Whether you've been dealing with migraines for some time or you've never experienced one, make yourself aware of the symptoms that require medical attention. Severe headaches should not be taken lightly, if you experience any of the following symptoms, see a doctor as soon as possible:
A headache accompanied by a stiff neck, fever, or rash.
A headache that strikes like a thunderclap - very suddenly and very painfully.
Worst-ever headache.
First-ever headache after age 50.
Headaches getting worse and more frequent.
Headaches brought on by exertion.
You faint, lose your vision, or have coordination problems with a headache.
You have a family history of brain aneurysms and you're having headaches.
You recently had a head injury, and now you're having headaches.
You're having bad headaches, and you have certain medical conditions such as cancer, AIDS, diabetes, high blood pressure.
You have weakness in your arm(s) and/or leg(s), numbness, slurred speech, breathing difficulty, and/or vision problems.
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Source:http://www.dummies.com/how-to/content/migraine-warning-signs.html
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