Gastrointestinal Symptoms In Migraine
Gastrointestinal symptoms in migraine are very frequent. More than two-thirds of patients with migraine experience vomiting during their migraine attacks., Both nausea and vomiting are usually related to the intensity of pain,, although the exact link between pain and gastrointestinal symptoms in patients with migraines is not completely understood.
There is evidence that migraine patients have an increased tendency for nausea and vomiting after surgery compared to nonmigraine patients., Nausea is a predominant symptom of migraine, and the basis of it was thought to be gastric stasis., Several studies on gastric stasis based on indirect evidence of gastric emptying have assumed that gastric stasis is the underlying mechanism of nausea, which is a predominant symptom of migraine, and the studies were based on that theory. However, today we know that when improving gastric stasis in migraineurs with a migraine attack, nausea still remains until we successfully treat the migraine attack. So we must assume that gastric stasis is an epiphenomenon but not the cause of nausea and vomiting, which is a central process.
Aurora et al suggest that a central process, due to changes occurring in the brain stem as a part of the acute migraine, rather than due to gastric stasis, causes nausea, as the stasis is present even outside an attack, and none of their patients was nauseous outside an attack.
Can Stress Cause Migraines
Yes. Stress can trigger both migraine and tension-type headache. Events like getting married, moving to a new home, or having a baby can cause stress. But studies show that everyday stresses not major life changes cause most headaches. Juggling many roles, such as being a mother and wife, having a career, and financial pressures, can be daily stresses for women.
Making time for yourself and finding healthy ways to deal with stress are important. Some things you can do to help prevent or reduce stress include:
- Eating healthy foods
- Being active
- Doing relaxation exercises
- Getting enough sleep
Try to figure out what causes you to feel stressed. You may be able to cut out some of these stressors. For example, if driving to work is stressful, try taking the bus or subway. You can take this time to read or listen to music, rather than deal with traffic. For stressors you can’t avoid, keeping organized and doing as much as you can ahead of time will help you to feel in control.
Treatment Of Elderly Patients With Migraine
Managing older migraine patients necessitates particular caution, including taking into account possible pharmacological interactions associated with the greater use of drugs for concomitant diseases in the elderly. Comorbid diseases may prohibit the use of some medications. Moreover, older patients are more likely than younger ones to develop adverse effects. Paracetamol is the safest drug for symptomatic treatment of migraine in the elderly. NSAID use should be limited because of potential gastrointestinal adverse events, and triptan use is not recommended, even in the absence of cardiovascular or cerebrovascular risk. Antiemetics can be used, but cautiously, especially in Parkinsons disease patients. Selection of a prophylactic treatment, when needed, should be influenced by the patients comorbidities, and should be directed toward those drugs that are believed to have fewer adverse effects and a better safety profile.
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How Can I Tell If I Have A Migraine Or Just A Bad Tension
Compared with migraine, tension-type headache is generally less severe and rarely disabling. Compare your symptoms with those in this chart to see what type of headache you might be having.
|Aura before onset of headache||x|
Note: Rebound headache may have features of tension and/or migraine headache. Adapted from a table produced by the American Council for Headache Education.
Although fatigue and stress can bring on both tension and migraine headaches, migraines can be triggered by certain foods, changes in the body’s hormone levels, and even changes in the weather.
There also are differences in how types of headaches respond to treatment with medicines. Although some over-the-counter drugs used to treat tension-type headaches sometimes help migraine headaches, the drugs used to treat migraine attacks do not work for tension-type headaches for most people.
You can’t tell the difference between a migraine and a tension-type headache by how often they occur. Both can occur at irregular intervals. Also, in rare cases, both can occur daily or almost daily.
Some Points About Medicines To Prevent Migraine Attacks
- You need to take the medicine every day.
- It is unlikely to stop migraine attacks completely. However, the number and severity of attacks are often much reduced by a preventative medicine. It is useful for you to keep a migraine diary to monitor how well a medicine is working.
- It may take 1-3 months for maximum benefit. Therefore, if it does not seem to work at first, do persevere for a while before giving up.
- It is common practice to take one of these medicines for 4-6 months. After this, it is common to stop it to see if it is still needed. It can be restarted again if necessary.
- If a migraine attack occurs, you can still take painkillers or a triptan in addition to the preventative medicine.
- It is worth trying a different medicine if the first one you try does not help.
- Read the leaflet in the medicine packet for a list of cautions and possible side-effects.
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I’m Pregnant Can My Migraines Still Be Treated
Some migraine medicines should not be used when you are pregnant because they can cause birth defects and other problems. This includes over-the-counter medicines, such as aspirin and ibuprofen. Talk with your doctor if migraine is a problem while you are pregnant or if you are planning to become pregnant. Your doctor might suggest a medicine that will help you and that is safe during pregnancy. Home treatment methods, such as doing relaxation exercises and using cold packs, also might help ease your pain. The good news is that for most women migraines improve or stop from about the third month of the pregnancy.
