A migraine lasts longer — often the entire day or potentially several days if left untreated. With cluster headaches, there are pain-free periods between the headaches. Migraine pain can vary in location — developing on just one side of the head, behind the eye, in the back or front of the head, or the pain may be felt throughout the entire head.
Cluster headaches involve only one side of the head — typically at the temple or around the eye. When a person has a migraine, it usually is soothing to rest with the lights off in a quiet room. In contrast, people who have cluster headaches usually become agitated. Other symptoms may accompany the head pain in both cluster and migraine headaches. Cluster headaches usually involve eye redness, tearing or nasal congestion on the side of the face where the headache is located.
Migraine headaches may trigger nausea and vomiting. There is some overlap between the two headache types, and that can make it hard to differentiate between the two. For example, some migraine headaches can cause tearing, eye redness and nasal congestion, too. Despite those similarities, there are many ways to distinguish between the two.
Migraine attacks and cluster headaches feel and act differently, according to Dr. People with a migraine attack may experience nausea, sensitivity to light, and vomiting, whereas those with a cluster headache experience watery eyes and runny noses, she says. Some people who experience migraine attacks can predict the onset because it's preceded by an aura, usually in the form of visual disturbances — such as flashing lights, zigzag lines, or a temporary loss of vision, according to the American Migraine Foundation.
By contrast, cluster headaches occur suddenly, almost always cause symptoms on one side of the head, and are accompanied by a runny nose and tearing eye on the same side of the head as the headache. For this reason, cluster headaches are often confused with sinus headaches , Diamond says, though their pain is distinct.
People also tend to respond to migraine attacks and cluster headaches differently. To ease migraine pain and other symptoms, people often find relief by resting in a quiet, dark room, according to Medline Plus. In contrast, most people with cluster headaches pace and can sometimes exhibit aggressive behavior, says Rajneesh. People reported having headaches in which the pain was pulsating, pressing, and even stabbing.
The headaches were reported to be bilateral on both sides of the head , often lasted longer than 72 hours, and commonly occurred along with gastrointestinal symptoms and loss of taste and smell. If you have sudden onset of a headache and neck pain , especially if it is accompanied by fever and malaise, it could be caused by an underlying viral infection, including COVID, says Rajneesh.
If you experience a sudden headache and you suspect it may be COVIDrelated, contact your healthcare provider right away. A migraine attack typically lasts between 4 and 72 hours, says Rajneesh. Most people with migraine have one or two migraine attacks per month, but some people have them much more frequently. About 1 percent of the population has chronic migraine, which is defined as having at least 15 migraine days per month, according to American Migraine Foundation.
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