I Have Terrible Migraines: Questions to Expect from a Neurologist

Having suffered from frequent and excruciating migraines for as long as I can remember, I finally decided to seek the help of a neurologist. As I walked into the doctor’s office, I couldn’t help but feel a mix of anticipation and anxiety. I knew that this visit would be crucial in finding some relief from the debilitating pain that had been plaguing my life. But I also wondered, what questions would the neurologist ask me?

Understanding Your Medical History

The neurologist began the appointment by introducing himself and asking about my medical history. He wanted to understand the context of my migraines, so he asked about any previous diagnoses, treatments, or surgeries. I recounted my journey through various medications, alternative therapies, and even drastic lifestyle changes, all in the quest for relief.

Description of Pain and Migraine Symptoms

To gain further insight into my migraines, the neurologist began to ask about the nature and intensity of my pain. He wanted to know how often I experienced migraines, how long they typically lasted, and the specific triggers that seemed to set them off. I described the throbbing pain that pulsated from one side of my head, making it impossible to carry out even the simplest tasks. I mentioned the sensitivity to light and sound that made me retreat to a dark, quiet room until the storm in my head subsided.

For example, the neurologist might ask:

  • “On a scale of 1 to 10, with 10 being the most severe pain imaginable, how would you rate the intensity of your migraines?”
  • “Do your migraines have a pulsating or throbbing quality?”
  • “Do you experience any associated symptoms such as nausea, vomiting, or visual disturbances?”

Impact on Daily Life

The neurologist then turned his attention to a series of questions aimed at understanding the impact of migraines on my daily life. He asked about the frequency of migraines and whether they caused me to miss work, social events, or important family gatherings. I confessed to the countless instances of canceling plans and the overwhelming sense of guilt that accompanied each cancellation. He took notes, jotting down the information that would help him gauge the severity of my condition and its emotional toll.

Overall Health and Lifestyle Factors

Understanding that migraines can often be related to other underlying issues, the neurologist also delved into my overall health. He wanted to know about any existing medical conditions, allergies, or medications I was currently taking. He asked about my sleep patterns, stress levels, and any significant life events that might contribute to the frequency or intensity of my migraines. I felt reassured knowing that he was looking at the bigger picture, considering all possible factors that could be influencing my condition.

Potential Triggers

As our conversation progressed, the neurologist began to explore the potential triggers for my migraines in more detail. He asked about my dietary habits, specifically questioning my consumption of certain foods and drinks, such as caffeine, chocolate, and alcohol. He also asked about my hydration levels, as dehydration can sometimes be a catalyst for migraines. I realized that these seemingly mundane details could play a crucial role in understanding and managing my condition.

For example, the neurologist might ask:

  • “Do you notice any specific foods or drinks that consistently trigger your migraines?”
  • “How much water do you typically drink throughout the day?”
  • “Do your migraines occur more frequently during periods of high stress?”

Previous Treatment Experiences

Sensing my eagerness for relief, the neurologist shifted gears to discuss the various treatment options available to me. He explained the different classes of medications, their potential side effects, and their mechanisms of action. He then asked about my previous experiences with migraine medications, inquiring about any successes or disappointments I had encountered. I appreciated his attentiveness, as he genuinely wanted to know what had and had not worked for me in the past.

Final Questions and Concerns

With the appointment coming to a close, the neurologist asked if I had any questions or concerns. This final opportunity to address anything on my mind felt like a lifeline. I seized the moment and inquired about potential lifestyle modifications, alternative therapies, and any emerging treatments or therapies that I should be aware of. The neurologist patiently answered each question, providing me with valuable insights and recommendations. I left the appointment feeling empowered and armed with a newfound sense of hope.


Reflecting on my encounter with the neurologist, I realized just how significant the questions he asked were in guiding our discussion. From my medical history and symptom descriptions to the impact on my daily life and potential triggers, each question served a purpose in helping him piece together the puzzle of my migraines. It was clear that the neurologist’s intention was to gather as much information as possible to tailor a treatment plan specifically for me.

While I still had a long road ahead in finding effective relief for my migraines, I felt reassured knowing that I had taken the first step in the right direction. The neurologist’s thoroughness and genuine concern made me confident that together, we could navigate this challenging journey. And as I walked out of the doctor’s office, I held onto the hope that, with his guidance, I would soon find the answers and relief I had been desperately seeking.

Frequently Asked Questions

1. How long does a typical appointment with a neurologist last?

Appointment lengths can vary, but it is common for a neurology appointment to last between 30 minutes to an hour, depending on the complexity of your case. It’s important to prepare beforehand and provide concise but thorough answers to the neurologist’s questions.

2. What should I bring to my neurology appointment?

Bring any relevant medical records, previous test results, and a list of medications you are currently taking. It’s also helpful to have a diary or log of your migraine episodes and any other relevant symptoms.

3. Can I bring a family member or friend to my appointment?

Yes, it can be helpful to have someone accompany you to your appointment. They can provide support, help you remember information discussed, and offer a different perspective on your symptoms and experiences.

4. What can I do to prepare for my neurology appointment?

Take some time to gather information about your medical history, symptoms, triggers, and previous treatments. Write down any questions or concerns you have so you can address them during the appointment. It’s important to be open and honest with the neurologist about your symptoms and experiences.

5. Are there any specific tests the neurologist may order?

Depending on your symptoms and medical history, the neurologist may order certain tests to help with the diagnosis or rule out other conditions. These tests may include brain imaging scans (such as MRI or CT scan), blood tests, or specialized neurological tests.

6. Should I continue taking my current medications before the appointment?

Unless advised otherwise by your healthcare provider, it is generally recommended to continue taking your current medications as prescribed before the appointment. The neurologist will need a complete picture of your current treatment regimen.

7. How long does it take to find an effective treatment for migraines?

Each person’s experience with finding an effective treatment for migraines can vary. It may take some time to find the right combination of medications, lifestyle changes, and therapies that work for you. Patience and open communication with your healthcare provider are essential.

8. Can lifestyle modifications alone help manage migraines?

In some cases, lifestyle modifications such as managing stress, improving sleep patterns, and avoiding triggers can significantly reduce the frequency and severity of migraines. However, for many individuals, a combination of lifestyle changes and medications may be necessary for effective migraine management.

9. How often should I follow up with my neurologist?

Follow-up appointments with your neurologist will depend on your specific condition and treatment plan. Typically, initial follow-up appointments may be scheduled within a few weeks to assess treatment effectiveness. After that, appointments may be scheduled every few months or as needed to monitor your progress and make adjustments to the treatment plan.

10. Can I see a neurologist even if I have not been diagnosed with migraines?

Absolutely. If you are experiencing frequent or severe headaches, it is advisable to consult with a neurologist. They can evaluate your symptoms, determine if migraines or another underlying condition is causing them, and recommend appropriate treatment or further diagnostic tests.


Jenny from Migraine Buddy

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