Hi Pendragon,
Thank you for your question! YES - it IS possible to have a migraine attack without having nausea. Nausea is a common symptom of migraine, but not everyone experiences it with each attack. Migraine symptoms can include but are not limited to; nausea, vomiting, tingling, numbness, dizziness, moodiness, difficulty concentrating and many other things. Let me share with you this article that discusses migraine symptoms; https://migraine.com/migraine-symptoms/.
I wonder if it might be time to see a doctor who is a bit more current on migraine and headache disorders? You may want to investigate seeing a true migraine/headache expert, a doctor who is board certified in headache medicine rather than a neurologist. Neurologists may be fine doctors but have a hard time being experts in one area because they treat so many different conditions such as stroke, epilepsy, multiple sclerosis, Parkinson's and others. Migraine/headache disorder specialists are just that, experts in one area - migraine and headache - and are board certified in headache medicine whereas all neurologists are not. It's also important to note that all neurologists are NOT migraine/headache disorder specialists even though they may claim to be and all migraine/headache disorder specialists are not neurologists. Let me give you some information on how migraine specialists are different; https://migraine.com/blog/how-are-migraine-specialists-different/. To help you find a migraine specialist, take a look at this link; https://migraine.com/blog/looking-for-a-migraine-specialist/.
I hope this helps,
Nancy