When considering migraine headache symptoms it is important to note that migraines develop in four stages but not everyone experiences all four stages. Those suffering from classic migraines , now classified by the Headache Society as migraine with aura, are the most likely to go through all four stages. Others suffering from migraine without aura may also experience the same stages but will not consciously be aware of them. Sometimes reference is made to a fifth stage which is the interval between migraines .
First Stage – Prodrome Or Premonition
This stage normally begins one or two days before the onset of the actual migraine headache. Many call this the premonition stage. Feelings and emotions during this period are all over the place. Some become giddy, ecstatic, vibrant and happy to a much greater extent than normal. Others are at the opposite end of the spectrum experiencing fatigue, weakness and irritability normally to a greater extent than normal. There is no “one size fits all” when it comes to the prodrome. Anything can point to a migraine coming on. So it is important you discover what your signs are if you want to control and manage your headache.
Second Stage – The Aura
This affects only about twentyfive percent of sufferers and so is missed by most. For those it does affect the aura can start anything from a few minutes to as much as an hour before the headache starts. Auras are visual disturbances experienced by those who suffer from migraines . Objects may appear to have bright or flashing lights or halos around them. They may also “see” lightening flashes arcing across their field of vision or black spots that gradually get bigger until they become almost blind just prior to the pain starting.
Third Stage – The Headache
This stage can last for as little as four hours or go on for several days. The most usual pain is a headache that is one sided which throbs or pulses. It is often accompanied by gastric upset, nausea, vomiting, heightened sensitivity to light, sound or smell and may sometimes be a combination of all three.
Fourth Stage – Postdromal
The after effects of a migraine can often be as unpleasant as the build up to one. Often the relieved migraine sufferer will experience tenderness of the head, neck and stomach as well as feeling weak and fatigued.
By Duncan Smith
