[23F] Experiencing recurrent migraines without aura

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Migraine without Aura: Migraines can occur with or without aura. Since you have a history of migraines with aura, it's possible that these current headaches are migraines without aura. Common symptoms include intense headache, nausea, and sensitivity to light, sound, or smells.

  • Treatment: Sumatriptan, which you are already taking, is commonly used to treat migraines. Other treatments include over-the-counter pain relievers like Tylenol, anti-nausea medications, and preventive medications if migraines are frequent.

• Chronic Migraine: If you have been experiencing headaches for 15 or more days per month for at least three months, it might be classified as chronic migraine.

  • Treatment: Preventive medications, lifestyle changes, and avoiding known triggers can help manage chronic migraines.

• Tension-Type Headache: These headaches can also cause pain in the temples and forehead and are often triggered by stress, poor posture, or eye strain.

  • Treatment: Over-the-counter pain relievers, stress management techniques, and proper posture can help alleviate symptoms.

What you can do

Here are some steps you can take to manage your symptoms:

1. Avoid Triggers: Since light, strong smells, and loud noises worsen your headaches, try to avoid these triggers as much as possible.
2. Stay Hydrated: Dehydration can trigger headaches, so make sure you are drinking enough water throughout the day.
3. Maintain a Regular Sleep Schedule: Irregular sleep patterns can contribute to migraines. Aim for consistent sleep and wake times.
4. Use Ice Packs: Continue using ice packs, as they provide relief for you.
5. Over-the-Counter Medications: Use Tylenol as needed, but be cautious about overuse, as it can lead to medication-overuse headaches.
6. Consult Your Doctor: Since your headaches are frequent and severe, it would be best to consult your doctor for a formal assessment and to discuss preventive treatment options.

What you should look out for

Seek medical attention if you experience any of the following:

• A sudden, severe headache that feels like a "thunderclap"
• Headache following a head injury
• Fever, neck stiffness, or changes in vision
• Confusion, weakness, or difficulty speaking
• Scalp tenderness or sensitivity to touch

Remember, while I can provide information based on your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.