Heavy Head Sensation: Possible Causes and Solutions

A heavy sensation in the head?

Hello Doctor, I recently experienced cold symptoms, but accompanied by a strange symptom.
When I move my head, I feel a heavy sensation in my head, as if I am being pulled forward, which doesn't quite feel like dizziness (the heavy feeling is concentrated on the right side of my head and above).
However, if my head remains still, the sensation doesn't occur.
After a second visit to an ENT specialist, I was diagnosed with sinusitis causing dizziness and was prescribed medication for motion sickness.
I've been taking it for two days, but I haven't noticed much improvement.
The symptoms have persisted for over a week.
What other issues could potentially cause these symptoms? Thank you.

Ms. R, 20~29 year old female. Ask Date: 2017/02/26

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on your description, there are two possibilities.
First, it could be that a previous cold has led to labyrinthitis, causing inner ear imbalance.
This part may require an examination of the inner ear by an otolaryngologist.
Second, I would like to know if you have been taking any medications for nasal congestion or runny nose.
Most of these medications contain antihistamines, which can have dizziness as a side effect.
If this is the case, discontinuing the medication may lead to improvement.
Lastly, if neither of these issues applies, it could simply be fatigue following a cold, which usually resolves with adequate rest.
Thank you for your inquiry.

Reply Date: 2017/02/26

More Info

Hello! Thank you for sharing your symptoms and concerns. Based on your description, it sounds like you are experiencing a sensation of heaviness in your head, particularly when moving it, which can be quite distressing. This sensation, along with your recent history of cold symptoms and the diagnosis of sinusitis, suggests a few possible underlying causes.

Firstly, sinusitis can indeed lead to a feeling of heaviness in the head. When the sinuses become inflamed or infected, they can create pressure that may result in discomfort or a sensation of fullness in the head. This pressure can also affect your balance and create a feeling of dizziness or lightheadedness, especially when you move your head. If you have been diagnosed with sinusitis, it is essential to follow up with your healthcare provider if your symptoms do not improve with the prescribed medication.

Another potential cause of your symptoms could be related to tension-type headaches. These headaches are often associated with muscle tension in the neck and shoulders, which can lead to a feeling of heaviness or pressure in the head. Given that you mentioned a sensation of being "pulled forward," it might be worth considering whether your posture, especially if you spend long hours in front of a computer, could be contributing to muscle tension and discomfort.

Additionally, vestibular issues could also be at play. The vestibular system, which helps control balance, can be affected by various factors, including inner ear infections or inflammation. If your symptoms include dizziness or a sensation of spinning, it may be beneficial to consult with an ear, nose, and throat (ENT) specialist or a neurologist who can evaluate your vestibular function.

It's also important to consider other factors such as hydration, sleep quality, and stress levels. Dehydration can lead to headaches and feelings of heaviness, while poor sleep can exacerbate these symptoms. Stress and anxiety can also contribute to muscle tension and headaches, so finding ways to manage stress through relaxation techniques, exercise, or mindfulness may be beneficial.

If your symptoms persist despite treatment for sinusitis, or if they worsen, it would be prudent to seek further evaluation. This may include imaging studies such as a CT scan or MRI to rule out any structural issues or other underlying conditions that could be contributing to your symptoms.

In summary, the sensation of heaviness in your head could be due to sinusitis, tension-type headaches, vestibular issues, or other factors such as hydration and stress. It is essential to maintain open communication with your healthcare provider and report any changes in your symptoms. They can help guide you through the diagnostic process and ensure you receive appropriate treatment. I hope this information helps you understand your symptoms better and encourages you to seek the necessary care. Take care!

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