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Migraines and Headaches: Understanding Their Differences

Know about migraines and headaches, causes, symptoms, triggers, key differences between them and how to manage migraine and headaches.

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Written by Dr. D Bhanu Prakash

Reviewed by Dr. Vasanthasree Nair MBBS

Last updated on 21st Aug, 2025

Introduction

Headaches and migraines are common health issues that many people experience at some point in their lives. While both can cause discomfort, they are not the same. Understanding the differences between them can help you manage symptoms better and seek the right treatment.

What Are Headaches?

A headache is a general term for pain in the head or face. There are different types of headaches, but the most common ones include:

1. Tension Headaches

  •  What they feel like: A dull, constant ache around the forehead or back of the head and neck.

  •  Causes: Stress, poor posture, lack of sleep, or eye strain.

  •  Duration: Can last from 30 minutes to several hours.

2. Cluster Headaches

  •  What they feel like: Intense, sharp pain usually around one eye or temple.

  •  Causes: The Exact cause is unknown, but alcohol and smoking may trigger them.

  •  Duration: Short but severe, lasting 15 minutes to 3 hours.

3. Sinus Headaches

  •  What they feel like: Pressure around the cheeks, forehead, or nose due to sinus congestion.

  •  Causes: Sinus infections, allergies, or colds.

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What Are Migraines?

Migraines are more than just a bad headache—they are a neurological condition that can cause severe throbbing pain, usually on one side of the head. Migraine attacks often come with other symptoms.

Common Migraine Symptoms

The common symptoms include:

  •  Throbbing or pulsating pain (moderate to severe)

  •  Nausea or vomiting

  •  Sensitivity to light, sound, or smell

 Aura (in some cases): Visual disturbances like flashing lights, blind spots, or tingling sensations before the headache starts.

What Triggers Migraines?

It includes:

  •  Hormonal changes (especially in women)

  •  Certain foods (aged cheese, processed meats, chocolate, caffeine, alcohol)

  •  Stress and anxiety

  •  Lack of sleep or irregular sleep patterns

  •  Bright lights, loud noises, or strong smells

  •  Weather changes

Key Differences Between Headaches and Migraines

Feature

Headache

Migraine

Pain Type

Dull, constant ache

Throbbing, severe pain

Location

Both sides of the head 

Usually one side

 Duration 

Short-term (hours) 

Can last 4-72 hours

Other Symptoms

Rarely nausea/vomiting

Nausea, vomiting, light/sound sensitivity

Triggers

Stress, dehydration

Hormones, food, sensory stimuli

 How to Manage Headaches and Migraines?

 1. Lifestyle Changes

  • Stay Hydrated – Dehydration can trigger headaches.

  • Get Enough Sleep – Aim for 7-8 hours of quality sleep.

  • Manage Stress – Try relaxation techniques like deep breathing, yoga, or meditation.

  • Regular Exercise – Helps reduce tension and improve blood flow.

2. Dietary Adjustments

  • Avoid Trigger Foods – Keep a food diary to identify what worsens your headaches.

  • Eat Regular Meals – Skipping meals can lead to low blood sugar, triggering migraines.

3. Pain Relief Options

  • Over-the-counter (OTC) painkillers (e.g., ibuprofen, paracetamol) can help mild headaches.

  • Prescription medications (for severe migraines) may be needed—consult a doctor.

  • Cold or warm compresses can ease tension headaches.

4. When to See a Doctor?

  • If headaches become frequent or severe.

  • If migraines interfere with daily life.

  • If you experience sudden, extreme pain (could be a medical emergency).

Final Thoughts

While headaches and migraines can be painful, understanding their differences helps in managing them effectively. Simple lifestyle changes, proper hydration, and stress management can make a big difference. If symptoms persist, don’t hesitate to seek medical advice.

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Dr. Bulbul Biswas, General Practitioner

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Kolkata

HERSTEL CARE CLINIC, Kolkata

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