Headache and dizziness?
For the past two weeks, I have experienced occasional sharp pain in my head.
Starting yesterday, I feel very dizzy whenever I apply pressure to the left side of my head.
What should I be concerned about?
niao, 20~29 year old female. Ask Date: 2016/04/07
Dr. Jiang Junyi reply Neurology
Based on your description, the most common cause is tension-type headache.
The symptoms of tension-type headache include: 1.
Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain.
The nature of the pain is dull, aching, with a sensation of pressure and tightness, without pulsation.
There may be tightness and stiffness in the occipital-cervical region, which is more pronounced when turning the neck, with intensity ranging from mild to moderate.
2.
There are tender points in the muscles at the site of pain, and sometimes pulling the scalp can also induce pain.
The muscles may feel stiff, and one or more nodules, referred to as myofascial trigger points, may be palpable.
3.
Fatigue, tension, agitation, anxiety, insomnia, or depression can exacerbate the headache.
Pain may be triggered by flexion and extension of the head.
As for the dizziness, it is recommended to undergo further neurological examination to rule out causes such as inner ear imbalance.
It is advisable to consult a neurologist or an ear, nose, and throat specialist for follow-up.
Wishing you peace and joy.
Reply Date: 2016/04/07
More Info
Headaches and dizziness can be complex symptoms that often indicate underlying neurological issues. Based on your description of experiencing intermittent sharp pains in your head, particularly on the left side, and the onset of dizziness when pressure is applied to that area, it is essential to consider several potential causes and seek appropriate medical evaluation.
Firstly, the nature of your headache is crucial. Sharp, localized pain can sometimes be indicative of tension-type headaches or migraines, but given your symptoms of dizziness, it could also suggest a more serious condition. Migraines can cause not only severe headaches but also associated symptoms like dizziness, nausea, and sensitivity to light and sound. If your headaches are accompanied by visual disturbances or aura, this could further support a migraine diagnosis.
Another possibility is that you may be experiencing cervicogenic headaches, which originate from issues in the cervical spine (neck). Given that you mentioned pressure on the left side of your head leads to dizziness, it is plausible that there could be a cervical spine issue contributing to your symptoms. This could include muscle tension, nerve irritation, or even a herniated disc that may be affecting the nerves that supply the head and neck.
Dizziness itself can arise from various sources, including vestibular disorders, which affect the inner ear and balance system, or it could be related to neurological conditions. If the dizziness is triggered by pressure on your head, it may suggest a possible issue with the cranial nerves or even increased intracranial pressure, which can occur due to various factors, including inflammation or structural abnormalities.
Given your symptoms, it is essential to monitor for any additional signs that may indicate a more serious condition. These include:
1. Neurological Symptoms: Look for any new or worsening symptoms such as weakness, numbness, difficulty speaking, or changes in vision. These could indicate a stroke or other neurological emergency.
2. Duration and Frequency: Take note of how long the headaches and dizziness last and how often they occur. Frequent or prolonged episodes warrant further investigation.
3. Triggers: Identify any specific triggers that may exacerbate your symptoms, such as certain movements, stress, or environmental factors.
4. Associated Symptoms: Pay attention to any other symptoms that accompany your headaches and dizziness, such as nausea, vomiting, or changes in hearing.
It is crucial to seek medical attention from a healthcare professional, ideally a neurologist, who can perform a thorough evaluation. This may include a detailed medical history, physical examination, and potentially imaging studies such as MRI or CT scans to rule out structural abnormalities or other serious conditions.
In summary, while headaches and dizziness can often be benign, your specific symptoms and their characteristics suggest that a comprehensive evaluation is necessary to determine the underlying cause. Early diagnosis and treatment can significantly improve your quality of life and prevent potential complications. Please do not hesitate to reach out to a healthcare provider for further assessment and management of your symptoms.
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