What causes migraines with nausea?

Written by Zhang Hui
Neurology
Updated on September 02, 2024
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Patients with migraines often experience significant nausea and vomiting, which is also an important diagnostic criterion in the diagnosis of migraines. The reason migraines cause nausea is primarily due to abnormalities in the trigeminal ganglion of migraine sufferers. These impulses may be transmitted to the solitary nucleus in the brainstem, which is mainly responsible for some autonomic nerves and closely related to vomiting. When the solitary nucleus is affected, obvious vomiting naturally occurs. Many migraine patients find that their symptoms are somewhat relieved after vomiting. The main treatment for migraine-induced vomiting is to have the patient rest quietly and take appropriate pain relief medication. If vomiting is pronounced, it is recommended that the patient take antiemetic drugs orally, preferably by muscle injection, which generally provides quick symptom relief.

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Written by Tang Li Li
Neurology
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What to do about migraines?

Migraine is a very common neurological disorder, generally related to dysfunction in vascular contraction and expansion, abnormal neurotransmitter secretion in the brain, and trigeminal nerve dysfunction. If a patient experiences recurring headaches, they can visit the department of neurology for a comprehensive examination using cranial CT or MRI. Once intracranial organic diseases are ruled out, a diagnosis of migraine can generally be confirmed, and related treatment can be administered. If a patient experiences frequent headaches, but they are not severe, long-term oral administration of traditional Chinese medicine can be prescribed, typically for a course of at least 28 days. If the headaches are severe but occur less frequently, temporary oral administration of pain relief medication may be recommended, commonly using non-steroidal anti-inflammatory drugs.

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Written by Liu Yan Hao
Neurology
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Symptoms of Migraine

Typical migraine attacks start with prodromal symptoms. Common prodromal symptoms include blurred vision, distorted vision, or the appearance of water-like patterns. Shortly after these symptoms disappear, headache symptoms on one side of the head appear, often accompanied by nausea and in a few cases, vomiting. These symptoms can subside completely within a few hours and can recur. The occurrence of migraines is greatly related to diet, such as pickled foods and leftovers that contain nitrates, which can trigger a migraine attack. It is best to avoid these, as well as cheese and red wine which can also trigger migraines. During a migraine attack, symptomatic oral pain relievers can be used for treatment. (Please use medication under the guidance of a professional physician.)

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Written by Zhang Hui
Neurology
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How to treat migraines

The incidence of migraines is still very high, and the pain can be quite severe, affecting patients' work and daily life, preventing them from resting well. The main treatments include the following: First, maintain the patient's emotional stability and keep the patient calm, avoiding strong lights and loud noises as much as possible to create a quiet environment. Second, administer oral non-steroidal analgesics for pain relief, or take ergot preparations for pain relief. Third, patients sometimes exhibit obvious anxiety and can take benzodiazepines for related treatment, as well as certain anti-anxiety medications. Fourth, if the patient experiences nausea and vomiting, symptomatic treatment should be given, including antiemetic medications. If the patient has frequent episodes, prophylactic treatment with receptor blockers can be used.

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Written by Liu Yan Hao
Neurology
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What should I do if I have a migraine and feel nauseous?

Migraine-induced nausea can be symptomatically treated with oral pain relievers, medications that suppress gastric acid secretion, protect the gastric mucosa, and treat nausea. It is essential to confirm that the nausea is caused by a migraine rather than other acute cerebrovascular diseases. This is because migraine attacks do not pose a significant risk to health, and temporary relief from pain can be achieved by taking pain relievers orally. It's important to avoid staying up late and overworking to minimize the frequency of migraine attacks. If one experiences persistent severe headaches accompanied by nausea, conditions such as cerebral hemorrhage and subarachnoid hemorrhage must be ruled out, as these acute cerebrovascular diseases can be triggered. This is to avoid delaying treatment due to taking pain relievers. Therefore, it is crucial to understand the cause before proceeding with specific treatment. (Please administer medication under professional medical supervision and do not self-medicate.)

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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Can migraine be treated with moxibustion?

Moxibustion can be used for patients experiencing migraines, as it is a type of physical therapy within traditional Chinese medicine that effectively helps regulate the body and alleviate symptoms. Initially, moxibustion can be applied to acupoints such as Sanyinjiao, Quchi, and Fenglong, which can effectively help relieve migraines. Alternatively, massaging the head with palms also has a soothing effect. If the pain is severe, taking pain relief medication promptly can also improve and regulate the condition. It is crucial to maintain adequate sleep, avoid excessive fatigue, and particularly avoid staying up late.