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Nausea with or without vomiting

  • By Diana Lee

    Oh yes, definitely me! Zofran has been a godsend for me in dealing with this. It doesn’t help 100% of the time, but has made it much easier to deal with the nausea and prevent the vomiting.

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  • By Ellen Schnakenberg

    Oh boy. I would rather do anything than vomit, but it hits me all too often. Unfortunately, I have a co-morbidity that keeps me from being able to use anti-nausea medication. Zofran may be an option for me, but right now we’re keeping it in our back pocket as I may have had a post-surgical adverse reaction to it as well. Ginger and/or diazepam helps, but mostly I just hang on for dear life.

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  • By Teri Robert

    Sometimes, I think I’d feel better if I COULD vomit. Several years ago, I had surgery for GERD. Now the valve at the top of my stomach is so tight that noting can come back up through it. The instant I know I have a Migraine coming on, I reach for my nausea meds! Otherwise, I end up with dry heaves that, as all of you know, make my head hurt so much worse.

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  • By jay

    @ellen? Ever try Emend for nausea? Granted, it knocks me out for a loop, but when even my trusted Zofran isn’t cutting it, this thing WILL kill the nausea.

    Not surprising, as it’s used in cancer settings to allow for nausea-free chemo cycles…I’m lucky my insurance will pay for a few tabs/month w/o a pre auth for just “severe nausea and vomiting.” I was pretty shocked, actually.

    haven’t had to use it in months, but… just knowing that I have it in my toolbox.. well, that’s reassuring!

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  • By Ellen Schnakenberg

    Jamie, I’ll have to look that one up. I don’t think it’s one I’ve tried, but may be in the no-no family of meds I have to avoid. Thanks for mentioning it. I’ll do a little research and get back to let you know what I found 🙂

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  • By Ellen Schnakenberg

    Teri,

    I have LPR and a hiatal hernia, and they’ve talked about that surgery too. I am trying hard NOT to have to go that route, but some days it’s so *hard*. When they told me about not being able to vomit (although a couple people I know still can) it scared me a little. I didn’t ask a lot of questions because I am so opposed to any more surgeries. May I ask… if you’re a Migraineur who can’t vomit, do you just dry-heave over and over? Does anything else happen?

    Oh, what a choice to make – damaged esophagus, larnyx etc… or this. Ugh.

    Ellen

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  • By Bren

    Yep…and it doesnt go away after the 1st “throw up” last all day!! and when theres nothing left….just dry heaves… I HATE THIS!!!There is a suspostory that I take and 3/4 of the time it stops me frojm throwing up!! every year I end up in the er because the meds will just not work!!

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  • By WildZan

    I am one of those idiots that would rather have their finger nails pulled out than to throw up…I HATE it! I don’t always have nausea with a migraine, but when I do, even the thought of vomiting can almost cause a panic attack. At first tho doc prescribed a suppository (I can’t remember what it was called, a very common anti-nausea drug) but we found out that it doesn’t work on me at all. Zofran works well, but my insurance won’t pay for it because I am not having chemo, go figure.

    Then, of all people, my DENTIST told me to try a scopalomine patch. It’s what he uses when he has a migraine. Works like a DREAM! See an aura, slap on a patch, and I am good. Now, why on earth would a motion-sickness patch work?

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  • By Teri Robert

    Ellen,

    Sorry to be so long replying. Yes, I would dry-heave over and over, which makes my head hurt worse during a Migraine. For this reason, I always take an antinausea med as soon as I realize I’m getting hit with a Migraine. I have both oral and injectable Reglan in case I don’t catch it in time to keep the oral down.

    Seriously, this is one of the worst parts of a Migraine for me. So many times, I think I’d feel better if I could just vomit. UGH!

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  • By sdavis

    Just wondering if anyone else has experienced a change in their migraines before? I never used to have nausea but in the last few months the nausea is a constant and vomiting. I can’t eat while I have a migraine but if I take Zofran on an empty stomach I “always” vomit.. but I do sometimes feel better if I can vomit and the nausea stops.. My migraines are just evolving so fast, could have done without the nausea/vomiting part, the pain was more then enough!

    Have a good night!

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  • By Ellen Schnakenberg

    sdavis: A good rule of thumb is that if your Migraine attacks are changing, you should consider getting in to see your doctor to discuss those changes. It’s possible something else has changed with your health that is now impacting your Migraine attacks. Your triggers may have changed. It could just be a change in your Migraine pattern as well, but it’s smart to be sure.

    That said, many patients will experience a change in their pattern as time goes on. While this is not uncommon, it is definitely a reason to get to the doctor…

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  • By melissadwyer13

    I vomit every migraine, which is almost every day… and when I start vomitting… I don’t stop. I will vomit ever 5-10 minutes for a full day or days.. which yes, increases the pain so much! I have oral Zofran but when I can’t catch it in time there is no hope (plus the ER gives that IV all the time so I believe I’m building up immunity and my insurance decided to suddenly stop paying for it) I also have phenergan suppositories, but I have to be careful with those because I’m allergic to Compazine and Reglan and that’s in the same family. I just got prescribed Tigan pills and suppositories but my mom is a nurse and we are really hoping to find something injectable… the suppositories are not fun (I’m willing to do it if they worked every time) but they don’t always work… which is how I often end up in the hospital! Does anyone know anything that comes injectable (besides the Reglan I read in a previous post- allergic to that!)

