Frequent headaches occasionally accompanied by nausea, mostly resulting in the vomiting of white foam with a gastric acid taste?
I have been experiencing frequent headaches lately, sometimes severe enough to make me feel nauseous.
When I vomit, it mostly consists of white foam with a gastric acid taste, rather than food.
Occasionally, in the mornings while brushing my teeth and washing my face, I feel nauseous but can’t vomit much.
I visited an ENT specialist who suggested that the recent cold weather or hormonal changes related to my menstrual cycle might be the cause.
However, it has been a week since my period ended, and I am still experiencing these symptoms! This is unusual for me, so I don't think it is related to my menstrual cycle.
A while ago, I had a mild runny nose, but it resolved on its own after a few days, so I didn’t see a doctor.
I would like to ask...
which specialist should I consult for my condition? What could be the causes of my headaches and vomiting white foam? I have done some research, but my situation seems different, so I would like to ask a doctor!
LAN, 20~29 year old female. Ask Date: 2016/12/15
Dr. Jiang Junyi reply Neurology
Hello, based on your description, it may be necessary to consider the symptoms of a migraine.
During an episode, symptoms may include nausea, vomiting, photophobia, phonophobia, and pallor.
There is typically severe, unilateral throbbing pain in the head.
These migraine symptoms can usually last for several hours, and in some cases, up to 2-3 days.
They are often triggered by changes in weather or around the menstrual cycle.
I recommend that you consult a neurologist to discuss evaluation and treatment.
Wishing you good health and peace.
Dr.
Tao, Shin Nei, cares about you.
Reply Date: 2016/12/15
More Info
Headaches accompanied by nausea and vomiting, particularly when the vomit consists of white foam, can be concerning and may indicate several underlying issues. It's essential to understand that headaches can arise from a variety of causes, and when they are associated with gastrointestinal symptoms like vomiting, it can complicate the clinical picture.
Possible Causes of Your Symptoms
1. Migraine: Migraines are a common type of headache that can cause severe pain, often accompanied by nausea and vomiting. Some individuals experience auras or other symptoms before the headache begins. The white foam you are vomiting could be due to the stomach emptying its contents, which can happen during a migraine attack.
2. Tension Headaches: These are often caused by stress, poor posture, or muscle tension in the neck and shoulders. While they typically do not cause vomiting, severe tension headaches can lead to nausea in some individuals.
3. Sinusitis: Given your history of nasal symptoms, sinusitis could be a contributing factor. Inflammation of the sinuses can lead to headaches, facial pain, and sometimes nausea. If the sinuses are congested, it can also lead to post-nasal drip, which may cause nausea.
4. Gastroesophageal Reflux Disease (GERD): If you are experiencing acid reflux, it can lead to nausea and vomiting. The white foam could be a result of the stomach acid mixing with air and other contents. GERD can also cause a sensation of a lump in the throat, which might explain your nausea when brushing your teeth.
5. Infections: Viral infections, including those that cause upper respiratory symptoms, can lead to headaches and nausea. If you recently had a cold, lingering effects could still be present.
6. Hormonal Changes: You mentioned your menstrual cycle, and hormonal fluctuations can indeed trigger headaches and nausea in some women. However, if these symptoms persist after your period, it may not be the sole cause.
7. Dehydration or Electrolyte Imbalance: If you have been experiencing nausea and vomiting, it could lead to dehydration, which can also cause headaches. Ensuring adequate hydration is crucial.
8. Neurological Issues: Although less common, persistent headaches with nausea could indicate more serious conditions such as increased intracranial pressure, migraines with aura, or other neurological disorders.
Recommended Actions
Given the complexity of your symptoms, it would be advisable to consult a healthcare professional. Here are some steps you can take:
- Primary Care Physician: Start with your primary care doctor, who can perform a thorough evaluation and may refer you to a specialist if necessary.
- Neurologist: If your headaches are severe, persistent, or accompanied by neurological symptoms (like visual disturbances, weakness, or changes in consciousness), a neurologist would be the appropriate specialist to consult.
- Gastroenterologist: If your vomiting persists, especially if it's primarily foam or accompanied by other gastrointestinal symptoms, a gastroenterologist can evaluate for conditions like GERD or other digestive issues.
Diagnostic Tests
Your doctor may recommend several tests based on your symptoms, including:
- Blood Tests: To check for infections, electrolyte imbalances, or other underlying conditions.
- Imaging Studies: Such as a CT scan or MRI of the brain if there are concerns about neurological issues.
- Endoscopy: If gastrointestinal issues are suspected, an endoscopy may be performed to visualize the esophagus and stomach.
Conclusion
In summary, your symptoms of headaches and vomiting white foam can stem from various causes, ranging from migraines to gastrointestinal issues. It is crucial to seek medical advice to determine the underlying cause and receive appropriate treatment. Keeping a headache diary, noting the frequency, duration, and associated symptoms, can also be helpful for your healthcare provider in diagnosing your condition.
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