Which Specialist to See for Migraine with Nausea and Vomiting?

If you are experiencing migraines accompanied by nausea and vomiting, you should consult a neurologist?

Hello Dr.
Jiang, I used to experience migraines frequently, but they would usually improve after a day or two of rest.
However, two weeks ago, I started having migraines again, accompanied by a feeling of pressure and slight dizziness, and I have vomited twice since then.
Thank you.

Ru, 30~39 year old female. Ask Date: 2022/03/24

Dr. Jiang Junyi reply Neurology

Dear Ms.
Ru,
You mentioned that you started experiencing migraines two weeks ago, accompanied by some swelling and mild dizziness, and you have vomited twice since then.
I would like to know if you have a history of migraines.
If this is a new onset of symptoms, it may be advisable to seek medical evaluation.

Occasional migraines typically present as severe, unilateral throbbing pain that can last for several hours, or even up to 2-3 days.
If acute medication is not effective, or if you find that the frequency or dosage of pain relief medications is increasing, it indicates that you may need preventive treatment.
This can help improve the function of brain nerve cells and reduce pain occurrence.
I recommend visiting a neurology clinic and consulting a headache specialist who is familiar with this type of condition.

Wishing you good health and peace.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital

Reply Date: 2022/03/24

More Info

When dealing with migraines accompanied by nausea and vomiting, it is essential to consult a healthcare professional who specializes in headaches or migraines. The most appropriate specialist to see would be a neurologist. Neurologists are trained to diagnose and treat various neurological disorders, including migraines. They can provide a comprehensive evaluation of your symptoms, medical history, and any potential triggers for your migraines.

In addition to a neurologist, you might also consider consulting a headache specialist. These professionals focus specifically on headache disorders and can offer targeted treatments and management strategies. They often have more experience with complex cases of migraines and can provide advanced therapies that may not be available through general practitioners.

When you visit a specialist, they will likely conduct a thorough assessment, which may include a physical examination, a review of your medical history, and possibly imaging studies like an MRI or CT scan to rule out any other underlying conditions. They will also inquire about the frequency, duration, and intensity of your migraines, as well as any associated symptoms like nausea and vomiting.

Treatment options for migraines can vary widely depending on the severity and frequency of your attacks. Acute treatments, which are taken during a migraine attack, may include over-the-counter pain relievers such as ibuprofen or acetaminophen, or prescription medications like triptans, which are specifically designed to treat migraines. For nausea and vomiting, antiemetic medications may be prescribed to help alleviate these symptoms.

Preventive treatments may also be recommended if you experience frequent migraines. These can include daily medications such as beta-blockers, antidepressants, or anticonvulsants, which can help reduce the frequency and severity of migraine attacks. Lifestyle modifications, such as maintaining a regular sleep schedule, staying hydrated, managing stress, and avoiding known triggers, can also play a significant role in managing migraines.

It's important to communicate openly with your specialist about your symptoms, including the nausea and vomiting, as these can significantly impact your quality of life. They may suggest keeping a headache diary to track your migraines, including their frequency, duration, triggers, and any medications taken, which can help in tailoring your treatment plan.

In summary, for migraines with nausea and vomiting, seeing a neurologist or a headache specialist is the best course of action. They can provide a comprehensive evaluation and develop a personalized treatment plan to help manage your symptoms effectively. Don't hesitate to seek help, as effective management can greatly improve your quality of life and reduce the impact of migraines on your daily activities.

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