What causes migraines?

Written by Zhang Hui
Neurology
Updated on March 24, 2025
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Migraine is a relatively common disease, and the possible causes of this disease are as follows: First, it may be related to genetics, with about 60% of migraines being familial, which strongly suggests that genes may be significantly related to the onset of migraines; Second, it is also clearly related to certain internal environments and hormone levels. For example, some women experience migraine attacks during menstruation. Additionally, the triggers for attacks also include drinking alcohol, consuming vasodilator drugs, eating chocolate, and consuming food additives containing sodium glutamate. The pathogenesis of this disease is not yet very clear, and it may be related to vascular dysfunction.

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Written by Zhang Hui
Neurology
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Migraine vertigo symptoms

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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How to relieve a migraine?

Migraine is one of the most prevalent diseases among the population, mainly characterized by unilateral pulsating headaches, which can be accompanied by nausea and vomiting. The main ways to alleviate a migraine attack are: First, maintain a stable mood without too much emotional fluctuation, ensure bed rest, and rest in a quiet environment. Second, if the migraine is severe, you can take some non-steroidal anti-inflammatory painkillers for treatment, which mostly have good effects. If the results are unsatisfactory, some specific ergot pain relievers can be used for relief. Third, treat the symptoms accordingly. If there are obvious symptoms of nausea and vomiting, you can orally take or receive muscle injections of painkillers for treatment. Generally, after these treatments, there will be a significant relief from the migraine.

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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 Zhang Hui
Neurology
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What causes migraines with nausea?

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 Zhang Hui
Neurology
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What should I do if I always have migraines?

Migraine is a disease that severely affects quality of life. During a migraine attack, patients experience moderate to severe headaches, accompanied by nausea, vomiting, photophobia, phonophobia, and daily life is severely affected. Activities such as climbing stairs can progressively worsen the headache. If migraines occur frequently and severely affect daily life, it is advisable to undergo preventive treatment. Preventive medications primarily fall into three categories: the first category includes receptor blockers, the second category consists mainly of anti-epileptic drugs, and the third category comprises calcium channel blockers. These medications can effectively prevent the onset of migraines and can be taken under the advice of a doctor. Additionally, it is important to maintain a stable mood and ensure adequate sleep to prevent the onset of migraines.