Sorry in advance for the wall of text, I want to be thorough.
Hey all, I've been doing quite a lot of reading on CH. I've seen from almost every source that CH appear ONLY on one side of the face, but mine have always been symmetrical.
I'll start by saying that I've been diagnosed by a few MDs with CH. A few members of my family suffer from classic migraines, but my attacks are much different from what they've described. I have been suffering from attacks since my early teens, I am now 25.
Most of my attacks occur very early in the morning, typically around 4am, and wake me from a dead sleep. I am unable to fall back to sleep during these attacks. I am usually able to stay in bed, but toss and turn, often squeezing my head between my hands in some desperate attempt to relieve the pain. The attacks usually last 30min-3hours.
The pain starts just below and behind my eyes, and radiates back wards, as if someone were drilling up into my brain. The pain is so bad I can't possibly describe it. I also experience severe pressure in my sinuses, normally on the left side, along with a runny nose.
Sometimes during a cycle, I develop what I can only call a sixth sense warning me of a coming attack. There is no tingling, or blindness I've heard described by the migraine sufferers in my family, just this sort of knowing it's coming, a calm before the storm. Using this I can sometimes prevent an attack. If I am unable to do so, the attack can flare up without warning into a full CH. The attacks also disappear as quickly and with no warning.
A final note about the pain, is that while experiencing an attack while moving, I sometimes get very brief bursts of pain on one side of my head that is several times more painful than the static pain.
I have not tried O2 or any psychedelic treatments. I have found that shotgunning a cold energy drink followed by a shower alternating very hot and cold on my face can bust the attack, though sometimes nothing seems to work. During the times that I "feel" an attack coming, I will usually take 200~mg caffeine with an non-recommended dosage of anti-inflammatories, supplemented with 25mg of ephedrine.
There is so much more to say about these attacks, but I think I've been descriptive enough. Now, my question is: Why do I experience them on both sides, and does anybody else?
edit: wanted to note that alcohol and prescription painkillers (esp. Tramadol) seem to trigger attacks.