Migraine in adults
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How do doctors diagnose migraines?

Your doctor will probably be able to diagnose migraine just by talking to you.
 
 
 
 
 
Source:
Dowson AJ, Sender J, Lipscombe S, et al.
Establishing principles for migraine management in primary care.
International Journal of Clinical Practice. 2003; 57: 493-507.
 
 
 
 
 
1

Or your doctor may refer you to a specialist called a neurologist. Again, the specialist may be able to tell that you've got migraine just by talking to you.

The doctor will probably ask you:
 
 
 
 
 
Source:
Dowson AJ, Lipscombe S, Sender J, et al.
MIPCA Migraine Guidelines Development Group. Migraine in primary care advisors: new guidelines for the management of migraine in primary care.
Current Medical Research and Opinion. 2002; 18: 414-439.
 
 
 
 
 
2

  • About the pain (where is it, what it feels like, and what makes it better or worse?)
  • How the headaches affect your life (what do you do when you have an attack?)
  • How often you get these types of headaches
  • If you get any other symptoms
  • Whether the other symptoms go away between headaches
  • Whether you have tried any over-the-counter medicines to treat your headaches (did they work?).
Your doctor asks these questions to help him or her decide whether you have migraines or another type of headache.
 
 
 
 
 
Source:
Dowson AJ, Lipscombe S, Sender J, et al.
MIPCA Migraine Guidelines Development Group. Migraine in primary care advisors: new guidelines for the management of migraine in primary care.
Current Medical Research and Opinion. 2002; 18: 414-439.
 
 
 
 
 
2 For example, sometimes people take painkillers too often and this can actually cause a headache. This type of headache is called a medication-overuse headache, and it can become an almost-daily problem.

Another common type of headache is called a tension-type headache. This type of headache usually causes mild to moderate pain affecting both sides of the head, and it may be triggered by stress.
 
 
 
 
 
Source:
Kaniecki R.
Headache assessment and management.
Journal of the American Medical Association. 2003; 289: 1430-1433.
 
 
 
 
 
3

Sources for the information on this page:
  1. Dowson AJ, Sender J, Lipscombe S, et al.Establishing principles for migraine management in primary care.International Journal of Clinical Practice. 2003; 57: 493-507.
  2. Dowson AJ, Lipscombe S, Sender J, et al.MIPCA Migraine Guidelines Development Group. Migraine in primary care advisors: new guidelines for the management of migraine in primary care.Current Medical Research and Opinion. 2002; 18: 414-439.
  3. Kaniecki R.Headache assessment and management.Journal of the American Medical Association. 2003; 289: 1430-1433.
This information was last updated on May 12, 2009
BMJ Group
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.
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