Happy migraine and headache awareness month. This may seem like a minor terminology nitpick, but itβs a serious misconception about migraine: nausea is an actual migraine symptom, not a thing that happens because of the headache. When people with migraine experience nausea during attacks, itβs not because the pain is so bad (the idea that migraine is always excruciatingly painful is also a myth), itβs because migraine causes a lot of symptoms that arenβt pain, including nausea.
This goes for other symptoms as well: although pain can definitely contribute to peopleβs experiences of these symptoms, fatigue and brain fog are actual migraine symptoms, not just pain symptoms.
This is also your friendly PSA that nausea is not a normal tension headache symptom, if you frequently get nauseous with your headaches, you almost certainly have migraine.