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:
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 prescript
ion 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)