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Extreme fatigue days before migraine

I am confused. This is because my Migraines have been gradually getting worse and the symptoms for them have gradually been getting more defined. I thought I had my migraine yesterday but today I woke up and was still extremely tired after 8 hours of sleep. There is a difference between being just a little tired when you just wake up and this extreme fatigue I get before I get a migraine. This fatigue generally lasts all day and as the day progresses my headache gets gradually worse. Today I am nauseous on top of it all. It;s so bad but I already had it yesterday so I can't miss a second day doing stuff I have to do. Is it possible that yesterday wasn't my migraine but instead a warning of today's migraine? That this is how my new migraines will work? A gradual headache that increasingly gets worse and then goes away for three days? I'm worried. This is the third time this kind of pattern has happened in a month (typically I will get a headache and it will go away the following day). I can't live with this anymore.

  1. Update: I just saw the little black dots I get when I see the migrains that come suddenly for like 30 seconds and then leave except for one black dot that follows my eye around. This is definitely going to turn into another migraine. Does this happen to other people?

    1. Hi ek303,

      Thank you for sharing your story with us. It's possible for our migraine patterns to change over time, but always a good idea to let the doctor know when we have new and/or different symptoms.

      Having said that, it's not uncommon to experience fatigue before, during and after a migraine attack. In fact some people are exhausted up to 48 hours after an attack! A migraine attack has four phases; prodrome, aura, headache and postdrome. Before some of my migraine attacks I will experience frequent urination and yawning, irritability and fatigue. Let me share our information on these phases;

      About 25% of people with migraine disease will experience visual aura; black lines and/or dots, wavy lines, flashing lights and more. But as I said, when we have changes in our migraine attack symptoms, its good to let the doctor know.

      I hope you are feeling better,

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