Help! New with Vertigo and migraine?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/5/2011 4:34 PM (GMT -6)   
I usually post over in the hepititis forum...for issues with husband.
 
I have been down with vertigo for 4+ days now.  I saw ENT yesterday and he is suggesting this may be a migraine?  Can anyone shed light on this for me?  What can I do to feel better?  I have basically been in bed sleeping.  Only getting up to go to bathroom.  Sipping water and eating very little.  I have missed 3 days of work last week and am freaking out.  I have to be back at work on Monday.
 
This is my 6th vertigo espisode since January 2008.  Spaced many months apart.  This is 2nd worse one...the first one was the worst.  All lasted about 3 days.  But as I mentioned above, this is over 4 days now.
 
Any and all advice is welcome.
 
Emma

losij24
Regular Member


Date Joined Mar 2011
Total Posts : 20
   Posted 3/5/2011 6:13 PM (GMT -6)   
Have you tried taking excedrin? I know what you are feeling I am 19 and used to miss school for weeks at a time because I couldn't get out of bed. The pain is intense after seeing a neurologist and trying several medications with no result. I have been on preventative meds for almost two years now. The headaches are still there but do not last as long as they did before at all just a couple of hours and I got muscle relaxants and codeine which seem to do the trick for those. You should see a neurologist I know you feel terrible but you will get better.

I take elavil as the preventative med which is amytryptalline 20mg

EvilFluorescents
Regular Member


Date Joined Jan 2011
Total Posts : 224
   Posted 3/5/2011 7:06 PM (GMT -6)   
Hi Emma,

Sorry to hear your feeling so under the weather. Really bad vertigo can be absolutely brutal.

Yes, your ENT is correct. Vertigo and migraine often go hand and hand. Many of us find that when we have an "attack," we also experience nausea and vertigo.

Just like with Hepatitis (type A, B, C ; various subtypes), there are different forms of migraine (with aura, without aura, rare variants, trauma induced). With each form of migraine you have the potential to experience vertigo along with your other symptoms.

Sometimes vertigo is the ONLY thing that you experience. My understanding (may be incorrect) is that this occurs when you have migraine with aura without headache. The vertigo is your (non-visual) aura.

Now this is where my understanding gets really fuzzy, so someone please correct me if I get this wrong. Migraine Associate Vertigo (MAV) is a broad umbrella term used to describe vertigo that presents with any type of migraine. You can do an internet search of MAV on your own. There are loads of websites on the topic. MAV is treated with standard migraine drugs, but first line treatment for MAV is generally 1/2nd line treatment for migraine.

Here is a review article that discusses treatment options:

http://emedicine.medscape.com/article/884136-overview

You may want to try Verapamil first (low side effect profile and first line therapy for MAV), then move onto something like nortriptyline or a beta blocker (propranolol, metoprolol) if it doesn't work. These take a while to kick in. Please don't give up too quickly.

There are some supplements that can be effective: Ginger ( I have heard glowing reviews about New Chapter brands ultra concentrated capsules) and ginko bilboa ( You must absolutely clear this with your doctor before taking it to make sure there will not be an interaction with current meds. Huge interaction potential). Just like prescription meds, these can take a while to kick in.

Migraine is a often triggered by a single or combination of "triggers." These can be hormone, food, sleep, ect. related. We migraineurs often keep migraine journals to systematically identify and eliminate our triggers. I would recommend doing this. Search for examples online. I've got to run, but I hope this helps!

P.S. For low grade bouts of nausea, I make myself a tea of: fresh ginger (an ounce or two), basil leaf (3-4 leafs, italian, not thai variety) and 2 dried bay leaf. Don't drink if pregnant. It's worth a shot.

Post Edited (EvilFluorescents) : 3/5/2011 5:11:09 PM (GMT-7)


healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/5/2011 10:06 PM (GMT -6)   
thank you for the response.  so much to learn and think about.  i will certainly start on a food diary.
 
my plan is to go to urgent care for meds if the excedrine migraine and sudafed i am taking today don't kick this. 
 
the 2 days before this onset, i had been dieting and my sleep was all messed up...about 5 hours each night before.  on the day of onset, i came home from work and i was super hungry from the dieting.  crash came that night when i went to bed.  totally spinning.  i don't drink, so nothing to do with alcohol.  have been totally stressed...work, kids, money, etc...
 
also since sick haven't had much to eat or drink...nausea, just no appetite.
 
i know the lights from the computer hurt and make me squint...hard to research symptoms and meds.  will try...
 
thanks again.
 
emma

EvilFluorescents
Regular Member


Date Joined Jan 2011
Total Posts : 224
   Posted 3/5/2011 11:12 PM (GMT -6)   
If you go to urgent care ask for some type of antiemetic pill (anti-nausea). If you're having trouble holding down pills ask for the pill in suppository form.

