Symptom closing eyes while talking

A symptom that typically occurs in adults is when they close their eyes while talking (also known as ocular migraines).

This is often a sign of a migraine. It’s a very common symptom, so it can be hard to ignore.

For adults, it is likely that something else is going on.

Symptoms include:

  • A throbbing, pulsing headache, often on one side of the head
  • A dull, throbbing pain in the head or neck
  • Nausea
  • Vomiting
  • Sensitivity to light and noise
  • Sensitivity to touch
  • Photophobia (a sensitivity to light)
  • Photophobia and nausea

Ocular migraine with aura

Ocular migraine with aura is a headache or migraine with aura that includes vision loss.

It can include a loss of vision in one eye, but it can also include loss of vision in both eyes.

Ocular migraine with aura is more common in children than in adults.

Symptoms include:

  • A sudden blind spot that can be partial or total
  • A blank spot in one or both eyes
  • A feeling of vertigo
  • Blurry vision
  • Vertigo
  • Blurred vision
  • Sensitivity to sound
  • Tingling, burning, or pulsing in the head
  • Headache
  • Light-headedness

Meniere’s disease

Meniere’s disease can cause a series of symptoms in adults and children.

The main symptoms are often a low-pitched whistling sound in one ear or a low-pitched roaring sound in the other ear. This can be accompanied by tinnitus.

The symptoms can also include:

  • Dizziness
  • Flushed skin
  • Nausea and vomiting
  • Hearing loss
  • Hearing loss accompanied by a ringing in the ear
  • Hearing loss accompanied by a rumbling sound in one ear
  • Headaches with nausea

How to manage Ocular migraine symptoms?

Migraines can be hard to ignore. If you can’t find relief in one or more of these treatments, talk with your doctor.

There are several medications that may help to ease the symptoms.

Medications

Some medications may help to ease the symptoms of your migraines.

Medications that may be used to treat migraines include:

  • Antidepressants. These include selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).
  • Tricyclic antidepressants. These include amitryptiline, nortriptyline, and imipramine.
  • Beta blockers. These include propranolol, metoprolol, and atenolol.
  • Botulinum toxin. This medication is used to treat certain eye movements.
  • Botox. This is a botulinum toxin that is injected into the forehead. It may be used to treat migraine-related ocular migraines.
  • Oral contraceptives. These are birth control pills that contain estrogen and progesterone.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs). These include ibuprofen and naproxen.
  • Topiramate. It may be used to treat migraines and epilepsy.
  • Zolpidem. This is a medication that is used to treat insomnia.

What if my symptoms are severe?

If you have severe symptoms, your doctor may recommend emergency medical treatment.

Emergency medical treatment

If you have a severe case of headache and vision loss, your doctor may recommend emergency medical treatment. This includes:

  • IV fluids
  • IV pain medication
  • IV sedatives
  • IV sedation, which is used to calm and relax you
  • IV antibiotics
  • IV corticosteroids

Emergency medical treatment is used more often in adults than in children.

If you have migraine with aura, you may need to be monitored for several days after the migraine passes.

If your symptoms don’t improve, make an appointment with your doctor.

Lifestyle changes

If your symptoms are severe, talk with your doctor about lifestyle changes. They may include:

  • Taking medication as prescribed.
  • Going on a low-salt diet.
  • Increasing your vitamin D intake.
  • Taking anti-nausea medicines.
  • Stopping smoking.
  • Reducing your stress level.

It can take several weeks for your symptoms to improve.

When to see a doctor?

If you have a mild case of migraine, you should see a doctor if your symptoms don’t subside after a few days.

If your symptoms are more severe and you have a family history of migraine or vision loss, it’s important to see your doctor right away.

Some people may have vision loss with migraine. Your doctor can test you for vision loss with migraine.

They can also refer you to a neurologist. A neurologist is a doctor who specializes in the nervous system.

Take home message

Although it can be hard to tell your doctor about your migraines, it’s important to do so. You may be able to get relief from your symptoms with medication or lifestyle changes.

However, if you don’t improve within a few days, you should see your doctor.

You should also see your doctor if you experience the following:

  • Eye pain
  • Vision loss
  • Tearing
  • Confusion
  • Sweating
  • Shakiness
  • Seizures
  • A loss of vision

If you think your child has migraine with aura, talk with your pediatrician. They can refer you to a neurologist.

If you think you have migraine with aura, talk with your neurologist. They can refer you to an ophthalmologist who will test your vision.

Take a free online migraine test.

See your doctor

See your doctor right away if your symptoms aren’t improving within a few days.

You should also see your doctor if you think you may have migraine with aura.

You may be able to get relief from your symptoms with medication or lifestyle changes. However, if you don’t improve after a few days, you should see your doctor.

When you see your doctor, they can ask you questions and check your vision.

You may need to have your vision tested to make sure that there aren’t any vision problems.

If you need to have your vision tested, your doctor will refer you to an ophthalmologist.

Takeaway

In children, ocular migraines can be more common than aura migraines.

Ocular migraines often aren’t severe and don’t affect vision.

In adults, ocular migraines can include vision loss.

There’s no cure for vision loss because the cause is unknown.

However, there are several treatments that may help to ease the symptoms.

The best treatment for each person depends on the cause of the symptoms.

If your symptoms don’t improve after trying several of these treatments, talk to your doctor

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