Migraine has lasted 2 days. Took1/2 a tramadol & 1 Advil (ibuprofen) with moderate relief. New symptoms are nausea, sharp pains/head and weakness in both hands. ER?

Migraine. Have you used the ER w/ success for this before? If not, I'd say it's not the best place to go. The possible contagion and high stress trauma cases might be worse for you and they are not specialists in migraine. Better, manage as you have and seek a headache specialist to work with. We have some here! Dr. Dariush Saghafi is one I know. I'll refer you to him - also seek in your area.