What Is A Migraine
A migraine is not simply a bad headache. A migraine is an intense headache that may be accompanied by other symptoms such as nausea , vomiting , visual problems and an increased sensitivity to light or sound.
Migraines commonly last between four hours and three days. Some people experience migraines several times a week. Others might only experience attacks every few years. If you experience headaches on 15 days or more each month, and eight of these headaches are migraines, this is known as chronic migraine.
Although migraines are not life-threatening and do not shorten peoples life expectancies, they can significantly damage the quality of peoples lives. A World Health Organisation study identified migraine as the sixth highest cause worldwide of years lost due to disability . Repeated migraines can have a negative impact on family life, social life and employment.
There are two main types of migraine: migraine without aura and migraine with aura .
Who’s More Prone To Migraines
Certain people are more prone to developing migraines. Theres a strong genetic component. In fact, approximately 80% of people who experience migraines have a parent, sibling, or child with the condition. People who menstruate are more likely to get migraines than people who do not. Obesity is another risk factor.
How They Help Migraines
Over-the-counter antiemetics do not work in the same way as prescription-strength antiemetics. For example, dimenhydrinate is an antihistamine that reduces nausea by speeding up gastrointestinal movement. Meclizine is an anticholinergic medication that decreases the brain’s sensitivity to movement, reducing symptoms of motion sickness.
Prescription antiemetics have a different effect on the body than other migraine treatments and a very different type of action than over-the-counter options. They are dopamine antagonists, which means that they block the receptors that allow dopamine, a neurotransmitter, to function.
Verywell / Emily Roberts
Dopamine normally fine-tunes muscle movements, and it also modifies mood and pain. Many dopamine antagonist antiemetics are actually antipsychotics, because excess dopamine action is linked with hallucinations, psychosis, and conditions such as schizophrenia. These medications reduce nausea and vomiting through their dopamine antagonist action in the brain and the gastrointestinal system.
Antiemetics are not always effective for treating migraines, however, and they can induce distressing short-term and long-term side effects, which include involuntary muscle movements.
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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
How To Take It
The way to take this medicine is: Oral. This medicine is taken by mouth.
- Store below 30 degrees Celsius
- Protect from Light
- Shelf lifetime is 2 Years.
You should seek medical advice in relation to medicines and use only as directed by a healthcare professional.
Always read the label. If symptoms persist see your healthcare professional.
Also Check: Sumatriptan In Pregnancy
Works For Most: Vitamin B Feverfew Melatonin Butterbur
Vitamin B2: A Belgian study found that 60 per cent of people who took 400 milligrams of this vitamin everyday had half their usual number of migraines.
Feverfew: This popular herb offers mild and transient benefits, according to British researchers, but in a recent study of a feverfew extract containing a consistent level of parthenolide, migraines were reduced from five per month to three. Further research shows there is conflicting evidence on the effectiveness of this herb.
Melatonin: Two-thirds of study participants who took melatonin before going to bed every night for three months said the number of migraines they experienced dropped by 50 per cent.
Butterbur-based remedies: One expert calls these the best safety-tested herbal to date for the treatment of headache. According to the journal Neurology, 68 per cent of those who took a butterbur product called Petadolex saw the number of migraines they experienced drop by 50 per cent.
Got a bad case of indigestion? Try these home remedies.
Migraine Nausea And Vomiting Can Be As Debilitating As The Pain Discover The Best Remedies To Stop Nausea And Feel Better Fast From Ginger Ale To Rx Meds
While there is no such thing as a ‘typical’ or ‘normal’ Migraine attack, some symptoms show up again and again during attacks. Digestive issues, especially nausea and vomiting, are extremely common Migraine symptoms.
Migraine is a neurological disorder that primarily affects the brain and central nervous system. Why, then, do so many of us experience nausea and/or vomiting along with head pain? How are the stomach and brain connected?
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Why Do Migraines Make You Throw Up
Migraine nausea occurs in as many as 90% and vomiting occurs in nearly 70% of those with migraine disease. Like most migraine symptoms, doctors are still unsure exactly whats happening in the body during a migraine attack that causes nausea & vomiting. So, the short answer is were not exactly sure why migraines make you throw up. It might be because the digestive process significantly slows down or even stops during a migraine attack. In addition to migraine making you throw up it can lead to constipation. Besides nausea and constipation, this slowing or stopping of the digestive process may also make it difficult for you to absorb your migraine medication.
