Some feel unusually refreshed or euphoric after an attack others experience depression and malaise. After the headache, the patient often feels tired, washed out, irritable, or listless, and can have impaired concentration, scalp tenderness, or mood changes. Depression, fatigue, anxiety, nervousness, irritability, and impairment of concentration are common. Blurry vision, nasal stuffiness, anorexia, hunger, tenesmus, diarrhea, abdominal cramps, polyuria, facial pallor, sensations of heat or cold, and sweating might occur. Sensory hypersensitivity results in patients seeking a dark, quiet room. Nausea occurs in almost 90% of patients, while vomiting occurs in about a third. It lasts 4-72 h in adults and 1-72 h in children.Īnorexia is common. Pain can be bilateral (40%) or start on one side and become generalized. The typical headache attacks experienced by migraine sufferers is unilateral, of gradual onset, throbbing (85%), moderate to marked in severity, and aggravated by movement.
Prevalence increases until about age 40 years, then declines. After puberty, prevalence increases more rapidly in girls than in boys. Before puberty, migraine prevalence is about 4%. It is a common disorder (in the USA, 18% of women and 6% of men had at least one migraine attack in the previous year). Migraine is a primary episodic headache disorder characterized by various combinations of neurological, gastrointestinal, and autonomic changes. Main cognitive and mood symptoms include decreased attention and concentration, decreased visuospatial skills, depression, anxiety, and irritability. Physical symptoms generally include headache (usually throbbing in nature), dizziness, anorexia, diarrhea, tremulousness, fatigue, and nausea. It comprises a constellation of physical, cognitive, and psychological disturbances. Alcohol hangover, or “veisalgia”, is a well-known and fairly common phenomenon that generally occurs after heavy consumption of alcohol.
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