What Are Some Ways I Can Prevent Migraine
The best way to prevent migraine is to find out what triggers your attacks and avoid or limit these triggers. Since migraine headaches are more common during times of stress, finding healthy ways to cut down on and cope with stress might help. Talk with your doctor about starting a fitness program or taking a class to learn relaxation skills.
Talk with your doctor if you need to take your pain-relief medicine more than twice a week. Doing so can lead to rebound headaches. If your doctor has prescribed medicine for you to help prevent migraine, take them exactly as prescribed. Ask what you should do if you miss a dose and how long you should take the medicine. Talk with your doctor if the amount of medicine you are prescribed is not helping your headaches.
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Why You Might Vomit
Before trying to stop yourself from vomiting, a good starting point is to find out the cause of your vomiting. This is especially important because vomiting may be a symptom of the underlying disease.
The most common causes of vomiting are:
- Food poisoning
- Viral infection
- Side effects of the medicine you are taking
If vomiting occurs at the same time as headache, pain, tremor and other symptoms, it may be a sign of the following symptoms:
- intestinal obstruction
How To Prevent Nausea With Migraine
When a migraine hits, hiding out in the dark is one way to ride out an episode. But once a migraine passes, the focus should be on ways to prevent the next one from occurring. Typically, we start with lifestyle education and management of avoidable risk factors, when possible, Dr. Schim says.
But one things for sure: Prevention of nausea goes back to the prevention of migraine. One strategy to consider is identifying migraine triggers, such as:
- Skipping meals
- Exposure to specific lights, sounds, and odors
- Certain medications
- Dental issues like teeth grinding
- Excessive screen usage
- Jet lag or lack of sleep
- Alcohol, and specifically red wine
- Specific foods such as aged cheeses and cured meats
While avoiding migraine triggers can help reduce the frequency and severity, sometimes its not enough to ward off these painful attacks. And thats where preventative and acute medications, like the ones described above, come into play.
The fact is, dealing with a migraine is never fun, especially when your stomach is also suffering the consequences of an attack. While nausea and vomiting often worsen a migraine, remedies like OTC drugs, prescription medications, and lifestyle modifications can provide some much-needed relief. And dont forget to reach out for helpits always a good idea to talk with your doctor or another health care professional about ways to prevent and treat migraine attacks.
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Medicines Plus Behavioural Therapy
An interesting research study published in 2010 compared two groups of people who had frequent migraines. One group took a beta-blocker medicine alone. Another group took a beta-blocker but also had a course of behavioural migraine management . BMM included education about migraine, helping to identify and manage migraine triggers, relaxation techniques and stress management. After a number of months the group of people who took the beta-blocker plus BMM had, on average, significantly fewer migraines compared with the group who took beta-blockers alone. Further research is needed to confirm this and to look at BMM combined with other medicines to prevent migraine.
What Causes Migraine With Nausea And Vomiting
The who and why of migraine attacks are already a bit of a mystery, but symptoms can be Clue level head-scratchers. Even though nausea tops the list of migraine symptoms for many people, why this happens is not clear-cut. The good news is experts have a few theories that shed light on the link between migraine and nausea.
A migraine commonly includes things like nausea, but sometimes vomiting and diarrhea too. Jack Schim, M.D., F.A.H.S., F.A.A.N., co-director of the Neurology Center of Southern California, tells SELF that experts think at least part of this is due to migraine affecting different brainstem areas involved in autonomic functionsthe things your body just does automaticallysuch as digestion. The idea is that migraine attacks irritate the nerves that activate this system, triggering those not-so-fun symptoms.
Another theory according to Medhat Mikhael, M.D., pain management specialist and medical director of the non-operative program at the Orange Coast Medical Centers Spine Health Center, is that migraine decreases serotonin levels in the brain, which is believed to contribute to nausea. Serotonin is generally known as the happy chemical keeping our mood on an even keel . So, its no surprise that a decrease in our feel-good chemicals could have noticeable side effects. Dr. Mikhael also says that a decrease in serotonin can trigger motion sickness, another uneasy feeling.
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What Are The Causes Of A Migraine
Migraines arent the same as other types of headaches. Migraine is a genetic neurological disease in which there is an interplay between the pain neurons in the brain and the blood vessels.
Migraines can be set off by different stimuli, foods, and conditions. These triggers vary from person to person, with the most common including:
Why Does Throwing Up Relieve Migraines
Doctors dont know exactly why throwing up relieves migraine headaches. Seems like we say that a lot when it comes to migraine symptoms right? There are several theories why throwing up relieves migraine attacks though. The most prevalent theory is that vomiting stimulates the vagus nerve. Your vagus nerve runs from your brain to your gut. The act of vomiting may be enough to stimulate that nerve resulting in the end of pain.
Remember that slowed digestive process we mentioned? Another theory suggests vomiting may be the end of that process. Vomiting associated with the end of the digestive slowing process may mark the end of your migraine attack. A third theory is that vomiting sends messages to your brain that announce the end of an attack.
