Persistent Headaches: When to Seek Medical Advice - Oncology

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Recent abnormal headaches?


Hello Doctor, I have been experiencing persistent headaches recently.
One day, I felt dizzy, broke out in a cold sweat, felt nauseous, and was excessively sleepy.
After vomiting, I felt somewhat better the next day, but the headache has continued until now.
Currently, I am experiencing headaches, dizziness, nausea, pain in the back of my neck, and occasional visual disturbances in my right eye (at night, my right eye feels dry, and I have experienced two episodes where it felt like my right eyeball was moving towards my nose, almost causing me to faint.
I am also sensitive to light, although I have always been sensitive to light since childhood, especially when I have a cold, as it causes me to tear up.
My right eye also has a slow focus).
Although I occasionally have headaches, they usually last for a day or two and then resolve.
However, this headache has persisted for almost a week.
Since it hasn't affected my work or daily life significantly, I thought it would resolve on its own like before, but the prolonged headache and dizziness are making me a bit anxious.
I would like to ask the doctor if this could be due to any abnormalities in my brain.
Thank you for your response.

To assist with your diagnosis, here are some additional details: My job requires me to stare at a computer screen for eight to nine hours continuously, my eating habits are irregular (but I always have breakfast), I sit for long periods without exercising, I am currently pursuing further studies, and I have academic pressure.
Additionally, I noticed hair loss last July, with some small patches of baldness on my scalp, but my hair has been slowly growing back.
My scalp still feels itchy and continues to shed hair, but there are no bald patches now.
I hope this information helps with your diagnosis.
Thank you, Doctor.

Miss Zheng, 20~29 year old female. Ask Date: 2017/06/05

Dr. Hu Ziren reply Oncology


Hello, user: I suggest you see a neurologist for your headaches or a psychiatrist to address sleep and psychological stress issues.
Thank you!

Reply Date: 2017/06/05

More Info


Persistent headaches can be a source of significant discomfort and concern, especially when accompanied by other symptoms such as dizziness, nausea, and visual disturbances. Based on your description, it sounds like you are experiencing a complex set of symptoms that warrant further evaluation.

Firstly, it is important to recognize that headaches can arise from a variety of causes, including tension, migraines, sinus issues, or more serious conditions such as intracranial pressure changes or neurological disorders. The fact that you have been experiencing these headaches for nearly a week, along with symptoms like dizziness, nausea, and visual disturbances, suggests that it may be time to seek medical advice.

When to Seek Medical Attention:
1. Duration of Symptoms: If your headache persists for more than a few days, especially if it is worsening or not responding to over-the-counter medications, it is advisable to consult a healthcare professional.

2. Accompanying Symptoms: The presence of additional symptoms such as vomiting, severe dizziness, visual changes, or neck pain can indicate a more serious underlying condition. For instance, visual disturbances and neck pain could suggest issues such as migraines with aura or even more serious conditions like meningitis or increased intracranial pressure.

3. Impact on Daily Life: If your headaches are affecting your ability to work or perform daily activities, this is a strong indicator that you should seek medical evaluation.

Potential Causes of Your Symptoms:
- Tension-Type Headaches: Given your long hours in front of a computer, it is possible that you are experiencing tension-type headaches, which can be exacerbated by poor posture, stress, and lack of movement.

- Migraines: Your symptoms, particularly the visual disturbances and nausea, could suggest migraines. Migraines can be triggered by various factors, including stress, lack of sleep, and dietary changes.

- Cervical Issues: The neck pain you mentioned could indicate a cervical spine issue, which can lead to referred pain in the head and contribute to headaches.

- Neurological Concerns: The combination of symptoms, particularly the visual disturbances and dizziness, raises the possibility of a neurological issue that should be evaluated by a specialist.

Recommendations:
1. Consult a Neurologist: Given the complexity of your symptoms, it would be prudent to see a neurologist. They can perform a thorough evaluation, which may include imaging studies like an MRI or CT scan to rule out any serious conditions.

2. Lifestyle Modifications: In the meantime, consider making some lifestyle changes. Ensure you take regular breaks from the computer, practice good posture, and incorporate physical activity into your routine. Staying hydrated and maintaining a balanced diet can also help manage headaches.

3. Stress Management: Since you mentioned academic pressures, finding effective stress management techniques such as mindfulness, yoga, or relaxation exercises may help alleviate some of the tension contributing to your headaches.

4. Monitor Symptoms: Keep a headache diary to track the frequency, duration, and intensity of your headaches, as well as any associated symptoms. This information can be valuable for your healthcare provider.

In conclusion, while it is understandable to want to wait for symptoms to resolve on their own, the persistence and nature of your headaches, along with accompanying symptoms, suggest that seeking medical advice is the best course of action. Early intervention can lead to better outcomes and help you manage your symptoms more effectively.

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