Among the most annoying headaches one can experience, none resemble migraines, which can be particularly crippling for hours or even days. The person who has a migraine attack sees their life very limited and sometimes they cannot stand the light or the noise.
If we add to this vomiting, the discomfort of the affected person is exponentially greater. Extreme headaches and gastric symptoms are a very uncomfortable cocktail that makes the person suffer not only from physical illness but also from significant psychological distress.
Then we will learn more about migraines with vomiting, what are the causes and what treatments are available to relieve the emotional symptoms they cause.
Migraines with vomiting: characteristics and health effects
One of the things that can affect the health of an individual are migraines, neurological problems that cause a severe headache. And if these pains are accompanied by other clinical manifestations, such as nausea and vomiting, the discomfort is not only limited to the disease itself, but also significantly limits the quality of life of the individual because of his health. mental health also suffers. Migraines may make you fear that because of the sudden vomiting, the person will be visible in public.
There are many types of migraine, each with symptoms, and in the particular case of migraines with vomiting, the sufferer is almost completely incapacitated. As a preventive measure and also to gain independence and autonomy within the possible limits, It is essential that migraine sufferers learn to identify the early symptoms and know how to manage them.. They need to receive physical and psychological treatment to be able to endure these extreme headaches.
People who suffer from migraines with vomiting they end up having to endure incessant piercing pain in the head, and living very nervous for fear of not knowing if they are vomiting and if they will be visible. We can therefore understand that the consequences of these inconveniences can be very severe.
General aspects of migraines
To understand the severity of migraines with vomiting, one must first know some aspects of migraines in general.
It’s about headaches that tend to come back and cause moderate to severe pain, lasting 4 hours to 3 days. The pain is often described as throbbing or throbbing and usually begins on one side of the head. During a migraine episode, you may be particularly sensitive to light, sounds, and even smells. Women are about three times more likely than men to get migraines.
Migraines have been shown to have a hereditary component. Four in five patients have a family history of migraines and it has been shown that if a parent has it, every child has a 50% chance of developing it. If both parents have had migraines in the past, the risk increases to 75%.
What Happens To The Brain With Migraines?
One of the explanations that have been attempted to explain the reason for the onset of migraines has of course to do with the brain. It is believed that parts of the brain that use monoamines, such as serotonin and norepinephrine, become hypersensitive., reacting quickly and excessively to certain stimuli.
One of the fundamental phenomena behind the onset of migraines is related to the interaction between the brain and the cranial blood vessels. For this reason, the usual treatment for this type of disease is usually aimed at constricting the dilated arteries, reducing pain as it occurs, or the tissues capable of causing the pain sensation associated with migraines. .
What are the symptoms?
The definition of what a migraine is already asserts itself as its main symptom: headache. The intensity of pain can vary greatly from the start, and can be mild, moderate, or severe. If you don’t get treatment at first, the headache will get more severe.. Among the most notable symptoms are:
- Feel the pain as if we were hit in the head.
- Pain in the middle of the head, in the frontal or cranial region.
- It is progressive and the intensity increases over the hours.
- Noise and light make the pain sensation worse.
- It can be accompanied by tearing, nasal congestion, nausea and vomiting.
Migraines have the particularity of being able to move in terms of headaches. In other words, it is pain can go from head to toe. It can also affect the front of your head and make you feel like your whole head is hurting.
As mentioned earlier, migraines vary in duration, although they usually don’t last more than 4 hours. However, the most severe ones can last for days causing a high degree of disability for those who experience them when ill for a long time. Chronic migraines can interfere with daily activities and reduce the quality of life, and if accompanied by nausea and vomiting, your life will be even more affected.
Those with migraines say they have a feeling of anticipation of their pain, who know that he will come when he comes. Once the pain arrives, these same people can already predict whether or not to vomit depending on how well their nausea is under control. At this point, the person’s handling of the situation and how to manage the symptoms is essential.
Patients with these headaches, with or without vomiting, typically have it an average of two to four times per month.. Unfortunately, there are cases in which these annoying headaches are a daily occurrence, causing a very high degree of disability and preventing those who suffer from it from leading a normal life. Other, much happier cases only have migraines once or twice a year.
