98 Comparison of Headache Types Migraine Tension Cluster Location of pain Unilateral, but can be Bilateral Unilateral, usually the both sides of head same side, but can migrate Duration of pain 4 hours to 3 days Several hours to days 30 minutes to 2 hours Severity of pain Mild, moderate, or severe Mild or moderate Abrupt and excruciating Nausea, sensitivity Usually, and can have aura None None, but can have to light, sound, odors rhinitis Sample Guide for a Headache Diary Duration Start of headache: Date Day Time End of headache: Date Day Time Onset Did the headache start suddenly or gradually? Did any warning signs occur with the start of the headache (e.g., visual disturbance, stuffiness of nose, numbness/tingling, fullness of the head)? Can you recall any factors that occurred within 24 hours before the attack that may have triggered the attack (e.g., stressful event, foods, alcohol or caffeine intake, climate changes, menstruation)? What were you doing when the headache started? Location Where was the location of the headache at onset (frontal, occipital, temporal, unilateral, bilateral, generalized)? Did the headache extend to other sites or involve the neck or shoulders? Nature of the Pain Was the pain throbbing, aching, constant, or intermittent? How much discomfort did you have (mild, moderate, severe)? Were you incapacitated by the pain? Related Factors Did any other symptoms accompany the headache (e.g., nausea, vomiting, dizziness)? Did anything exacerbate the headache or make you feel worse? What makes you feel better? What do you think caused the headache to occur? Is this headache typical of what you currently experience? Medication Did you take medication for the headache? What kind of medication was it? Source: Migraine headache in occupational health settings. AAOHN Journal 43:338, 1995.
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