[25F] Experiencing dizziness, nausea, and migraine during menstruation

Patient Description

A 25-year-old female reports experiencing dizziness, nausea, and vomiting associated with migraines, particularly during her menstrual periods. The dizziness, described as lightheadedness, has been present for two days and worsens with movement. Vomiting provides temporary relief from nausea. The patient rates her headache intensity as 8 out of 10, with sensitivity to light and sound, but no visual disturbances or numbness. She has not been diagnosed with migraines previously and is not taking any medications other than Tylenol for relief. The patient denies any recent changes in her menstrual cycle, diet, or lifestyle, and has no history of chronic illnesses or allergies. No shortness of breath or palpitations accompany the chest pain she experiences.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Menstrual Migraine: This type of migraine is linked to hormonal changes during your menstrual cycle. It can cause severe headaches, nausea, dizziness, and sensitivity to light and sound. The relief you feel after vomiting is common with migraines. Treatment often involves pain relief medications and sometimes hormonal therapy to manage symptoms.

  • Vestibular Migraine: This condition can cause dizziness and vertigo along with migraine headaches. It might explain the lightheadedness and nausea you're experiencing. Treatment typically includes medications to prevent migraines and manage dizziness.

  • Dehydration: Menstrual periods can sometimes lead to dehydration, which can cause dizziness and headaches. Ensuring adequate fluid intake is important.

  • Anemia: Heavy menstrual bleeding can sometimes lead to anemia, which can cause dizziness and fatigue. A blood test can determine if this is a factor.

What you can do

  1. Stay Hydrated: Drink plenty of fluids, especially water, to help prevent dehydration, which can worsen dizziness and headaches.

  2. Rest in a Dark, Quiet Room: This can help alleviate migraine symptoms, especially if you're sensitive to light and sound.

  3. Track Your Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any patterns or triggers. This information can be valuable for your healthcare provider.

  4. Over-the-Counter Pain Relief: Continue using Tylenol as needed, but be cautious of overuse. If it doesn't help, consult a healthcare provider for alternative options.

  5. Diet and Nutrition: Ensure you're eating regular, balanced meals to maintain energy levels and prevent dizziness.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening headaches that don't respond to medication
  • Persistent dizziness or fainting
  • Chest pain that persists or worsens
  • Any new or unusual symptoms

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and personalized treatment plan.

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1 mo ago

People Also Ask


What are menstrual migraines and how are they different from regular migraines?

Menstrual migraines are headaches that occur in relation to the menstrual cycle, often due to hormonal changes. They can be more severe than regular migraines and are characterized by symptoms like nausea, dizziness, and sensitivity to light and sound.


How can I manage dizziness and nausea associated with migraines?

To manage dizziness and nausea during migraines, stay hydrated, rest in a dark and quiet room, and consider using medications prescribed by a healthcare provider. Over-the-counter options like Tylenol can help, but consult a doctor if symptoms persist.


Could dehydration during my menstrual period be causing my symptoms?

Yes, dehydration can exacerbate symptoms like dizziness and headaches during your menstrual period. It's important to drink plenty of fluids, especially water, to stay hydrated and help alleviate these symptoms.


What are the signs of anemia and how is it related to menstrual periods?

Anemia is a condition where you don't have enough healthy red blood cells to carry adequate oxygen to your body's tissues, leading to fatigue and dizziness. It can be caused by heavy menstrual bleeding. A blood test can diagnose anemia, and treatment may include dietary changes or supplements.


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