![]() ![]() We were able to reproduce her familiar right sided head pain using the Watson migraine assessment. ![]() Feeling desperate and unable to find any answers or diagnosis through her GP or A&E clinics, she found our website and booked in for an initial assessment. These symptoms prevented her from sleeping well and combined with tiredness and feelings of foggy headedness stopped her from being able to work. She became so frightened of her symptoms she avoided eating, began losing weight and developed a high level of stress. Severe bloating and nausea would follow, then bouts of vomiting. ![]() Each episode would start after eating food, beginning with a prickling type of pain in her stomach followed by a severe right sided headache which spread to the whole head. Her symptoms settled for a couple of months before coming back again recently and continuing relentlessly for 6 weeks. Her first attack lasted for 10 days, she was well for some time before having a second attack 10 months later lasting 3-4 days followed by a third attack 3 months later which was so severe she went to A&E for pain relief. Her symptoms began after having covid while on holiday in India. Mrs D, a 31-year-old mother of one and childcare worker, presented with a 18 month history of abdominal pain attacks with severe headache, nausea, burping, increased wind, diarrhoea and vomiting. A skilled examination of the upper cervical spine to ‘rule in’ or ‘rule out’ your neck as a possible factor contributing to cyclic vomiting makes sense. Neck disorders causing a ‘sensitised’ brainstem may also be contributing to cyclic vomiting syndrome. Migraine medications that ‘desensitise’ the brain stem can be used to treat cyclic vomiting syndrome. Seemingly normal nerve messages from the gut become exaggerated in the overly sensitised brainstem, leading to episodes of nausea and vomiting. A common underlying problem in migraine and cyclic vomiting syndrome is a sensitised brainstem. The vagus nerve is responsible for regulating digestion, heart rate, breathing rate and reflexes like coughing, sneezing and vomiting. The vagus nerve, picks up signals from the gut and relays information to the brain stem. Researchers believe cyclic vomiting syndrome is caused by abnormalities in nerve connections between the gut and the brain stem. In adults, cyclic vomiting syndrome has been linked with a personal or family history of migraines. Children with cyclic vomiting syndrome have been found to have a family history of migraines or go on to develop migraines themselves when they get older. Abdominal migraine is a type of migraine that occurs in children aged between 3 and 10 years and includes symptoms of abdominal pain, nausea and loss of appetite. Researchers have found a strong link between cyclic vomiting syndrome and migraines, particularly abdominal migraine. ![]()
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