I’m 42 years old and have had migraines for at least 35 years, but recently I’ve noticed something different happening. The worse my migraine is the more swollen/ distorted my face gets. Also, my right eye starts to close 1/2 way, if that makes any sense. Should I be concerned? I have migraines almost everyday but have a very hectic work schedule so I just deal with them the best I can. Thank you, Dawn.
Any time Migraine patterns and symptoms change, especially when the changes cause concern, it’s time to see your doctor. The symptoms you describe could be attributed to Migraine, but they’re also symptoms sometimes seen with stroke or TIA. Nobody can answer your question about whether you should be concerned except a doctor who can discuss your symptoms with you and examine you in person. It’s not safe to even attempt to answer that question online.
We can certainly understand hectic work schedules, but “dealing with them” the best you can may not be entirely safe, and you’re sacrificing quality of life as well. Your best option is to have a long discussion with your doctor about:
- _preventive treatments _,
- abortive treatments that you could safely use a few days a week without risking _medication overuse headache _, and
- your options for at least some relief on other days.
If your doctor isn’t able to help you, it may well be time to consult a Migraine and headache specialist. It’s important to note that neurologists aren’t necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What’s So Special?
John Claude Krusz and Teri Robert
If you need help finding a Migraine and headache specialist,
visit our listing of _Patient Recommended Specialists _.
About Ask the Clinician:
Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about _ Dr. Krusz_ or more about _** Teri Robert** _.
If you have a question, please click** HERE. Accepted questions will be answered by publishing the answers here. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM**. Please do not submit questions via email, private message, or SharePost comments. Thank you.
Please note: We cannot diagnose, suggest specific treatment, or handle emergencies via the Internet. Please do not ask us to diagnose; see your physician for diagnosis. For an overview of how we can help and questions we can and can’t answer, please see _Seeking Migraine and Headache Diagnoses and Medical Advice _.
We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.