Migraine

A migraine usually feels like a very bad headache with a throbbing pain on 1 side. It's common and there are things you can try to help.

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Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
This page provides general information and does not replace a doctor’s consultation. If symptoms are severe, persistent or worsening, seek medical advice promptly.

A migraine usually feels like a very bad headache with a throbbing pain on 1 side. It's common and there are things you can try to help.

Symptoms of a migraine

A migraine tends to be a very bad headache with a throbbing pain on 1 side of the head.

You may get other symptoms just before a migraine, such as:

  • feeling very tired and yawning a lot
  • craving certain foods or feeling thirsty
  • changes in your mood
  • a stiff neck
  • peeing more

You may also get warning signs you're about to have a migraine (called an aura), such as:

  • problems with your sight, such as seeing zigzag lines or flashing lights
  • numbness or a tingling that feels like pins and needles
  • feeling dizzy
  • difficulty speaking

Aura symptoms should not last for longer than an hour.

There are different types of migraine with different symptoms.

Types of migraine

Symptoms Migraine type

No warning signs

Migraine without aura

Warning signs like seeing zigzag lines, numbness or tingling, feeling dizzy or difficulty speaking just before the migraine starts

Migraine with aura

Symptoms like flashing lights, but no headache

Migraine aura without headache (silent migraine)

Migraines usually last between 2 hours and 3 days, with some symptoms (such as feeling very tired) starting up to 2 days before the head pain starts and finishing after the headache stops.

Some people have migraines several times a week, while others do not have them very often.

It's common to have migraines before or during your period, called menstrual migraines.

Most people find their migraines slowly get better as they get older.

See a GP if:

  • your migraines are severe or getting worse, or lasting longer than usual
  • you have migraines more than once a week
  • you're finding it difficult to control your migraines
  • you regularly get migraines before or during your period

What we mean by severe pain Severe pain:

  • always there and so bad it's hard to think or talk
  • you cannot sleep
  • it's very hard to move, get out of bed, go to the bathroom, wash or dress

Moderate pain:

  • always there
  • makes it hard to concentrate or sleep
  • you can manage to get up, wash or dress

Mild pain:

  • comes and goes
  • is annoying but does not stop you doing daily activities

Call 112 if you or your child:

  • have a headache that came on suddenly and is extremely painful
  • have problems speaking or remembering things
  • lose your vision or have blurred or double vision
  • feel drowsy or confused
  • have a seizure or fit
  • have a very high temperature and symptoms of meningitis
  • cannot move or have weakness in the arms or legs on 1 side of your body, or 1 side of your face

Do not drive yourself to A&E.

The person you speak to at 112 will give you advice about what to do.

Treatment for migraines

Migraine treatments include:

  • painkillers such as ibuprofen and paracetamol
  • medicines called triptans
  • medicines that stop you feeling sick or being sick

You may have to try a combination of medicines before you find something that works.

A GP may also recommend making changes to your lifestyle to help manage your migraines, such as eating at regular times and drinking less caffeine.

If your migraines are severe, you might be offered other things to help, such as learning relaxation techniques and acupuncture.

If these treatments do not manage your migraines, you may be offered a new type of medicine called a gepant. These work in a different way than other migraine medicines, so may be of more use to you.

If none of these treatments help your symptoms, or they're getting worse, you may be referred to a specialist for further tests and treatment.

Important

Try not to take high doses of painkillers too often as this could make it harder to treat your migraines.

Causes of migraines

It's not known what causes migraines.

You're more likely to get them if you have a close family member who gets them.

Some people find certain triggers can cause migraines, such as:

  • starting their period
  • anxiety and depression
  • stress and tiredness
  • not eating regularly or skipping meals
  • too much caffeine
  • not getting enough exercise

It can help to keep a migraine diary to help you work out what might trigger your migraines.

Things you can do to ease or reduce migraines

There are things you can do yourself to manage your migraines, with help and advice from a GP.

Do

  • try sleeping or lying down in a darkened room during a migraine

  • try to avoid things you know trigger your migraines, such as certain foods

  • stay well hydrated and limit how much caffeine and alcohol you drink

  • try to keep to a healthy weight

  • eat meals at regular times

  • get regular exercise

  • get plenty of sleep

  • try to manage your stress

Consult with a doctor about Migraine

Consult with a doctor about Migraine

Discuss your symptoms and possible next steps with a doctor online.

Online doctors for Migraine

Discuss your symptoms and possible next steps for Migraine with a doctor online.

Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

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