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Flextra DS

The most common form of migraine headache is appropriately called the common migraine. Unlike the classical type, the common migraine headache does not have distinctive phases. However, many of our patients report that hours or even days prior to an attack they experience various nonspecific symptoms, including mental cloudiness, unexpected mood changes, a noticeable gain in weight, and general fatigue. Some patients can reliably predict the onset of a headache as a result of these heralding symptoms.
Some people state that just prior to- an attack an overall sick feeling and irritability occur. One person told us that she becomes a “real bitch” the day before a migraine attack. Many patients tell us that they experience an intense craving for chocolate or salt prior to the onset of a headache.
Every so often an individual with migraine will experience a swelling of various parts of the body prior to the onset of the headache. This swelling is called edema (oedema), a word of Greek origin meaning an accumulation of fluid that results in swelling.
In addition to its lack of clear-cut phases, another feature distinguishing the common migraine from the classical migraine is that it is not unusual for common migraine to persist for at least three or four days before it subsides. The headache itself is quite similar to that of classical migraine except that the pain more frequently spreads throughout the head, face, and jaw, and occasionally localizes in the back of the head and in the neck region. The headache may be more intense on one side of the head and face, but the emphasis can shift from side to side in alternate attacks. This shifting of the painful area can also be a symptom of many classical migraine episodes.
Migraine headaches can awaken their victim from sleep during the night or early-morning hours. Nocturnal awakening with pain is a feature common to vascular headaches (migraine and cluster headaches) and is rarely seen in other types of headache conditions. Awakening in the morning with a headache, however, is common to many different types of headaches.
It is unusual for clear-cut neurological symptoms to occur in common migraine, but nausea and vomiting, diarrhea, and increased urination are very common during the three-or four-day ordeal. Some victims who vomit and cannot eat or drink during their attacks may lose enough fluid from their systems to become dehydrated. An increased sensitivity to odors is not unusual during an attack and may help bring on some of the nausea and vomiting, but other explanations, such as the presence of circulating chemical substances in the victim’s blood during migraine attacks, may also play a role in producing the nausea and vomiting.
Sensitivity to light, called photophobia, and increased sensitivity to sound, known as hyperacusis, frequently accompany the nausea and vomiting in the common migraine attack. They can also be evident in the classical form of migraine. Abdominal pain and mild fever may also be present.
It should be easy to understand why people with common migraine refer to their attacks as “sick headaches.” Sometimes, when the intensity of the attack increases, fainting occurs,
although it is not clear whether this is due simply to the headache pain or to other biological events that accompany it.

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