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since you had them previously, you might have tried this already, but have you tried chiropractic care for your migraines? it's not an instant fix, but after a couple months of regular care, i didn't have debilitating headaches anymore and after years of care, i rarely get small headaches now. sorry you're feeling this way. headaches/migraines are the pits.

Yours sound worse than mine, but I have had a lot of borderline migraine type headaches this pregnancy. Tylenol and a small coke often help enough to at least take the edge off. Mine are often sinus related so my midwife did say I could take sudafed sparingly from second trimester on, though I haven't yet. I did see a chiropractor and I think that helped some. Last pregnancy I did several sessions of acupuncture and I think that really helped, but I don't have childcare and it would be more trouble than seems worth it to try to do that now.

It really really sucks. I wish I had a better answer.

Oh and I'm sure you already know to stay hydrated. I have had days where I feel like if I force down one more glass of water I'll throw up and it hasn't seemed to make a big difference.

i have a history of migraines too and got them under control by taking better care of myself (sleeping and eating better). And now when i do get them, i can see the connection when i have them of what may have caused one. And i also went to a specialist at one point who gave me some meds to break the migraine cycle. that was all years ago, and while i still get them on occasion, i deal with rest, lying in the dark and advil. Then when i was pregnant with my first LO, i got sooo many migraines in my second trimester (some that would last for several days at a time) and i kind of figured that my thresholds for my usual triggers were much lower. Like i would get a migraine after being out in the summer heat and not drinking enough water - but after a much shorter period than i was used to non-pregnant. So it got a better when i made the effort to stay out of the sun, not to exert myself exercising, get decent sleep and food, and drink a lot of water.

Now being pregnant with number 2, they started coming back last week and i had 2 horrible ones the way you described and then for a week it had this constant tension headache. So basically i totally sympathize, but i think again my solution has to be to take extra good care and get good sleep every night, drinks tons of water and don't be in front of a computer screen too much (which is hard at work). I haven't talked to my doctor or midwife yet about it, i forgot to actually because i was feeling okay my appointment yesterday but i can't imagine they say to take anything other than tylenol.

I think keeping de-stressed and relaxed is essential. It's tough because if i wasn't pregnant, i would be practically drinking the advil liquid gels when i have a migraine and now i can't, so i have to learn to take it easy instead. I find even go for daily walks helps me to de-stress and feel better and take a break from the computer at work.

i hope you find something that helps, you have my sympathy!

eta. i agree with others that caffeine helps too.

I'm not pregnant, but I'm on vitamin B complex, fish oil, and magnesium to prevent them. My doctor said I can stay on all of them if I get pregnant. Talk to your doctor to see if you can take them too. Good luck!