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Strong or Unusual Migraine

An extensive guide from TGH Urgent Care powered by Fast Track to understand Migraines

Migraines are a common and debilitating neurological disorder that affects millions of people worldwide. At TGH Urgent Care powered by Fast Track, we believe that it is essential to provide our patients with comprehensive information about migraines to enhance their understanding, management, and overall well-being. In this guide, we will explore various aspects of migraines, including their causes, symptoms, diagnosis, treatment options, and prevention strategies.

What Is a Migraine?


A migraine is a complex neurological condition characterized by severe and recurring headaches that are often accompanied by other symptoms. It is more than just a typical headache and can significantly impact a person’s quality of life.


Migraines are prevalent worldwide, affecting approximately 1 in 7 people. They are more common in women than men, with hormonal fluctuations often playing a role in triggering attacks.

Types of Migraines

There are several types of migraines, including:

Migraine without Aura (Common Migraine): This type accounts for the majority of migraine cases and is characterized by moderate to severe headache pain without preceding warning signs.

Migraine with Aura (Classic Migraine): In this type, individuals experience specific sensory disturbances or visual changes, known as auras, before the headache begins.

Chronic Migraine: Chronic migraines occur when a person experiences headaches on 15 or more days per month for at least three months, with at least eight of those headaches being migraines.

Causes and Triggers

Genetic Factors

Research suggests that genetics play a significant role in predisposing individuals to migraines. If one or both parents have a history of migraines, the risk of experiencing them increases.

Neurological Factors

Migraines are primarily neurological disorders. They are thought to involve abnormal brain activity, including changes in neurotransmitters like serotonin.


Migraines can be triggered by various factors, including:

  • Food and Beverages: Certain foods and drinks, such as alcohol, caffeine, aged cheeses, and processed foods, can trigger migraines in some individuals.
  • Hormonal Changes: Hormonal fluctuations during menstruation, pregnancy, or menopause can trigger migraines in women.
  • Stress: Emotional or physical stress can trigger migraines or make them more severe.
  • Sleep Disturbances: Lack of sleep or irregular sleep patterns can increase the risk of migraines.
  • Environmental Factors: Sensory stimuli like bright lights, loud noises, or strong odors can trigger migraines.
  • Weather Changes: Some people are sensitive to weather changes, such as sudden drops in barometric pressure.

Symptoms of Migraine


The hallmark symptom of a migraine is a severe, throbbing headache that is often limited to one side of the head. It can last for hours or even days and is typically aggravated by physical activity.


In migraine with aura, individuals may experience visual disturbances, such as flashing lights, zigzag lines, or blind spots, before the headache begins. Other sensory disturbances, like tingling or numbness in the face or limbs, can also occur.

Nausea and Vomiting

Many migraine sufferers experience nausea and vomiting during an attack.

Sensitivity to Light and Sound

Sensitivity to light (photophobia) and sound (phonophobia) is common during a migraine attack.

Other Symptoms

Migraine attacks can also be accompanied by symptoms like fatigue, dizziness, and difficulty concentrating.


Medical History

A crucial step in diagnosing migraines involves taking a detailed medical history. Patients should provide information about the frequency, duration, and characteristics of their headaches, as well as any associated symptoms.

Physical Examination

A physical examination can help rule out other potential causes of headaches and identify any neurological abnormalities.

Diagnostic Criteria

To be diagnosed with migraines, patients must meet specific criteria established by the International Classification of Headache Disorders (ICHD).

Imaging and Tests

In some cases, healthcare providers may order imaging tests like MRI or CT scans to rule out other underlying conditions that could be causing the symptoms.

Treatment Options

Acute Treatment

The goal of acute migraine treatment is to relieve pain and alleviate associated symptoms during an attack. Common acute treatment options include:

  • Pain Relievers: Over-the-counter (OTC) pain relievers like ibuprofen or aspirin may provide relief for mild to moderate migraines.
  • Triptans: Triptans are prescription medications that specifically target migraine symptoms by constricting blood vessels and blocking pain pathways.
  • Anti-nausea Medications: Medications like metoclopramide or prochlorperazine can help control nausea and vomiting.
  • Ergotamine: Ergotamine medications are sometimes used for severe migraines that do not respond to other treatments.

Preventive Treatment

For individuals with frequent or severe migraines, preventive treatment may be necessary. These medications are taken regularly to reduce the frequency and severity of migraine attacks. Common preventive medications include:

  • Beta-blockers
  • Antidepressants
  • Antiepileptic drugs
  • Botox injections
  • CGRP inhibitors (a new class of medications)

Lifestyle Modifications

Lifestyle changes can be effective in preventing migraines. These may include:

  • Identifying and avoiding triggers
  • Establishing a regular sleep schedule
  • Managing stress through relaxation techniques
  • Dietary modifications

Coping Strategies


Understanding migraines is essential for coping with the condition. Patients should educate themselves about triggers, symptoms, and treatment options.


Keeping a migraine diary can help identify patterns and triggers, making it easier to manage and prevent attacks.

Stress Management

Stress is a common trigger for migraines. Learning stress-reduction techniques such as meditation, yoga, or deep breathing exercises can be beneficial.

Support System

Having a support system of friends and family can provide emotional support during migraine attacks.

Medication Management

Strictly adhering to prescribed medications and discussing any side effects or concerns with a healthcare provider is crucial for effective migraine management.

When to Seek Urgent Care

While most migraines can be managed with at-home treatments or by following a healthcare provider’s recommendations, there are situations in which urgent care or emergency services should be sought:

“Red Flags”

Seek immediate medical attention if any of the following “red flags” accompany a headache:

Sudden and severe headache

  • Headache with neurological symptoms like weakness or difficulty speaking
  • Headache following a head injury
  • New-onset headache in individuals over 40
  • Headache associated with a fever, rash, or stiff neck
  • Inadequate Response to Medication

If a prescribed migraine medication does not provide relief or if the headache becomes progressively worse, consult a healthcare provider.

Status Migrainosus

Status migrainosus is a rare and severe form of migraine characterized by an extended and debilitating headache that lasts for more than 72 hours. It requires immediate medical attention.


In conclusion, migraines are a complex neurological condition that can significantly impact a person’s life. At TGH Urgent Care powered by Fast Track, we are committed to providing our patients with extensive information and care to help them manage migraines effectively.

By understanding the causes, symptoms, diagnosis, and treatment options, individuals can take control of their migraine management and improve their quality of life. If you or a loved one suffers from migraines, we encourage you to seek professional medical advice at any of 15+ Walk in clinics across Tampa, FL to develop a personalized treatment plan tailored to your needs.

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