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 Liu Yan Hao
Neurology
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What should you pay attention to in daily life if you have migraines?

Patients with migraines should pay attention to maintaining a regular daily schedule, avoid staying up late, avoid overworking, and ensure sufficient sleep. Additionally, there are some foods that can trigger migraine attacks, such as pickled foods and salty vegetables, which contain nitrites that may provoke migraines. Other foods, like certain dairy products and red wine, can also trigger migraine attacks. Patients who experience migraines should try to avoid these types of foods to minimize occurrences. What is a migraine? Migraines typically present as unilateral head pain. A common symptom before the onset of a migraine headache is experiencing prodromal symptoms such as changes in vision, blurred vision, altered shapes, and seeing rippling patterns. These symptoms appear shortly before the headache begins, characterizing a typical migraine attack. During an attack, one can take pain relief medication to ease the pain. Migraines generally do not cause significant health issues, and even without medication, the pain usually resolves within a few hours, so there is no need to worry excessively. The main focus should be on the above points to reduce the frequency of migraine attacks. (Please use medication under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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Can migraines cause vomiting?

Patients with migraines may experience vomiting, which is one of the most common complications of migraines. The occurrence of vomiting in migraines is mainly because the headache may affect the vomiting center in the brainstem, such as affecting the solitary nucleus. Damage to the solitary nucleus can lead to gastrointestinal dysfunction and result in vomiting. Many patients find that their headache symptoms are alleviated after vomiting. In terms of treatment, on one hand, it is necessary to correct the occurrence of migraines, mainly by administering pain relief medications and allowing the patient to rest in a quiet environment. For vomiting, antiemetic medications can be given to the patient, either orally or by muscle injection. Most patients show significant clinical improvement after treatment. (Please use medication under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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How long will it take for the migraine to get better?

Migraine is very prevalent among young and middle-aged people, with sufferers usually experiencing unilateral, though sometimes bilateral, pulsating headaches. These may accompany a sensitivity to light and sound, along with significant nausea and vomiting. Typically, migraines resolve within 4-72 hours, meaning recovery generally occurs within three days. If it doesn’t resolve within three days, it’s referred to as a status migrainosus. During an acute migraine episode, it is important to rest, ensure adequate sleep, consume more fruits, and take non-steroidal anti-inflammatory drugs for treatment. Specific pain relievers such as triptans may also be used, and concurrent complications should be addressed. Furthermore, if migraines recur frequently, prophylactic treatment with medications like beta-blockers may be considered. (Please consult a professional physician before taking any medication.)

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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.

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Written by Zhang Hui
Neurology
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How to suppress migraine and vomiting?

Patients with migraines typically experience unilateral or bilateral pulsating headaches. During severe headache episodes, they often experience significant symptoms of nausea and vomiting. This is because migraines can disrupt autonomic nervous function, and some neural nuclei in the brainstem emit impulses that cause nausea and vomiting. The treatment for vomiting includes the following aspects: First, patients should rest and avoid consuming foods that are hard to digest or are very tough. Second, patients can take orally or receive muscle injections of medications that treat vomiting, primarily those that promote gastrointestinal motility. Third, treating the migraine itself involves providing the patient with non-steroidal anti-inflammatory drugs for pain relief. Once the headache is alleviated, the nausea and vomiting will naturally subside.