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What Are The Symptoms Of Migraines
The primary symptom of migraine is a headache. Pain is sometimes described as pounding or throbbing. It can begin as a dull ache that develops into pulsing pain that is mild, moderate or severe. If left untreated, your headache pain will become moderate to severe. Pain can shift from one side of your head to the other, or it can affect the front of your head, the back of your head or feel like its affecting your whole head. Some people feel pain around their eye or temple, and sometimes in their face, sinuses, jaw or neck.
Other symptoms of migraine headaches include:
- Sensitivity to light, noise and odors.
- Nausea and vomiting, upset stomach and abdominal pain.
- Loss of appetite.
- Feeling very warm or cold .
- Pale skin color .
- Euphoric mood.
What Causes A Migraine
The cause of migraine headaches is complicated and not fully understood. When you have a headache its because specific nerves in your blood vessels send pain signals to your brain. This releases inflammatory substances into the nerves and blood vessels of your head. Its unclear why your nerves do that.
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What Are The Symptoms Of Migraine
The main symptoms of migraine are an intense, throbbing or pounding headache often affecting the front or one side of the head, nausea and sometimes vomiting , and an increased sensitivity to light smells and sound. The throbbing headache is often made worse by the person moving.
Other symptoms of migraine might include poor concentration, feeling hot or cold, perspiration , and an increased need to pass urine. This can occur before, during or after the migraine attack.
People might also experience stomach aches and diarrhoea.
It is common for people to feel tired for up to two or three days after a migraine.
Can Migraines Be Prevented Or Avoided
Medicine to prevent migraines may be helpful if your headaches happen more than 2 times a month. You may want to consider this medicine if your headaches make it hard for you to work and function. These medicines are taken every day, whether you have a headache or not.
Preventive medications for migraines can include prescription drugs often used to treat other ailments. Anti-seizure medicines, antidepressants, medicines to lower blood pressure, and even Botox injections are some of the preventive medications your doctor may prescribe. Calcitonin gene-related peptide inhibitors can also help prevent migraines. They do so by blocking a gene-related peptide in your sensory nerves. This peptide is known to increase during a migraine attack, so blocking it can help prevent migraines.
There are also a number of non-medical treatments designed to help minimize migraine pain and frequency. One is an electrical stimulation device, which has been approved by the FDA. It is a headband that you wear once a day for 20 minutes to stimulate the nerve linked to migraines. Another non-medical treatment is counseling aimed at helping you feel in more control of your migraines. This counseling works best when paired with medical prevention of migraines, as well.
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How To Stop A Migraine
Many people around the world experience migraines. If you are one of these individuals, you know just how debilitating and painful they can be.
Once they start, it can be quite hard to stop a migraine. But that does not mean it is impossible.
Understanding what a migraine is and what triggers it is the first step in knowing how to stop it. With that in mind, we put together this guide for you.
If you would like more information about how to stop a migraine, make sure you head over and check out the Manic Migraine website.
Common Migraine Treatments In Breastfeeding Women
Many commonly used migraine medications may be compatible with breastfeeding based on expert recommendations. Ibuprofen, diclofenac, and eletriptan are among acute medications with low levels in breast milk, but studies of triptans are limited. Toxicity is a concern with aspirin, due to an association with Reyes syndrome, and with opioids, due to an association with sedation or apnea. Clinicians treating migraine should discuss treatments options shortly before and within a few months after delivery, in consultation with the obstetrician and pediatrician.
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Migraine Is Much More Than Just A Headache
There are different types of migraine that involve different symptoms. There are many features or symptoms that are a part of migraine. There are also differences in how severe a symptom might be.
The most common symptoms of a migraine attack include:
- throbbing headache
- sensitivity to light, noise and smell
Papers Of Particular Interest Published Recently Have Been Highlighted As: Of Importance
Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders, 2nd ed. Cephalalgia. 2004 24 :S24101.
Bag B, Karabulut N. Pain-relieving factors in migraine and tension-type headache. Int J Clin Pract. 2005 59:7603.
Selby G, Lance JW. Observation on 500 cases of migraine and allied vascular headaches. J Neurol Neurosurg Psychiatry. 1960 23:2332.
Lance JW, Anthony M. Some clinical aspects of migraine. A prospective survey of 500 patients. Arch Neurol. 1966 15:35661.
Lipton RB, Buse DC, Saiers J, et al. Frequency and burden of headache-related nausea: results from the American Migraine Prevalence and Prevention study. Headache. 2012 53:93103. Persons with high-frequency nausea were found to bear higher burden of migraine, associated with being occupationally disabled and having more financial burden.
Eidlitz-Markus T, Gorali O, Haimi-Cohen Y, et al. Symptoms of migraine in the paediatric population by age group. Cephalalgia. 2008 28:125963.
Gershon MD, Chalazonitis A, Rothman TP. From neural crest to bowel: development of the enteric nervous system. J Neurobiol. 1993 24:199214.
Gulbransen BD, Sharkey KA. Novel functional roles for enteric glia in the gastrointestinal tract. Nat Rev Gastroenterol Hepatol. 2012 9:62532.
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