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Preparing to Discuss Chronic Headaches with your Doctor

When scheduling an appointment with your doctor to discuss chronic headaches, it can be helpful to prepare for the following questions:

  1. Timing:
    a. When did they start?
    b. How often do they occur?
    c. How long do they last?
  2. Impact:
    a. How disabling are they?
    b. What do they prevent you from doing?
  3. Warning signs:
    a. Do you have any signals that your headaches will occur soon, such as visual zigzag lines, dark spots in your vision, etc.?
  4. Associated Symptoms:
    a. Do you experience nausea/vomiting, light/sound/odor sensitivity with your headaches?
  5. Family history:
    a. Do other members of your family get similar disabling headaches?
  6. Past efforts:
    a. Have you ever been evaluated and/or treated for your headaches?
    b. What was done?
    c. What helped
    d. What didn’t help?
  7. Previous tests:
    a. Have you ever had a brain CT or MRI?
    b. When was it done?
    c. What were the results?
  8. Medications:
    a. What medications do you use or have you used for headache and other conditions?
    b. What worked?
    c. What didn’t?
    d. What were the dosages used and how long did you take each?

Prior to your appointment, you may also consider taking a headache disability quiz. You can find the Migraine Disability Assessment (MIDAS) test on the ACHE website at http://www.achenet.org/tools/migraine/index.asp. This information, along with answers to the eight questions, will help give your doctor a clearer idea of what type of headaches you suffer from and how much they affect your daily activities.