Statistical data suggests that migraines affect over 10% of the population across the world. Although migraines are commonly characterized by debilitating headaches and visual auras, they can also manifest in various lesser-known and often perplexing ways. These subtle signs, ranging from gastrointestinal distress to cognitive fog, frequently go unnoticed or are misinterpreted. Recognizing these less-recognized symptoms is crucial for effective symptom management. This article lists some of the lesser-known signs of migraines:

Aura without headache
Migraine auras are visual disturbances that often precede the headache phase. However, not all migraineurs experience this classic symptom. Some individuals may have aura without the subsequent headache, a condition known as “migraine without a headache” or “silent migraine.” These auras can include visual disturbances like zigzag lines, blind spots, or flashing lights, along with sensory symptoms such as tingling or numbness.

Gastrointestinal distress
Nausea, vomiting, and diarrhea are lesser-known signs often accompanying the headache phase. These gastrointestinal symptoms can be so severe that they become the primary concern for some migraine sufferers.

Neck pain
Neck pain is a less common but significant sign of migraine and can be a precursor to a full-blown migraine attack. It may be accompanied by tightness on the right side of the neck.

Sensory sensitivity
While light and sound sensitivity are well-known migraine symptoms, there are other sensory sensitivities that can manifest. Some individuals experience heightened sensitivity to odors or even changes in taste during a migraine attack. Being aware of these sensory changes can aid in recognizing the onset of a migraine.

Cognitive impairment
Migraines can impact cognitive function. Confusion, difficulty concentrating, and memory problems are lesser-known symptoms that can linger even after the headache has subsided. These cognitive impairments are often referred to as “migraine brain fog” and can significantly affect daily activities.

Visual disturbances without aura
It’s important to note that visual disturbances during a migraine attack don’t always come with an aura. Some individuals may experience vision issues without seeing the typical zigzag lines or flashing lights. Blurred vision or difficulty focusing can occur independently and should not be ignored.

Unexplained fatigue
Extreme fatigue is another less recognized sign of migraine. After an attack, individuals may feel drained and exhausted, sometimes lasting for days. This fatigue can disrupt daily routines and often goes unassociated with the migraine episode.

Facial pain
Facial pain or discomfort, including sinus-like pressure or pain around the eyes, can be an early sign of a migraine for some individuals. This symptom may be mistakenly attributed to sinus issues, delaying proper migraine management.

Dizziness and vertigo
Dizziness and vertigo are less common but important migraine symptoms. These sensations can be accompanied by loss of balance and a feeling of spinning or swaying.

Recognizing and addressing the lesser-known signs can help individuals work toward better migraine control and ultimately lead more comfortable and fulfilling lives.