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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How should migraines be treated?

The treatment of migraines is actually quite simple. During an attack, oral pain relievers can be taken to temporarily relieve pain, but it is crucial to first confirm whether it is indeed a migraine attack. This is because some organic cerebrovascular diseases, such as cerebral hemorrhage and subarachnoid hemorrhage, can also present symptoms of headache. Mistaking these for migraine and taking pain relievers could delay proper treatment. If it is confirmed to be a migraine, then pain relievers can be taken for treatment. Migraines often recur, typically causing unilateral headaches, and visual aura symptoms may appear before an attack. Even without treatment, symptoms usually subside completely within a few hours. It is best to investigate conditions mentioned like cerebral hemorrhage or subarachnoid hemorrhage, which are organic changes that can cause similar symptoms. Once diagnosed, the treatment becomes straightforward. Normally, it is important to be aware of and avoid triggers for migraines, such as staying up late, consuming salty pickled vegetables and other foods, red wine, and cheese, as these may trigger migraines. (Please use medications under the guidance of a professional physician and do not medicate blindly.)

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Written by Liu Yan Hao
Neurology
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Can I wash my hair if I have a migraine?

Patients with migraines should avoid washing their hair during an attack. Water that is too hot or too cold can stimulate the dilation or spasm of cerebral blood vessels, potentially worsening migraine symptoms. Therefore, it is advised not to wash hair during a migraine attack, though it is fine during remission periods. During a migraine attack, symptomatic oral pain relievers and medications to alleviate vascular spasms can be used for treatment. It is important to prevent migraines by avoiding staying up late and overexertion. Additionally, certain foods known to trigger migraines should be avoided, including foods containing nitrites such as leftovers, pickled vegetables, and other preserved foods which may contain nitrites. Foods like red wine and cheese can also trigger migraines and should be consumed with caution. (Medication should be used under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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migraine symptoms

The typical symptoms of migraine include unilateral pulsating headaches, usually located in the temporal area, where the patient can feel a pronounced throbbing of blood vessels. However, some patients may experience bilateral fluctuating headaches; bilateral headaches should not exclude the diagnosis of migraines. Patients may also experience nausea, vomiting, photophobia, phonophobia, and clinical manifestations such as aggravation of headache during routine activities, and may also exhibit symptoms of restlessness and unease. Additionally, some patients may experience visual auras, such as flashing lights or black spots in front of their eyes, before a migraine attack.

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Written by Liu Yan Hao
Neurology
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Which department should I go to for migraines?

Patients with migraines should visit the neurology department for treatment. Typical migraines often begin with an aura that changes how one sees things before an attack. After the aura appears, symptoms of pain on one side of the head may occur, usually resolving completely within a few hours. These symptoms can recur, and during an attack, symptomatic oral pain relievers can be used for treatment. To prevent migraines, one should avoid staying up late and consuming pickled foods, which contain nitrates that can trigger migraine attacks. Leftovers also contain nitrates and can induce migraines, so it's best to avoid them as well. Additionally, red wine and dairy products can trigger migraines and should be avoided. Overall, since migraines are a neurological disorder, it is advisable to seek treatment in the neurology department.

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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.)