Migraines have four stages of development. Those people
suffering classic migraines, those with aura, are the most likely to experience
all four stages. Sufferers with common migraines, without aura, will go through
the same stages but will not be knowingly aware of them. The period between
migraines is sometimes termed the fifth stage of migraine.
1. Prodrome
This stage typically starts about one or two days before the
actual migraine headache, with many sufferers calling it the “premonition”
phase. Each migraineur will have personal signal profiles. Some may feel
happier and more energetic than usual, whereas others may feel more tired and
irritable. These individual signs should be recognised and understood if the
migraine is to be prevented.
2. Aura
Since the majority of migraineurs suffer common migraines,
this stage is omitted, but for those that suffer classic migraines, auras may
begin at any point between five minutes to an hour before the start of the
headache. Auras are the visual effects associated with migraines and can range
from objects appearing to have haloes around them, to flashes of light arcing
within the field of vision until sight becomes impaired, just before the pain
begins.
3. Headache
This stage can vary in length, lasting anywhere from four to
seventy two hours. The most frequent type of headache is that which is
distinguishable by a throbbing to one side of the head. The headache can be often
combined with stomach upsets, nausea and sensitivity to light, sound and smell.
4. Postdrome
The aftermath of a migraine can be just as bad as the build
up. The postdrome phase typically involves soreness of the head, stomach and
neck, as well as tiredness and weakness.
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