[40F] Experiencing nausea and dizziness post-migraine
Patient Description
A 40-year-old female experienced a severe headache earlier today, followed by sudden onset nausea and dizziness once the headache subsided. She reports feeling overheated throughout the day, though her temperature is 97.9°F. The nausea worsens with movement and is not relieved by any measures. The patient experienced blurry vision in both eyes briefly before the headache, which is atypical as she usually has a blurry line in her left eye before migraines. There is no sensitivity to light or sound, and no difficulty speaking or confusion. She feels generally weak but has no numbness in her limbs. She took 400mg of ibuprofen for the headache and has no other medications or supplements today. She has a family history of migraines and no other significant medical history or recent travel.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possibilities:
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Migraine: Your symptoms of headache followed by nausea and dizziness, along with a history of migraines, suggest this could be a migraine episode. Migraines can cause nausea and sensitivity to movement.
- Treatment: Over-the-counter pain relievers like ibuprofen can help, but prescription medications may be needed for severe cases. Resting in a dark, quiet room can also be beneficial.
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Vestibular Migraine: This type of migraine can cause dizziness and balance issues, along with the typical migraine symptoms.
- Treatment: Similar to regular migraines, but sometimes specific medications for dizziness are prescribed.
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Dehydration or Heat Exhaustion: Feeling overheated and weak could be related to dehydration or heat exhaustion, especially if you've been active or in a warm environment.
- Treatment: Ensure you are drinking plenty of fluids and resting in a cool place.
What you can do
- Rest: Try to rest in a dark, quiet room to help alleviate symptoms.
- Hydration: Continue to drink water to stay hydrated.
- Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
- Avoid Triggers: If you know certain foods or activities trigger your migraines, try to avoid them.
What you should look out for
- Seek Medical Attention: If your symptoms worsen, or if you experience new symptoms like confusion, severe weakness, or vision changes, seek medical care.
- Persistent Symptoms: If nausea and dizziness persist, consult a healthcare provider for further evaluation.
Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.
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2 mo ago