Migraine vertigo symptoms

Written by Zhang Hui
Neurology
Updated on February 01, 2025
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There is a special type of migraine called vestibular migraine, where the main symptoms during an attack are significant dizziness, accompanied by nausea, vomiting, and unsteady walking. A headache may or may not occur. This type of migraine-induced dizziness is relatively common in clinical practice, and patients generally experience severe dizziness, along with pale complexion and cold sweats among other clinical symptoms. The treatment for the dizziness caused by this type of migraine primarily follows the treatment protocols for migraine attacks, and may include taking certain non-steroidal anti-inflammatory pain medications. Additionally, administering calcium channel blockers and antiemetic medications can also achieve very good results. Furthermore, some sedative medications can also be used and can improve the patient's symptoms.

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Written by Zhang Hui
Neurology
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What to do about migraines?

Migraine prevalence is relatively high, and for those experiencing migraines, the following treatments are recommended: First, it is essential to maintain a calm emotional state and avoid excessive stress. Secondly, medication can be used for treatment. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used and are effective for many patients. However, if there is no relief after taking these, or if the pain is very severe, medications specifically for treating migraines such as ergot derivatives and triptans may be prescribed. Third, if the migraine is accompanied by nausea and vomiting, antiemetic drugs can be used. Additionally, if the patient with migraine also experiences significant restlessness or anxiety, an appropriate amount of sedative medication can be applied. (Please use medication under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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What tea to drink for migraines?

Patients with migraines should avoid drinking strong tea. Research has confirmed that some stronger teas and coffee could potentially trigger migraines. This is because teas and other beverages containing theophylline can disrupt the contraction and relaxation functions of cerebral blood vessels. If you choose to drink tea, opt for lighter teas such as green tea, black tea, white tea, or floral teas. Additionally, it is crucial for migraine patients to rest adequately, ensure sufficient sleep, avoid staying up late, and minimize psychological stress, as these factors can easily trigger migraine attacks. If symptoms such as unilateral pulsating nausea and vomiting occur, it is necessary to promptly administer non-steroidal anti-inflammatory painkillers for treatment.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Can acupuncture be used for migraines?

For migraine, such as some primary migraines, acupuncture can be used for treatment and has certain efficacy. It can alleviate the symptoms of headache, reduce the intensity of pain, and decrease the frequency of pain episodes. Generally, for migraines, some local acupoints are selected, such as Fengchi, Jia Che, Si Zhu Kong, and Shuai Gu for acupuncture. If the pain is very severe, electroacupuncture can sometimes be used to enhance the effect of acupuncture to achieve the effects of unblocking meridians and relieving pain. Of course, acupoints are also chosen based on the patient's condition to treat migraines. For instance, migraines caused by liver qi stagnation would involve selecting acupoints that soothe the liver and regulate qi, such as Qi Men and Tai Chong, to help treat the migraines.

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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 Hui
Neurology
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Can migraines be cured?

From the current medical development perspective, it is very difficult to completely cure migraines. Migraine is a disease that is prone to attacks, primarily caused by dysfunction of certain blood vessels. Some also believe that abnormal changes in the trigeminal ganglion can also lead to migraines. Migraines are prone to recurrence, and can be triggered by fatigue, poor sleep, bad mood, anxiety, and depression. When a migraine attack occurs, the pain can be quite severe, generally ranging from moderate to severe, accompanied by significant nausea, vomiting, and other clinical manifestations, and a feeling of vascular pulsation during the headache. The treatment plan mainly involves the administration of pain relief medications. If migraine attacks are frequent and the pain during attacks is severe, severely affecting daily life, preventive treatment with medication can be given. These medications can reduce the frequency of migraine attacks, but achieving a complete cure remains very challenging.