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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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