Q. How can I differentiate normal headache and a migraine headache?

Answered by Dr. Gerry Mike and medically reviewed by iCliniq medical review team.

 

New
Do you have a question on Migraine Headaches or Tachycardia? We have medical experts to help you right away. Ask a Doctor Now »
Image: How can I differentiate normal headache and a migraine headache?

Hi doctor,

I am 33 years old, female. I suffer from tachycardia (heart checked, everything is normal) and anxiety and depression, and dizziness only when I am walking. I am not having dizziness when I am lying, and I am a smoker too. I have a headache often but I cannot recognize if it is a migraine or not, and recently have my MRI scan on the brain.

Can you please tell me your opinion about the result? This is the impression: T2 FLAIR hyperintensity foci within the white matter in the centrum semi ovale and near the vertex which is more than expected, given patient's age. The distribution is non-specific. Most of this is atypical for demyelination.


Related Questions:
I am experiencing headaches due to light sensitivity. Why?
Can heart palpitations, tachycardia and shortness of breath due to mitral valve stenosis?
Does opiate withdrawal cause nausea, low BP, muscle pain and urea smell?
 

Dr. Gerry Mike
DOCTOR OF MEDICINE
Neuro Surgery

Hello,

Welcome to icliniq.com.

The tachycardia you are experiencing if the usual cardiac exam and diagnostics were already been done and showed normal result may have been coming from anxiety. This should be well tolerated and cannot produce you any harm. The dizziness and headaches should coincide with the same problem either what comes first will lead to the other symptom. Dizziness basically comes from so many factors like lack low iron supply in the blood or low red blood cell count. Other factors that can precipitate to this is benign positional paroxysmal vertigo or simply BPPV (basically a condition coming from your middle ear).

Diagnosis entails having blood exams like your complete blood count (CBC) and otological exam using an otoscope to check for inflammation and infection of the ears (which is a fairly common problem with BPPV. The exact mechanism on this is the head position that you need to identify so as to keep this dizziness to reoccur in certain positions. It would be helpful taking some Betahistine 16 mg tablet twice a day for this bout of dizziness. Headaches, on the other hand, could also be of so many things but usual causes are myogenic in nature. It can range from migraine headaches, cluster headaches, tension headaches, etc., and the treatment entails primarily with a Nonsteroidal anti-inflammatory drug (NSAID) like Ibuprofen taken every eight hours, but remember to take this religiously without fail to keep the drug's potency so as to make it effective.

Migraines usually occur with a strong family history. If you have a family member that exhibits this kind of headaches, then possibly you also have it. They are most of the time precipitated with a stressful insult, may it be from lack of sleep, skipping meals to a tiresome job. It is helpful if you could identify this stressor so as to avoid it. It would definitely help you. The MRI findings T2 flair hyperintensities foci within the white matter in the centrum semi ovale and near the vertex are incidental findings that do not correlate well to a disease. This particular signals in the brain are most often than not seen also in normal individuals and does not cause any symptoms at all. To conclude, it is nothing important and will not cause you trouble. This all should help you best as your guide.

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


I have inappropriate sinus tachycardia. Should I get a pacemaker?
Query: Hi doctor, I had been diagnosed with inappropriate sinus tachycardia nearly two years back. I have dizziness, chest pain, shortness of breath, not able to exercise, and anxiety. I am currently managing my symptoms with Ivabradine 5 mg, once a day, but the quality of life is very poor due to which ...  Read Full »
Dr. Sagar Ramesh Makode
Cardiologist

Answer: Hello, Welcome to icliniq.com. Firstly, do not get depressed, this is not a life-threatening condition, and may resolve with time. The symptoms may be troublesome for some time. How much are your resting and maximum heart rate? You should get yourself evaluated by a psychiatrist for anxiety and...  Read Full »
 
Why am I having constant eye floaters, low back and hip pain?
Query: Hello doctor, I am having constant eye floaters, low back and hip pain, also my rib cage hurts. I feel depressed and anxious like never before. I cannot sleep at night. MRI of brain shows tiny flair. Radiologists are saying that it is nothing to worry about. What should I do?  Read Full »
Dr. Shivam Om Mittal
Neurologist

Answer: Hi, Welcome to icliniq.com. Eye floaters are commonly associated with some issues with the visual field. So I would recommend consulting with an ophthalmologist to rule out any issues with your eyes. It can also be associated with migraine headaches. Low back pain and hip pain are common symptoms ...  Read Full »
 
Would LAD lesion cause tachycardia?
Query: Hi doctor, I have tachycardia (resting heart rate 125 bpm) while just walking around the house and not doing much. My heart rate was about 160 bpm. I do get chest pains and tightness. I also have a 70% LAD lesion. My question is would the lesion be causing my tachycardia? Should I consult my cardiol...  Read Full »
Dr. Rishu
Cardiologist

Answer: Hi, Welcome to icliniq.com. Blockage of 70% is referred to as noncritical blockage. I suggest tablet Ecosprin 75 mg (Aspirin) every night, so that the blockage will not progress in the future. Tachycardia can be because of a large number of causes varying from anxiety, stress, anemia, decre...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


What is the best treatment for oily scalp and hair?
Hello doctor,I completed my acne treatment one year ago and my skin is clear after some period of time. My scalp and fac ...Read more »
How Is H.Pylori Infection Diagnosed and Treated?
Helicobacter pylori (H.pylori) is a bacteria that infects your stomach. Approximately 50% of the world's population has ...Read more »
Is it normal to have foamy urine?
Hello doctor, My urine is foamy. I am confused whether everyone will get bubble and foamy urine while urinating. Please ...Read more »
 
 

Also Read Answers From