Medicines For Migraine When Pregnant Or Breastfeeding
Many of the medicines used to treat migraine should not be taken by pregnant or breastfeeding women.
- For relief of a migraine headache:
- Paracetamol is the medicine most commonly used, as it is known to be safe during pregnancy.
- Ibuprofen is sometimes used but do not take it in the last third of the pregnancy .
- Aspirin – avoid if you are trying to conceive, early in pregnancy, in the third trimester and whilst breastfeeding.
- Triptans – should not be taken by pregnant women at all. Triptans can be used during breastfeeding, but milk should be expressed and discarded for 12-24 hours after the dose .
Check with your pharmacist or doctor if you are not sure.
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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.
Are There Different Kinds Of Migraine
Yes, there are many forms of migraine. The two forms seen most often are migraine with aura and migraine without aura.
Migraine with aura . With a migraine with aura, a person might have these sensory symptoms 10 to 30 minutes before an attack:
- Seeing flashing lights, zigzag lines, or blind spots
- Numbness or tingling in the face or hands
- Disturbed sense of smell, taste, or touch
- Feeling mentally “fuzzy”
Only one in five people who get migraine experience an aura. Women have this form of migraine less often than men.
Migraine without aura . With this form of migraine, a person does not have an aura but has all the other features of an attack.
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When Should I Seek Immediate Help Or Contact My Healthcare Provider
- You are experiencing the worst headache of my life.
- You are having neurologic symptoms that youve never had before, including speaking difficulty, balance problems, vision problems, mental confusion, seizures or numbing/tingling sensations.
- Your headache comes on suddenly.
- You have a headache after experiencing a head injury.
Schedule a visit with your healthcare provider if:
- The number or severity of your headaches increase or your headache pattern changes.
- Your medications no longer seem to be working or youre experiencing new or different side effects.
What Questions Should I Ask My Healthcare Provider
- Will my child grow out of their migraines?
- What medications do you recommend for me?
- What should I change about my lifestyle to prevent my migraine headaches?
- Should I get tested?
- What type of migraine do I have?
- What can my friends and family do to help?
- Are my migraines considered chronic?
A note from Cleveland Clinic
Migraine headaches can be devastating and make it impossible to go to work, school or experience other daily activities. Fortunately, there are some ways to possibly prevent a migraine and other ways to help you manage and endure the symptoms. Work with your healthcare provider to keep migraines from ruling your life.
Last reviewed by a Cleveland Clinic medical professional on 03/03/2021.
Recommended Reading: Which Condition Commonly Accompanies Migraine Headaches
Injections Can Be Helpful But Are Not Commonly Used And You May Need A Specialist To Prescribe Them
You can take one of the anti-nauseant medications with your non-steroidal anti-inflammatory medication or your triptan if necessary .
Speak to your doctor and decide which of these treatment options might be best for you. Design a «special option» for attacks that are more severe.
If your migraine attacks are frequent and taking acute medications for your migraine attacks as discussed above is not working very well, then you might want to consider a daily preventive medication to make your attacks less frequent and less severe .
If your attacks are very difficult to control, you may need to go to the Emergency Department. Read our page on this difficult situation .
Worthington I, Pringsheim T, Gawel MJ, Gladstone J, Cooper P, Dilli E, et al. Canadian Headache Society Guideline: acute drug therapy for migraine headache. Can J Neurol Sci. 2013 40:S1-s80.
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.
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Is Nausea A Sign Of A Migraine
Yes, nausea is a common symptom of migraine, but it can look different for everyone.
For example, according to Cove Medical Director and migraine expert Dr. Sara Crystal, âsome people experience nausea as a prodromal symptom, which precedes the migraine pain.â
In addition to nausea, prodromal symptoms could also include diarrhea, constipation, difficulty concentrating, stiff neck and shoulders, or an aura.