They may suggest taking a triptan (eg imitrex). If they do, ask them to rule out basilar migraine and retinal migraine (you have not mentioned any associated symptoms and these are exceedingly rare). It would be a clear contraindication to taking triptans.

Bingo! you have just listed many possible triggers.

1) When you feel better eat regular meals throughout the day. Fluctuations in blood sugar, or drops in blood sugar can be a trigger. You may find that if you eat 5 small vs 3 large meals, you eat less in total. This should also increase your metabolism.

2) stress can lower your migraine threshold.

3) lack of sleep can set off a migraine.

The lights hurting your eyes are another symptom of the migraine. When the nausea clears up so will that.

Best!

healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/6/2011 7:25 PM (GMT -6)   
Had a phone appt w/doctor on call. He is rx imitrex. Hubby will be picking it up for me. Still feel like crap today. Feeling very sorry for myself.

How long will it take the imitrex to work?

EvilFluorescents
Regular Member


Date Joined Jan 2011
Total Posts : 224
   Posted 3/6/2011 8:01 PM (GMT -6)   
Sorry you are still feeling under the weather.

The (pill form of) imitrex should kick in within an hour or two (sometimes it works a little faster).

You may find it makes you very sleepy and just knocks you out. Go with the flow and sleep.

Best of luck!

healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/6/2011 8:15 PM (GMT -6)   
thanks, just took it...

healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/6/2011 9:43 PM (GMT -6)   
had one 50 mg at 5:15. it is now 6:45 and aside from being sleepy, i don't notice a difference. will take another 50 mg at 7:15. ugh. i just want to be better. :(

EvilFluorescents
Regular Member


Date Joined Jan 2011
Total Posts : 224
   Posted 3/6/2011 11:46 PM (GMT -6)   
Yeah... I hear you. I know the feeling well.

Did the extra pill help?

I'm rooting for you!

healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/7/2011 10:53 AM (GMT -6)   
i ended up taking a 3rd pill. i am not spinning anymore (good) but i feel tired, weak, just plain exhausted. have a small headache...still no appetite, a bit nauseated. balance a bit off.

when will i be normal again?

EvilFluorescents
Regular Member


Date Joined Jan 2011
Total Posts : 224
   Posted 3/7/2011 12:58 PM (GMT -6)   
If the imitrex completely "broke" the migraine, you're feeling the postdrome (recovery phase/after migraine) effects.

The length of the postdrome can vary quite a bit between people. You should continually and gradually feel better.

I hope things clear up soon!

healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/7/2011 5:32 PM (GMT -6)   
how do i know if the meds completely "broke" the migraine?

EvilFluorescents
Regular Member


Date Joined Jan 2011
Total Posts : 224
   Posted 3/7/2011 8:12 PM (GMT -6)   
Hi Emma,

That's a fantastic and really hard question to answer. It's just one of those things that you get to know after having gone through the whole process a couple of times.

I would say that if you begin to feel really crappy again, then either you did not completely break the migraine or you're experiencing another episode. In either case I would call your primary or the ENT and get a referral to a neurologist. Maybe ask the doctor if they personally know a neuro who they can pull some strings with and get you into quickly.

If the vertigo returns, definitely call the doctors to get a consult with the neuro. This would be a definite sign that the migraines have returned (the vertigo is your aura).

As an FYI, the postdrome can last hours to a couple of days (mine can last up to a week or more, but I'm an extreme outlier).

I hope you find relief soon. Let us know how you continue to do.

Best of luck!

healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/7/2011 10:42 PM (GMT -6)   
feeling sleepy. headache (not a major one) on right side. did not respond to nap and ice pack. should i try OTC meds that i usually use for headache or another imitrex? i think i will try the OTC meds. also have been having diarrhea. isn't this a possible side effect of the imitrex?

i hate this.

emma
 
took one extra strength excedrine at 7:45 pm pst.  headace gone by 8:45.   that is good.  have exchanged emails with doctor.  she will be referring me to neurologist.  is a neuro the "headache" doctor?

Post Edited (healthynow) : 3/7/2011 9:55:23 PM (GMT-7)


EvilFluorescents
Regular Member


Date Joined Jan 2011
Total Posts : 224
   Posted 3/8/2011 12:10 AM (GMT -6)   
Sleepy is good. Especially when it leeds to sleep : )

I hope the excedrin worked for you. If it didn't, some people have success with 800 mg of Ibuprofen (as long as you don't have any kidney problems). If you're able, I would recommend taking it with a little bit of food (some find it upsets the stomach without food. some have no problems at all).