Causes of migraines with vomiting
The causes of migraines with vomiting are very varied. Some of the main common triggers of these headaches with gastric symptoms include:
1. Stress and anxiety
It is common people with migraine headaches accompanied by vomiting come after a very stressful event. Stress is an emotion, but it not only affects the emotional level of the individual, but also affects the physiology of the individual.
Stress manifests as muscle tension, helping to dilate blood vessels and make migraines worse. Added to this, this same stress causes stomach upset and can cause nausea and vomiting.
2. Sensitivity to certain substances
Some people are sensitive to certain food components. Foods that have been associated with migraines include ripened cheese, red wine and other alcoholic beverages, chocolate, and cold cuts. Special mention should be made of hyper-processed products that contain food additives, such as nitrates, which are linked to headaches.
And since we are talking about food, we say that one of the predisposing factors to the onset of migraines is skipping meals. When the body does not have all the necessary nutrients or for a long time without a good meal, this can give us signs that something is wrong. causes us headaches. There may also be nausea and vomiting, although the latter are less likely.
Caffeine is a psychostimulant and as such can cause headaches if consumed in large amounts. Also interesting it causes migraines in the event of abrupt limitation of its consumption after having taken it regularly.
We can therefore say that coffee, tea or even chocolate (it also contains caffeine) can cause migraines, both to consume them too much and to suddenly stop taking them.
Added to this is the fact that caffeine and methylxanthines in general (theophylline and theobromine) are substances heavy for our stomach, difficult to digest and which cause nausea in case of excessive consumption. They can also cause other gastric symptoms such as diarrhea and vomiting.
4. Hormonal changes in women
Migraines have traditionally been associated with the female gender and there is some meaning. While men can have them, the truth is women are up to three times more likely to have this type of headache, as we mentioned previously.
It is believed that some hormonal changes associated with menstrual periods are to blame. The sudden drop in estrogen that causes menstruation can also trigger migraines.
There are certain medicines that inflame the blood vessels and their excessive use can cause migraines.. Ironically, many of these drugs are intended for occasional headache relief but, when used daily, can affect the brain vessels causing migraines.
Some of the drugs and drugs associated with vasculitis (inflammation of blood vessels) are β-lactam antibiotics, macrolides, sulfonamides, quinolones, antiviral drugs, selective serotonin reuptake inhibitors (eg fluoxine (eg phenytoin)). , carbidopa, hydralazine, propylthiouracil, minocycline, levodopa and diuretics.
We saw that temperatures above 35 ° C can trigger the first symptoms of migraines, at least in people who tend to present them.
Psychological treatment of migraine
Although migraine is a physical illness, it is it must be approached from both a physiological and psychological point of view. People who suffer from it suffer not only from severe headache, but also from all the consequences associated with it such as anxiety, fear of not knowing when he will have the next attack, fear of vomiting in a place audience and the uncertainty that makes it impossible for them to make short, medium or long term plans depending on the frequency of occurrence and the intensity.
Although there is currently no cure for migraines with vomiting, there are therapeutic ways to improve the quality of life of the affected person, in addition to provide him with the tools to do good psychological management of his illness.
On a psychological level, we find effective treatments for anxiety and depression, such as cognitive behavioral therapy (CBT) and interpersonal therapy, which have been shown to be beneficial for the psychological management of migraines and psychological discomfort. that they entail.
We should also not ignore the power of other behavioral therapies, such as relaxation techniques or biofeedback training that some studies have suggested would be effective techniques for the emotional treatment of migraines. The main goal of these treatments is to help people with severe headaches learn to promote feelings of relaxation and calm to make their pain more bearable.
- Deza Bringas, Luis. (2010). La Migrana. Peruvian Medical Law, 27 (2), 129-136.
- Buonanotte, Carles & Buonanotte, Maria. (2016). Acute Migraine in Pregnancy: Therapeutic Opportunities. Neurology Argentina.
- Martínez-Pías, E., García-Azorín, D., Trigo-López, J., Sierra,., & Guerrero-Peral,. L. (2021). Chronic migraine with daily headaches. Bibliography review. Tower. neurol (ed. impr.), 133-140.