Peppermints & Essential Oils
Peppermint is a well documented Ayurvedic remedy for migraine nausea. Peppermint & ginger were by far the most popular nausea relief poll answers we received from our community. As another gastric calming herb, eating peppermint or drinking it in the form of tea can relieve migraine nausea symptoms. Old fashioned peppermint candies help ease nausea for some people. These awesome peppermints are made locally in Florida where I live and are so popular in my area they can even be found in many nearby cancer treatment centers & hospital gift shops. An unexpected nausea relief product in my toolkit is Erbaviva Organic Quease Ease Lip Balm. I received it in a subscription box and so far really like it.
Peppermint essential oil can be used as a migraine nausea remedy by rubbing peppermint oil on your temples or behind your ears. Just smelling peppermint can be helpful too. Run a bit of peppermint oil roller ball under your nose or use this peppermint oil in your essential oil diffuser to feel its benefits. I use my cell phone fan linked above after applying peppermint oil under my nose. Cooling migraine roller balls by Forces of Nature are not only comforting during attacks, they helps provide migraine nausea relief too. Use code NatureMS19 for 20% off your purchase.
Migraine In Adolescents And Children
Although migraine is a common occurrence in children and adolescents, its diagnosis and treatment present unique challenges. Evidence for the pharmacological treatment of acute migraine in children is very poor, and evidence for adolescents is better but still limited. Generally, acetaminophen and ibuprofen are accepted as drugs of first choice, even though the evidence is poor for the former and limited for the latter. Among 14 studies on triptans in adolescents, nine showed some superiority over placebo with respect to pain relief and pain freedom, and among six studies in children, five suggested some superiority over placebo. Sumatriptan nasal spray and zolmitriptan nasal spray have been approved for adolescents in Europe and almotriptan has been approved for adolescents in the US as has rizatriptan for patients aged 617 years. If simple analgesics are insufficient and if nausea or vomiting is a prominent symptom, then adding an antiemetic agent may be helpful. The literature data on prophylaxis are conflicting: flunarizine and topiramate are probably effective for other drugs , there is insufficient evidence in children. The results from the use of propranolol are conflicting, whereas nimodipine and clonidine have shown to be ineffective.,
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.
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How Are Migraines Treated
Migraine headaches are chronic. They cant be cured, but they can be managed and possibly improved. There are two main treatment approaches that use medications: abortive and preventive.
- Abortive medications are most effective when you use them at the first sign of a migraine. Take them while the pain is mild. By possibly stopping the headache process, abortive medications help stop or decrease your migraine symptoms, including pain, nausea, light sensitivity, etc. Some abortive medications work by constricting your blood vessels, bringing them back to normal and relieving the throbbing pain.
- Preventive medications may be prescribed when your headaches are severe, occur more than four times a month and are significantly interfering with your normal activities. Preventive medications reduce the frequency and severity of the headaches. Medications are generally taken on a regular, daily basis to help prevent migraines.
Over The Counter Medication
There are many over the counter medications available to help manage migraine nausea symptoms. When tummies start gurgling our community mentioned using, Tums, Dramamine, Bonine, meclizine or Benadryl for migraine nausea relief. Remember these medications are for short term use. Vitamin B6 has also been used effectively to relieve nausea. As always, consult your doctor even when thinking of trying over the counter medications or supplements especially if symptoms persist.
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Migraine Nausea Relief: 15 Tips To Help You Find Relief Now
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Nausea and vomiting have to be some of the most uncomfortable and debilitating symptoms that come with the intense pain of a migraine attack. While it usually ends in stage three, nausea can occur in any of the four stages of migraine. Researchers think nausea begins in the brain, stimulates our nervous system and causes our digestive process to dysfunction resulting in nausea. Well do anything to find migraine nausea relief, right? For the best success, youll want to treat it early, at the very first twinge of symptoms. Read on for 15 migraine nausea relief tips to help you manage this hideous symptom so you begin to feel more comfortable in no time. You will also learn why throwing up relieves migraineattacks for many of us. But lets hope we can quell that icky feeling as soon as you notice it.
** While Migraine Strong writes about the latest in migraine treatments, this is not medical advice. We are patient educators and all information you read should be discussed with your doctor.