[37F] Experiencing migraines, dizziness, nausea, and stomach pain

Patient Description

A 37-year-old female presents with a history of migraines for 20 years, currently experiencing a migraine with a severity of 6 out of 10, localized behind one eye. The migraines are associated with nausea, sensitivity to light, and are exacerbated by lack of sleep, stress, hypoglycemia, hormonal shifts, menses, and allergies. Relief is typically found through medication and resting in a cold, dark room. The patient also reports dizziness and stomach pain, but the migraine is the primary concern. The frequency of the migraines is 3-5 times a week, with each episode lasting from hours to days.

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Arora's Assessment

What might be happening

Based on the information provided, possible diagnoses include:

  • Migraine: A common condition characterized by recurrent episodes of severe headache, often accompanied by nausea, vomiting, and sensitivity to light and sound. Migraines can be triggered by a variety of factors, including stress, lack of sleep, hormonal changes, and certain foods or drinks.

    • Treatment of migraines often involves medications to relieve symptoms and prevent future attacks, as well as lifestyle changes to avoid triggers.
  • Gastroenteritis: An inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. Symptoms can include stomach pain, nausea, vomiting, and diarrhea.

    • Treatment of gastroenteritis typically involves rest, hydration, and over-the-counter medications to relieve symptoms.
  • Gastritis: An inflammation of the stomach lining, which can cause stomach pain, nausea, and vomiting. Gastritis can be caused by various factors, including long-term use of certain medications, excessive alcohol consumption, stress, and certain infections.

    • Treatment of gastritis usually involves medications to reduce stomach acid and treat any underlying cause.

Please note that these are only possible diagnoses and you should seek care from a healthcare professional for a formal diagnosis and treatment.

What you can do

In the meantime, you can try the following to help alleviate your symptoms:

  1. Rest and hydrate: Make sure you are getting enough sleep and drinking plenty of fluids. This can help with both your migraines and stomach pain.

  2. Avoid triggers: If you know certain factors trigger your migraines, try to avoid these as much as possible.

  3. Over-the-counter medications: Over-the-counter pain relievers can help with both migraines and stomach pain. However, be sure to follow the instructions on the package and do not exceed the recommended dose.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe headache or stomach pain that does not improve with rest or over-the-counter medications
  • Symptoms of dehydration, such as dry mouth, decreased urination, or feeling lightheaded or faint
  • Any new or worsening symptoms

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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10 mo ago

People Also Ask


What are common triggers for migraines and how can they be managed?

Common triggers for migraines include stress, lack of sleep, hormonal changes, certain foods or drinks, and environmental factors like bright lights or strong smells. Managing these triggers involves identifying and avoiding them as much as possible, maintaining a regular sleep schedule, managing stress through relaxation techniques, and keeping a migraine diary to track potential triggers.


How can I differentiate between a migraine and other types of headaches?

Migraines are typically characterized by a throbbing or pulsing pain on one side of the head, often accompanied by nausea, vomiting, and sensitivity to light and sound. Tension headaches usually cause a dull, aching sensation all over the head, while cluster headaches cause severe pain around one eye. Consulting with a healthcare provider can help in accurately diagnosing the type of headache.


What lifestyle changes can help reduce the frequency of migraines?

Lifestyle changes that can help reduce the frequency of migraines include maintaining a regular sleep schedule, eating balanced meals at regular intervals to avoid hypoglycemia, staying hydrated, exercising regularly, managing stress through techniques like yoga or meditation, and avoiding known triggers.


When should I seek medical attention for migraine symptoms?

You should seek medical attention for migraine symptoms if you experience a sudden, severe headache unlike any you've had before, if your headache is accompanied by neurological symptoms like vision changes or difficulty speaking, if over-the-counter medications do not relieve your symptoms, or if your headaches are becoming more frequent or severe.


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