Hello, Thanks for posting the question in HCM Let me tell you that headache can be due to various reasons like migraine, brain tumor, brain infections, problems in the blood vessel of the brain etc. One strong possibility is that the constellation of symptoms that you have described could be due to migraine. However, one has to understand that migraine is a diagnosis of exclusion that means other treatable conditions that result in headache which i have listed above need exclusion before the diagnosis of migraine is made. Sorry that i don’t know the duration of symptoms and your gender. I will advise you to be examined by a neurologist rather than a general physician who will determine if you have any neurological defict and may plan for a scan of the brain to exclude the secondary possibility as i explained above. If the scan is normal you will benefit from the following approach 1. During acute attack: this will improve with analgesices, sumatriptan nasal spray and relaxation, to avoid the precipitating factor like stress, coffee, perfumes which you have to findout. 2. Medicines that can modify the course of migraine will be helpful like valproate (not good in females), topiramate, propranolol, amitriptiline. Hope this will help you