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Migraine Headache Diary

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    Print this migraine headache diary and use it to keep track of headaches or migraines.

    Time headache began    
    Time headache ended    
    Warning signs (aura)    
    Location of pain    
    Type of pain (pressing, throbbing, piercing, etc.)    
    Intensity of pain* (circle one number to the right)1 2 3 4 5 6 7 8 9 101 2 3 4 5 6 7 8 9 101 2 3 4 5 6 7 8 9 101 2 3 4 5 6 7 8 9 10
    Other symptoms (nausea, vomiting)    
    Medication taken/other treatment    
    Effect of treatment    
    How headache affected my normal routine    
    Hours of sleep the night before the headache    
    What I ate before the headache (caffeine, diet soda, chocolate, hot dogs, food with artificial sweeteners, processed foods)    
    Activities before headache occurred    
    Important or stressful events that occurred today    




    WebMD Medical Reference

    Reviewed by David T. Derrer, MD on July 27, 2014
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