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Nausea and headache during morning hours - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   Hello,I am a 31 F. I have been having extreme nausea in the morning with dry heaving for approximately a month and a daily migraine headache that usually accompanies it. (I am not pregnant) I can barely eat anything. I also have this feeling of lightheadedness and dizziness. I have been to see a neurologist and he put me on elavil. I was on it for 2 weeks and ended up almost psychotic from it. I saw my pcp today and he is running more blood work. He also instructed me to take zofran for the nausea. This doesn't seem to be letting up and I am getting sick of being sick. Any help or insight is greatly appreciated.
Doctor :   Hi
User :   Hello.
Doctor :   Let me read the query.
User :   ok.
Doctor :   Has your headache relieved now?
User :   it is still pretty slight. my pcp gave me a shot of tegretol this morning.
Doctor :   Ok
User :   I just have an overall feeling of nausea and spacey lightheaded.
Doctor :   Ok
User :   I did have a bout of thyroiditis 5 months ago that resolved and I wonder if this can be related?
User :   I should also mention I had catscan done and it was negative.
Doctor :   Have you had similar symptoms of lightheadedness and vomiting in the past?
User :   No.
User :   no until this past month. I did feel similar with the lightheadedness with the thyroiditis.
Doctor :   Do you have any difficulties of hearing?
User :   No..I have also been to an ENT to rule out BPPV...
User :   and it was ruled out.
Doctor :   Do you have any other medical illness such as diabetes/hypertension/heart disease?
User :   no
Doctor :   Ok
Doctor :   Let me brief you.
User :   ok
Doctor :   Since I am unable to perform an examination, I cannot pinpoint the exact causes for your symptoms.
Doctor :   However, I shall provide you with some informations
User :   ok
Doctor :   that can help you in getting this problems sorted.
User :   ok
Doctor :   Nausea is caused either due to gastrointestinal causes or as a symptom of severe headaches or dizziness.
User :   ok
Doctor :   Since you are know to have migraine, you do not need evaluations for the same,
User :   ok, thank you for your time.
Doctor :   However the cause for dizziness and light headedness may have to be ascertained.
User :   Ok.
Doctor :   Thryroiditis is one of the conditions which can cause dizziness.
Doctor :   but this can be confirmed by evaluations alone.
Doctor :   Hence I suggest you to wait till you get the reports,
Doctor :   In the mean time, I suggest you these measures.
Doctor :   1. Continue zofran as advised.
Doctor :   Its a good medical drug for nausea and vomiting.
Doctor :   2. Avoid diet which can induce nausea such as hot and spicy food, deepfried foods, or high fat food.
Doctor :   3. Rest adequately.
Doctor :   4. If the headaches are severe, use appropriate medications such as tylenol early.
Doctor :   5. Along with this use of antacids can also help to bring down nausea.
User :   Ok. thank you for you help.
Doctor :   These few tips can help you feel better.
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