There is no specific test to diagnose migraines. To give an accurate migraine diagnosis, your GP must identify a pattern of reoccurring headaches along with the associated symptoms.
Migraines can be unpredictable, sometimes occurring without the other symptoms. So obtaining an accurate diagnosis can sometimes take a long time.
On your first visit, your GP may give you a physical examination and check your vision, co-ordination, reflexes and sensations. These checks will be carried out to make sure there are no other underlying conditions causing your symptoms.
Your GP may ask if your headaches are:
- on one side of the head
- a pulsating pain
- moderate or severe, preventing you carrying out daily activities
- made worse by physical activity or moving about
- accompanied by nausea and/or vomiting
- accompanied by sensitivity to light (photophobia) and/or noise (phonophobia)
To help with the diagnosis, it can be useful to keep a diary of your migraine attacks. Note down details, including the date, time and what you were doing when the migraine began. It is also helpful to make a note of the food you ate that day as this can help your GP identify any potential triggers.
When to see your GP
You should see your GP if you feel that you cannot manage your migraines with over-the-counter painkillers, such as paracetamol. Also see your GP if you experience:
- aura symptoms that occur on the same side of your body with every attack
- your first ever migraine when you are over 50 years of age
- a change in your usual migraine symptoms
- more frequent migraine attacks
