentioned experiencing. This aligns with the typical presentation of migraines.

3. Diagnosis: To diagnose migraines, healthcare providers typically rely on a patient's history and symptom description. The International Classification of Headache Disorders (ICHD) outlines specific criteria for diagnosing migraines, including the frequency, duration, and characteristics of the headaches and associated symptoms. If your headaches occur monthly and follow the pattern you've described, they may indeed be classified as migraines.

4. Triggers and Management: Migraines can be triggered by various factors, including hormonal changes, stress, certain foods, and environmental factors. Keeping a headache diary can help identify potential triggers. Management may include lifestyle modifications, over-the-counter pain relief medications, and, in some cases, prescription medications specifically designed for migraine prevention or treatment.

5. When to Seek Medical Attention: If your migraines worsen, change in pattern, or if you experience new symptoms (such as sudden vision changes, weakness, or confusion), it is crucial to seek medical attention promptly. These could be signs of a more serious condition.

6. Conclusion: Based on your symptoms, it is reasonable to conclude that you may be experiencing migraines, specifically migraines with aura. However, it is essential to consult a healthcare provider for a thorough evaluation and personalized treatment plan. They may recommend lifestyle changes, medications, or other therapies to help manage your symptoms effectively.

In summary, your symptoms align with those of migraines, particularly with aura. Keeping track of your symptoms and discussing them with a healthcare professional will help you manage your condition better and improve your quality of life.

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