There are 4 phases of a Migraine attack. They are The Prodrome, The Aura, The Headache, and The Postdrome.
The Prodrome
Migraineurs experience the Prodrome phase hours or perhaps even days before the actual onset of a migraine. For the migraineur, it serves as a warning that a migraine may occur soon. Only 30%-40% of those that suffer from a migraine actually experience this phase, but it is useful in warning to the afflicted person to take steps to counter the migraine attack. Symptoms of prodrome include:
food cravings
constipation/diarrhea
mood changes-irritability, depression
muscle stiffness (neck)
fatigue
an increase in urination frequency
yawning
The Aura
In the aura phase, the migraineur may experience exotic or bizarre visual distortions. Auras only occur in 20% of migraineurs. This phase also serves as a warning to the headache phase of the migraine, so it may be a good indication to use medications to curb the attack before it starts. Auras can have symptoms of:
visual auras (flashing lights, wavy lines, spots, partial loss of sight, blurry vision)
olfactory hallucinations (smelling odors that do not exist)
tingling or numbness of the face or extremities
aphasia - difficult finding words or speaking
confusion and dizziness
partial paralysis (only for those suffering from hemiplegic migraines)
auditory hallucinations (hearing things that are not present)
decrease in or loss of hearing
reduced sensation
allodynia - hypersensitivity to touch
phosphenes - brief flashes of light that streak across the visual field
The Headache
This is typically the most excruciating and debilitating phase of a migraine attack. Counterintuitively, they affect the entire body, not just the head with pain that can range from mild to severe, and may be to severe that it cannot be comprehended by those who have never suffered this phase of a migraine attack. The most common time is 6 am, but the headache can occur at anytime, and may last from 1-72 hours. Symptoms of the headache are:
unilateral or bilateral pain
phonophobia - sensitivity to sound
photophobia - sensitivity to light
nausea and vomiting
diarrhea/constipation
nasal congestion/runny nose
depression/severe anxiety
hot flashes and chills
dizziness
confusion
dehydration/fluid retention, depends on the individual body's reactions
The Postdrome
Pain may or may not end after the headache phase. The postdrome phase may follow which is similar to feeling like a zombie or hung-over, and it may take hours, or sometimes days, to fully recover. This feeling may be attributed to the migraine itself as it is to the medications taken to treat the migraine. Symptoms of the postdrome may be caused by abnormal cerebral blood flow for up to 24 hours after the end of the headache stage. Symptoms of the postdrome may include:
lowered mood levels, and perhaps depression OR feelings of well-being and euphoria
fatigue
poor concentration and comprehension
lowered intellect levels