Migraine symptoms: recognise the pattern and prepare a plan

For information only. Products do not replace diagnosis, treatment or a varied diet. Seek professional advice for symptoms, pregnancy and use by children.

Migraine often involves a throbbing headache, nausea and sensitivity to light or sound. Movement can make pain worse. Some people also experience aura, such as flashing lights or tingling. However, a severe headache is not automatically migraine, and a new symptom pattern needs assessment.

Keep a useful diary

Record the start, duration, associated symptoms and effect of each attack on everyday activities. Include which medicine you used and whether it helped. Note sleep, meals and menstrual timing where relevant. Look for your own pattern over time rather than eliminating a long list of foods in advance.

During a familiar attack

Move to a quiet, dim room if that is comfortable. Drink water according to thirst and follow the treatment plan already agreed with your clinician. Medicines for an attack and preventive treatments have different roles. If attacks are frequent or disrupt life, discuss prevention and whether pain medicines are being used too often. Consistent sleep, regular meals and gradual activity can support the daily routine.

Supplements are not a ready made migraine plan

Magnesium and riboflavin have been studied for prevention, but suitability and dose need individual professional advice. We do not recommend omega supplements, aloe drinks or immune formulas as migraine treatment. Evidence about an ingredient does not establish the effectiveness of every branded product.

A sudden worst headache, new weakness, speech difficulty, confusion, or headache with fever and a stiff neck requires emergency help. Do not wait for new neurological symptoms to pass by assuming they are aura.

Sources: NHS NHS NCCIH.