"i don't have migraines because while i get them several times a week, it's only when i am hungry or dehydrated."

those are probably migraines. thirst, hunger, sleep disturbances, or any disruption to routine are common migraine triggers.

"my headaches are specifically barometric related, i get them when the weather/altitude changes."

those are probably migraines. barometric pressure is a common migraine trigger.

"i get headaches all the time but ibuprofen gets rid of them so they can't be migraines."

that's not true. ibuprofen works great at relieving migraine pain for many people.

"my consistent headaches are tension headaches. i feel them originate in my neck/shoulders."

those are probably migraines. muscle tension is a common migraine trigger.

if you are regularly getting headaches (once a week or more), you are likely getting migraines. in fact, a good rule of thumb if you're consistently getting headaches is to treat them as migraines until you can rule out migraines. that's how common "chronic headache = migraine" actually is.

migraines are a neurological disorder wherein pain is one symptom. pain is often the MAIN symptom, and the most noticeable symptom, which can make diagnosis tricky. other symptoms of migraine include:

fatigue

nausea/vomiting

digestive issues

visual disturbances (auras)

sensitivity to light and/or sound

mood changes

brain fog/cognitive changes

ringing in the ears

dizziness/vertigo

numbness/weakness on one side of the body

this list is NOT complete, but is a starting point. i really like the comparison to a hangover. if you generally feel hungover when you get a headache (without having consumed alcohol), that's a classic migraine presentation.

"but migraines are extremely painful/debilitating and i can push through my pain."

migraines certainly can be debilitatingly painful. the pain can also be mild/easily treatable. it depends on the person and it depends on the day. regardless, your ability to live with chronic pain does not mean your pain isn't a problem!

"my headaches always have a direct cause/trigger so they can't be treated/they're my fault."

wrong! migraine is a sensory disorder in many respects. most/all migraines are triggered by something. avoiding triggers is good but isn't the whole story, and migraines with triggers can be treated effectively!

"i feel pain in (x) area of my head so it's not a migraine."