Welcome to Qoctor’s online doctor service which can provide assessment and treatment for Migraine.
Our online doctor will ask you some questions about your health, and may advise a video consultation.
Once you’ve been assessed, treatment may be recommended- you can then opt to have a paper prescription sent to your home or local pharmacy, or medication delivered to an address of your choice, from one of our partner pharmacies.
- Migraine is not the same as a headache. It is a more complex condition, which usually causes a severe throbbing headache, often associated with sensitivity to light and nausea or vomiting.
- Symptoms may last for hours or days. Some people get odd sensations several hours before the headache, like a change in mood or appetite.
- Others may get an “aura” 20-60 minutes before the headache. An aura most often involves a disturbance of vision, but less commonly may cause numbness of the arm and/or face, or problems with speech. Click here to find out more about Migraine auras. If you have not been previously diagnosed with Migraine or you you get these symptoms for the first time, an ambulance should be called, as it could be a stroke.
Common Questions and Answers
Using pain relief or triptans too often may cause medication overuse headache.
If you take pain relief or triptans on most days, this may be a factor in your headaches and you should see your doctor for further assessment.
Aside from avoiding triggers, Migraine sufferers may get relief from medications such as painkillers and triptans. If Migraine is happening several times a month, a preventive medication may be recommended by your doctor.
- Migraine is usually diagnosed by a doctor on the basis of symptoms and clinical examination.
- Further investigation such as a brain scan may be organised to rule out other causes.
It’s not always possible to identify a trigger, but the following things may cause Migraine in some people:
- Dietary factors- cheese, chocolate, red wine, citrus fruits, and foods containing an additive called tyramine.
- Excessive dieting.
- Psychological factors- stress/anxiety, depression and sleep disturbances.
- Environmental triggers- bright lights, loud noises or strong smells.
- Medications- for example HRT and the contraceptive pill.
- Menstruation and the menopause.
Yes, there are various types of Migraine, which have typical symptoms:
- Migraine without aura- ‘common migraine’
The most common type of Migraine consists of a severe throbbing one-sided headache. There may be associated symptoms of nausea, vomiting, light sensitivity and blurred vision.
- Migraine with aura- also called ‘classical migraine’
Similar to a common Migraine but the headache is accompanied by an aura which occurs up to 60 minutes before the headache.
- Menstrual Migraine
These are Migraine attacks (with or without aura) that are associated with periods (menstruation).
- Abdominal Migraine
This usually occurs in children and consists of recurrent abdominal pain in children who may or may not have an associated headache. Commonly, children who have Abdominal Migraine go on to develop migraine in their teenage years.
- Hemiplegic Migraine
This type of Migraine is associated with weakness in the arm and leg on one side of the body.
If you have these symptoms for the first time or you are not sure if this is a Migraine, call an ambulance immediately as you could be suffering from a stroke.
- Ocular Migraine
This type of Migraine causes temporary loss of all or part of the vision in one eye with or without the presence of a headache. You should call an ambulance if you get a sudden loss of vision (particularly if it occurs for the first time) as there are various serious conditions that need to be ruled out before ocular migraine can be diagnosed.
- Basilar Migraine
This type of Migraine is rare and symptoms include headache at the back of the head with associated visual disturbance, dizziness, loss of balance, jerky eye movements, trouble hearing and slurred speech
You should call an ambulance if you get these symptoms as there are various serious conditions that need to be ruled out before basilar migraine can be diagnosed.
- The cause of Migraine is not entirely clear.
- However, a common theory is that blood vessels in parts of the brain become narrower (go into spasm) which causes the aura.
- The blood vessels are then thought to open wide (dilate) soon afterwards, which accounts for the headache.
- There may also be a genetic factor involved as it often occurs in several members of the same family.
- Sensitivity to light (photophobia)
- Nausea or vomiting
- Sensitivity to sounds (phonophobia)
- Aura – this is a group of symptoms that may happen before a Migraine attack
- Common aura symptoms may include:
- Visual disturbances such as zig zag lines, flashing lights, shimmering or flickering spots, or even blind spots.
- Sensory disturbances such as olfactory hallucinations (experiencing a smell that isn’t there); numbness affecting the face, arms or legs; rarely weakness down one side of the body or speech disturbances. Anyone who experiences these symptoms for the first time should seek emergency medical attention as it could be a stroke.
Migraine headaches are usually severe and throbbing. They tend to involve one side of the head (though not always) and last between 4 and 72 hours.
A Migraine attack may consist of defined phases:
- A warning phase may occur – a sensation that a migraine is about to happen.
- Some people may experience an aura (described below).
- The headache phase.
- The resolution phase as the headache gradually fades.
- Migraine is a common cause of headache, affecting around 1 in 5 Australians. But it’s more than just a headache- there are usually accompanying symptoms, such as nausea, vomiting, an aversion to bright light (photophobia) and sometimes an “aura” before the headache starts.
- Migraine headaches may vary in severity, frequency and impact on daily life.
Health Library- Headaches & Migraine
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What's a migraine and what is an aura? A migraine is not just a bad headache! It can be a much more complex condition-and some people experience symptoms that are pretty strange. Migraine usually involves a severe throbbing headache behind one eye, difficulty being in the light, and nausea or vomiting , and an episode can last from hours to days. Sometimes people get odd sensations many hours before the headache occurs, like a change in mood or appetite. Click here to get your online medical certificate now So what's an aura? Just before the headache starts, some people develop an “aura”- this most commonly involves a disturbance in vision- which may include flashes of light, blind spots or shimmering lines. A migraine aura may also cause numbness which affects the arm and then face (though usually there are visual symptoms too). Even less commonly, [...]
Migraine is a common condition affecting about 1 in 5 Australians at some time in their life. It is much more common in women than men. Some people get migraines very frequently, others get them rarely. Migraine usually causes a severe throbbing headache behind one eye, difficulty being in the light, and nausea or vomiting. Symptoms may last for hours or days. The 3 types of migraine (1) Migraine without aura (common) (2) Migraine with aura (common) (3) Hemiplegic migraine (rare) Click here to get your online medical certificate Whats a migraine aura? Just before the headache starts, some people develop an “aura” lasting 20 to 60 minutes. An aura most often involves a disturbance of vision. Less commonly, migraine sufferers will develop numbness during their aura, which may affect the arm and then face (though usually there are visual symptoms too). Even less commonly, an [...]