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Get medical help right away if you have an intense headache and: A stiff neck with fever, nausea, and vomiting Numbness or weakness in your limbs Trouble speaking or slurred speech It happened very suddenly It's the first really bad headache you've ever had and keeps you from doing your daily activities You got it right after a head injury, exercise, or sex Confusion or memory loss It gets worse over a day It's the worst one you've ever had You have it in just one eye along with redness in that eye You're also having vision problems and it hurts to chew You're over 50 and this is the first time you've had this type of head pain Migraine Diagnosis Before making a diagnosis, your doctor will ask about your health history and your symptoms