Should a person with migraine headaches see a doctor?

Yes! A person with any type of intense headache, especially a recurring one, may have a life-threatening underlying condition. A doctor's evaluation is definitely necessary. If the doctor makes a diagnosis of migraine headache, various treatments are available. These treatments can significantly improve a migraineur's quality of life.

A doctor should be called if a person experiences any of the following problems:

• A change in frequency, severity, or features of the migraines typically experienced
  
  
• A progressively worsening headache that lasts for days
  
  
• A headache brought on by what doctors call Valsalva maneuvers (coughing, sneezing, bearing down, straining while on the toilet)
  
  
• Large weight loss (unintentional)
  
  
• Weakness or paralysis that lasts after a headache stops

A person who has any of the following should go or be taken to a hospital emergency department:

• The worst headache of his or her life, especially if the headache comes on suddenly
  
  
• Headache associated with trauma to the head
  
  
• Loss of consciousness associated with trauma to the head
  
  
• Fever or stiff neck associated with a headache
  
  
• Decreased level of consciousness
  
  
• Confusion
  
  
• Paralysis on one side of the body
  
  
• Seizures