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Learn to differentiate headache and migraine

Migraine is one of the leading reasons for consultation and one of the disorders that most reduces quality of life, according to the World Health Organization.

Migraine is a type of headache that occurs more frequently in women than in men; it can have a hereditary component and, depending on the frequency of episodes, can affect work and school performance, as well as social relationships.

In this article, we'll learn how to differentiate between migraines and headaches; to do this, we'll start by discussing how to classify pain.

Headaches can be differentiated according to:

  • The intensity is mild, moderate or severe.
  • The duration in acute or chronic.

Once this point is defined, it is important to identify whether the pain is accompanied by other symptoms or if it is due to another condition (anemia, vision problems).

When the pain isn't caused by another condition, we call it a primary headache; this category includes migraines and tension headaches, the two most common types of headaches in our area.

What is the presentation of tension headache?

  • It usually presents as a pressing pain, which feels like a weight, a stabbing or a burning sensation.
  • It is located on both sides of the head and is usually mild to moderate.
  • It can last from half an hour to seven days and,
  • It does not worsen with daily activities.

Treatment is based on the use of analgesics such as acetaminophen and NSAIDs (ibuprofen, naproxen) when the intensity of the pain warrants it.

What are the characteristics of migraine pain?

Migraine presents as pain that lasts between 4 and 72 hours, with complete recovery once the episode ends.

This pain is characterized by:

  • To be pulsating.
  • Located on one side of the head with severe to moderate intensity.
  • It may be associated with nausea, vomiting, and sensitivity to light or loud sounds.

Treatment for acute migraine episodes includes the use of pain relievers such as acetaminophen and NSAIDs.

However, when episodes occur more than three times a month, are disabling, or symptomatic treatment fails, preventive treatment may be necessary.

Finally, there are some warning signs about headaches that indicate that a detailed study by the treating physician is required:

  • Pain that begins after age 50 or before age 10.
  • It occurs after exercise, a change of position, or coughing.
  • It is accompanied by symptoms such as fever; skin rashes; night sweats; weight loss; and altered mental status.
  • Persistent headache in the morning accompanied by nausea.

Remember to consult a doctor if symptoms persist. Avoid self-medication and excessive use of painkillers, which, far from relieving pain, can cause it to become chronic.

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