I'm not sure if diarrhea is a SE of the imitrex. It wouldn't surprise me though. Some people do get diarrhea regularly with their migraines.

Give the doctors a call tomorrow or whenever you're able. Since this is your first big migraine event you should have a neuro check you out.

I hope you feel better soon.

Post Edited (EvilFluorescents) : 3/7/2011 10:23:38 PM (GMT-7)


healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/8/2011 8:08 PM (GMT -6)   
one excedrine worked and it fooled me bacuase for a small window last night i was starting to feel really good. by bedtime i was tired and wiped out again.

this morning i was unsteady and tired.

how can i be so tired when all i do is sleep or sit on the couch??!!

had a bit more of an appetite today. eating no salt saltines, a glass of grape juice, slice of watermelon. even had 2 saltines with creamy peanut butter.

was feeling pretty good for a few hours, working from home on the computer.

this whole experience has really made me feel like a weakling. lost alot of confidence. sometimes i seem to be crying for no reason. i feel scared. i want to wake up and be back to NORMAL. i am feeling very sorry for myself. i want to go to work. i feel scared that my boss is mad...and that adds to my stress.

sorry for the pity party...

emma

EvilFluorescents
Regular Member


Date Joined Jan 2011
Total Posts : 224
   Posted 3/9/2011 12:23 AM (GMT -6)   
I'm glad to hear you're feeling better today and starting to come out of it.

Were you able to call the doctors office and get a referral to a neurologist?

Migraine is really rough. It's not just a headache but a full blown neurological event. These feelings you're having are very normal. During a migraine and even for a bit after, neurotransmitter levels are all "out of whack." Naturally, this influences mood. Be gentle with yourself. Listen to some nice, relaxing, soft music (or nature sounds) and take a warm bath.

Best wishes.

healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/9/2011 12:47 AM (GMT -6)   
thanks EF. your words have helped me through this. i have a phone appt with my regular doctor in the morning and she is making a referral to neuro.

had another headache tonight. one excedrine took care of it.

was crying again like a teenager. feels really emotional.

husband cooked dinner tonight and it actually smelled good. that brought to my attention that i don't remember smelling much of anything in the way of food smells this last week. is that weird?

EvilFluorescents
Regular Member


Date Joined Jan 2011
Total Posts : 224
   Posted 3/9/2011 5:00 PM (GMT -6)   
Ha! Something positive has already come out of this experience. You've learned your husband is a good cook. I wouldn't let him off the hook. I'm predicting home cooked meals for the indefinite future.

Definitely. Not having a strong sense of smell during a migraine is completely normal.

I hope your phone appointment went well!

healthynow
Veteran Member


Date Joined Oct 2010
Total Posts : 1778
   Posted 3/9/2011 9:26 PM (GMT -6)   
still tired, but better than yesterday. still wobbly, but better than yesterday. still no appetite or interest in food. phone appt went well---doc says neuro dept should call me by end of week for consult appt. worked for 1/2 day today. just tired this afternoon. and...actually feeling hopeful!!!!

PTandPatient
New Member


Date Joined Aug 2011
Total Posts : 4
   Posted 8/7/2011 5:09 PM (GMT -6)   
Hi, just hoping to help a little. I am a PT and my husband has battled vertigo for 10 years and has stumped Vanderbilt, Mayo, and about 3 more world renound Neuro-otologists (well and me). I have done years of research online and hours of prayer trying to find an answer to his problem. Long story short he had surgery for a Perilymph Fistula and also Diagnosed with MAV all since December 2010. Yes, MAV is very possible, however, there are many reasons for vertigo: Menieres', PLF, BPPV, Cervicogenic, just to name a few. First, you cannot treat vertigo effectively until you correctly diagnose the cause. Each of the above vertigo diagnoses require different treatment. Secondly, if you do get tested and it proves to be MAV for sure, standard meds typically do not eliminate MAV. A good Neuro-otologist or Vestibular Neurologist will place you on a regime of medication to not just eliminate the symptoms but rather eliminate the MVA altogether in the long haul. Get tested so you can correctly diagnose and treat to get back to life without wasting a lot of time guessing unsuccessfully.
New Topic Post Reply Printable Version
Forum Information
Currently it is Monday, July 23, 2018 12:45 PM (GMT -6)
There are a total of 2,984,634 posts in 327,244 threads.
View Active Threads


Who's Online
This forum has 162024 registered members. Please welcome our newest member, Frank NB.
352 Guest(s), 7 Registered Member(s) are currently online.  Details
PeterDisAbelard., sebreg, Scaredy Cat, Sherrine, sierraDon, quincy, iPoop