Migraine vs Headache: Know the root cause for Head Pain

Headaches are a common complaint, but they don’t always occur under the same circumstances. Some people wake up with a headache, others feel it after spending time in the scorching sun. For some, it strikes late at night, while for others, it comes on after being overwhelmed with tasks.

But when is a headache just a normal part of life and when could it be a sign of something more serious?

Headaches are among the most frequent reported health concern worldwide.

Whether it strikes as a dull ache or pounding, throbbing sensation, it can significantly disrupt your daily life.

But how can you tell if it’s a simple headache or underlying health concern like Migraine?

Headaches and its Types

    It may be localized to one area or widespread, mild or severe, and it can last anywhere from minutes to days.

    Types of Headaches

    There are actually more than 150 types of headaches, but the most common ones are mentioned here:

    • Tension Headache:

    This common type of headache is often triggered by stress or muscle tension. It typically causes a dull, aching pain around the forehead or at the back of the head and neck.

    • Cluster Headache:

    This occurs in cyclical patters or else in clusters and often described as extremely severe pain behind one eye or one side of the head. Though less common, it is extremely painful.

    • Sinus Headache:

    This type of headache is associated with sinus infections or inflammation. The pain is often felt around the eyes, cheeks, and forehead.

    • Chronic Headache:

    If you experience headaches for 15 or more days per month, you might be suffering from chronic headache, which may be caused by overuse of medication, underlying illness, or stress.

    Causes of Headaches

    Daily headaches can occur for various reasons and are generally categorized as either primary or secondary headaches.

    Primary headaches occur independently and are not linked to any other medical condition, while secondary headaches result from an underlying health issue.

    Root causes of Primary Headache:

    • Stress and anxiety
    • Skipping meals
    • Lack of sleep
    • Hormonal changes
    • Alcohol or caffeine overuse

    Root causes of Secondary Headache:

    • Sinus infection
    • Ear infection
    • Eye strain/vision problems
    • High BP

    Other reasons:

    • Dehydration
    • Medication overdose
    • Nutritional deficiency

    How Headache is Different from Migraine?

    A migraine is a specific type of headache, but it’s much more intense, causing intense pain on one side of the head.

    It is most often accompanied by symptoms like nausea, sensitivity to light and sound, and visual disturbances.

    These episodes can last from several hours to several days and often interfere with daily life.

    Migraines usually progress through four stages, although not everyone goes through all of them.

    Below is an overview of each stage and its symptoms:

    Prodrome

    It occurs hours or even days before the migraine.

    Symptoms:

    • Mood changes (e.g., depression, irritability, euphoria)
    • Food cravings
    • Frequent yawning
    • Constipation
    • Neck stiffness
    • Increased urination
    • Difficulty concentrating
    • Fatigue

    Aura

    Usually occurs shortly before or during the headache and it’s experienced by about 25–30% of migraine sufferers.

    Symptoms:

    • Numbness or tingling
    • Speech or language difficulties (aphasia)
    • Ringing in your ears
    • Muscle weakness
    • Dizziness
    • Seeing flashing lights or blind spots

    Headache Attack stage

    Can last from 4 to 72 hours.

    Symptoms:

    • Throbbing headache (pain felt on one side of the head)
    • Nausea and/or vomiting
    • Increased sensitivity to light (photophobia), sound (phonophobia), and occasionally smell (osmophobia)
    • Blurred vision or visual disturbances

    Postdrome (the final phase of migraine attack)

    Can last from 24 to 48 hours.

    Symptoms:

    • Fatigue or exhaustion
    • Difficulty concentrating
    • Dizziness
    • Generalized body soreness
    • Moodiness

    Root Cause of Migraines:  

    Neurological Imbalance: Abnormal brain activity can lead to migraines by affecting nerve signals, blood vessels, and chemical balances.

    Hormonal Changes (for Women): Fluctuations in estrogen levels during periods, pregnancy, or menopause can trigger migraines.

    Genetics: If any of your family members have migraines, you’re more likely to experience them.

    Environmental Triggers: Exposure to bright lights, strong smells/odors, and loud noises.

    Can Stress Cause Migraines or Headaches?

    Absolutely, Yes.

    Both migraines and headaches are often triggered by stress.

    Emotional stress, work pressure, anxiety, or even excitement can set off a tension headache or a full-blown migraine.

    Practicing relaxation methods, yoga, and mindfulness can be effective in managing stress.

    Key Highlights: Difference Between Migraine and Headache

    If you’re wondering how to know if it’s a migraine or just a headache, observe the nature and severity of the pain and any accompanying symptoms.

    FeatureHeadacheMigraine
    Pain TypeDull, pressing painThrobbing or pulsing
    LocationOften both sides of the head.Usually one side
    DurationA few minutes or even hoursBetween 4 and 72 hours
    Associated SymptomsRareNausea, Extreme sensitivity to light and sound.
    Impact on Daily LifeMild to moderateOften debilitating

    How to Get Relief from Headache at Home?

    While medication is often necessary, many natural remedies can help reduce the frequency and severity of headache.

    Some Natural Ways include:

    Hydration: Drink adequate water (consistently) throughout the day.

    Cold Compress: Apply a cold pack to the forehead or the back of the neck for 15 minutes.

    Get Good Sleep: Aim for 7 to 9 hours of sleep per night. Make sure you do not sleep too little or too much.

    Essential Oils: Try Peppermint and lavender oil, which can offer soothing relief when applied.

    Include Magnesium Foods: Eat magnesium-rich foods to help ease a headache.  

    Diet Adjustments: Identify and avoid food triggers like chocolate, aged cheese, or processed meats.

    Regular Sleep: Stick to a sleep schedule to prevent disruptions in your circadian rhythm.

    Yoga and Meditation: These help reduce stress and muscle tension.

    Limit Screen Time: Reducing eye strain helps with tension headaches.

    When to See a Doctor for a Headache?

    While most headaches are not serious, some symptoms require medical attention. Consult your doctor if you experience:

    • Sudden, severe head pain
    • Headaches after a head injury
    • Chronic/persistent headaches occurring more than 15 days/month
    • Visual disturbances or speech issues
    • Weakness, numbness, or confusion
    • Headaches that occur along with fever, neck stiffness, or vomiting

    Early diagnosis and treatment can prevent headaches from becoming chronic or signaling a more serious underlying condition.

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