What is causing my migraine headache and blurry vision?

Question

Hello doctor,

Since the last four or five years, I have had these periods of time where I have a migraine headache, which sometimes makes my vision blurry. It makes me weird and sometimes keeps me from talking properly.

But the main problem is that after a while I will start to get nauseous and usually will have to force myself to throw up to feel better. It happens randomly, or when I do not eat, or when I eat too much. Right now, it started the day before yesterday. I have been getting headaches, throwing up, and feel better, then the next day it happens again. Please tell me, what is it?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

What you are describing strongly sounds like a form of migraine with aura, where people can have warning symptoms like

Blurry or distorted vision.
Difficulty speaking.
Other neurological changes before or during the headache.

The nausea and vomiting you mentioned are also very common with migraines, and some people do feel temporary relief after vomiting.

Triggers like not eating, overeating, or irregular routines can definitely set these episodes off, which fits your pattern.

The speech difficulty and vision problems are important symptoms that should not be ignored, because in rare cases they can overlap with other neurological conditions. Since this has been happening repeatedly over the years and seems to be getting disruptive again, it would be really important to see a doctor, ideally a neurologist, for a proper evaluation.

Your doctor can ask for brain imaging, like an MRI, and assess whether this is a typical migraine pattern or something like a more specific subtype, such as hemiplegic migraine or another condition that needs different management. The tests you had, like ultrasound and urine tests, would not detect neurological causes, so it makes sense that those came back normal.

In the meantime, you can do the following steps,

Try to avoid skipping meals.
Keep a regular sleep schedule.
Stay hydrated.
Notice any patterns or triggers like certain foods or stress.

In cases where the symptom is accompanied by new or more severe symptoms such as weakness on one side of the body, confusion, and the most severe headache ever experienced, then it is important to see a doctor immediately because there could be something serious.

I hope this information helps you.

Feel free to ask further queries.

Thank you.