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  • By Alex

    When it comes to antiemetic’s and gastroprokinetic agent’s Zofran gets the job done.
    Sometimes nausea is violent and vomiting is unavoidable, “metoclopramide” suppository comes in handy.
    Gotta stay hydrated at all cost.

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  • By jbgdad

    I also posted this message on another part of this forum, but nausea is the worst and I heard about an interesting treatment that would deliver medication from a trans-dermal skin patch. Here is my post below, any thoughts would be greatly welcomed.

    On the topic of treatments, I have had a hard time taking oral meds bc of intense naseau. I read something about a potential skin patch technology that would deliver medication transdermally. Its is from a company called Nupathe. Does anyone know if it is available? That sounds like a great option for me bc the meds would take effect without ever entering my GI system that gets VERY sensitive during episodes.
    Any information would be great. Thanks!

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  • By cindyschafer

    Indeed…nausea/ vomiting seem to go hand in hand with my migraines. I use an Injectible med. to stop the nausea… otherwise there was no point in taking any pill form as nothing stayed down.

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  • By elainelemieux

    I get nausea, with or without vomiting, depending on the migraine. SOmetimes, I just get the nausea all day, and no head pain. ANyone else experience this?? If the I need to get the meds in, and hold them down, for anything to work. Even with the triptans, I need an anti-nausea med. If I can’t hold down the pills (either Zofran or Compazine) I have a suppository that I can use..which though not fun to use, at least gets the job done better than the pills…which arte no good if I can’t keep them down. Also have to be VERY careful about staying hydrated. Have had a few trips to the ER with migraines that didn’t respond to medication. UGH!

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  • By Ellen Schnakenberg

    elainelemieux – I wish I could say you were along in your experience, but you’re not. I wrote a post about keeping down your meds so they will work and it describes a little of what is happening and some other things you can try when the nausea is getting to you especially badly… http://bit.ly/eZI8sq

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  • By jbgdad

    Cindy and Elaine – I have very similar battles with nausea.
    Cindy – I am curious how the injections work for you? My doctor said to avoid injections if you experience gastroparesis or nausea because the injecting of the drug into the blood stream directly almost makes the drug onset too quickly or rapidly and can exacerbate symptoms of nausea. My doc said its like treating with a bazooka, which can be good from a migraine relief perspective, but has a nasty side effect profile associated with it.

    So I have avoided injections…but curious how your experience has been?

    Thanks

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  • By jbgdad

    Cindy – nevermind, you say the injections are actually for the nausea medication, not the triptans or migraine medication…sorry I mis-read that initially.

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  • By rilniski

    I usually get nausea with my migraines, sometimes with vomiting and sometimes without. In the past I’ve tried reglan which gave me diarrhea and then the compazine supplosatories which made me so tired I could barely move. Zofran gets the job done and I do my best to stay hydrated. If the nausea is really bad I stay home from work for the day as it’s not fun trying to run to the bathroom when you are totally blind or getting sick on the way to or from work.

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  • By Ellen Schnakenberg

    RILNISKI – I am not sorry you find Zofran to be helpful to you. It’s unfortunate that so many are prescribed medicines like Reglan and Compazine that can have severe and sudden side effects when there is a good alternative available.

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  • By tory a

    Rilniski,
    I totally know how you feel on the subject of nausea! It is so inconvenient! I usually get nauseated for the majority of my migraine as well as have an accelerated bowel pattern so it is double the fun! I am glad that the Zofran helps you some. Good job on keeping your body hydrated and being proactive. Keep it up and keep reaching out to other migraineurs!
    Cheers!

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  • By Teania

    I’m wondering does anyone else when you have a migraine and you’re vomitting, does the pain go away for a while? Like You vomit and you realize there’s no pain in your head? Mine have been doing that but i’m not sure if it’s cause I am so concentrated on NOT throwing up again so I don’t think about the pain?

    I don’t know, just wondering if anyone else feels this.

    Also for anti-nausea meds, my mom got me some prescription grade motion sickness tablets that disolve under your tongue so you don’t have to swallow and they work pretty well if given time. I only take little itty-bitty pieces after my mom cuts them up because we don’t know if they’re too strong on my weak stomach.

    Also for anyone who can’t get meds, Light colored soda or gingerale is best to drink and don’t eat anything that takes too long to digest. Like carrots or lettuce or that junk cause trust me it comes back up HOURS later. (experience talking) Toast works best and my mom always sits me down infront of the tv with a puke bowl next to me to distract me when i’m recovering. I know many of you are probably older than me, I’m 23, but I figured I’d give some good tips on how to help with vomitting!

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  • By Teania

    by light colored soda I meant like sprite, and 7up, anything that doesn’t have carmel in it to make it dark. Sometimes Dr. Pepper will work but the light colored stuff is best on your stomach and it’s something for your body to work on digesting unlike water which might make you throw up more. 🙂

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  • By Ellen Schnakenberg

    Teania – Thanks for the tips! Actually, you’re on to something there – ginger ale is great for helping nausea. The ginger itself is an anti-nausea medicine, albeit a totally “natural” one. Here is a post on keeping your medicines down so they will work: https://migraine.com/blog/how-can-i-keep-my-migraine-medicines-down-so-they-will-work/

    It is unknown exactly why vomiting makes Migraine symptoms abate for a short time. You are not alone in your experience though. Most Migraineurs know that if they can throw up, they will get at least a little relief for a few minutes. Of course it doesn’t always work that way, but maybe you’re one of the *lucky* ones. (It’s the ONLY thing I can say good about vomiting!)

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