Head Pain: Symptoms and When to Seek Help

Headache issues

Hello Doctor, I have been experiencing pain in the back of my head, dizziness, nausea, memory issues, and tinnitus recently.
I visited a clinic where the doctor examined my ears and blood pressure, both of which were normal.
The doctor suggested that it might be a stress-related issue and advised me to take medication for a few days and return if I still felt unwell.
One morning, I got out of bed feeling completely weak and dizzy, almost fainting.
I would like to ask what possible conditions these symptoms could indicate.
If I need to go to the hospital, which department should I consult? Thank you, Doctor.

Zhang, 20~29 year old female. Ask Date: 2020/04/20

Dr. Cai Zongzhang reply Neurology

Hello, both physiological and psychological factors can contribute to headaches.
It is recommended that you relax and maintain a regular routine.
If the headache does not improve, it is advisable to consult a neurologist.

Reply Date: 2020/04/20

More Info

Based on your symptoms of pain in the back of the head, dizziness, nausea, memory issues, and tinnitus, it is essential to approach this situation with caution. These symptoms can be indicative of several underlying conditions, and while they may be related to stress, they could also signify more serious health issues that require further evaluation.

Possible Causes of Your Symptoms
1. Tension-Type Headache: This is one of the most common types of headaches and is often associated with stress, anxiety, and muscle tension. It typically presents as a dull, aching pain that can feel like a tight band around the head. It may also cause discomfort in the neck and shoulders.

2. Migraine: Migraines can cause severe, throbbing pain, often on one side of the head, and may be accompanied by nausea, vomiting, and sensitivity to light and sound. Some individuals experience aura symptoms, which can include visual disturbances or sensory changes.

3. Cervicogenic Headache: This type of headache originates from issues in the cervical spine (neck). Symptoms can include pain at the back of the head, neck stiffness, and sometimes dizziness.

4. Vestibular Disorders: Given your symptoms of dizziness and near-fainting, it’s possible that you may have a vestibular disorder, which affects balance and spatial orientation. This could be related to inner ear issues, which might also explain the tinnitus.

5. Intracranial Issues: Although less common, symptoms like yours could indicate more serious conditions such as intracranial hypertension, a brain tumor, or vascular issues like an aneurysm. These conditions often require immediate medical attention.

6. Anxiety and Stress: Chronic stress can lead to physical symptoms, including headaches, dizziness, and memory issues. It’s essential to consider your mental health as a contributing factor.

When to Seek Help
Given the combination of symptoms you are experiencing, especially the dizziness and near-fainting episodes, it is crucial to seek medical attention. If your symptoms persist or worsen, you should consider visiting a healthcare provider.

Which Specialist to See
1. Neurologist: Given your symptoms of headaches, dizziness, and memory issues, a neurologist would be the most appropriate specialist to consult. They can perform a thorough evaluation, including neurological examinations and possibly imaging studies (like an MRI or CT scan) to rule out any serious conditions.

2. Otolaryngologist (ENT): If your symptoms of tinnitus and dizziness are prominent, an ENT specialist may also be helpful. They can assess for any inner ear issues that could be contributing to your symptoms.

3. Primary Care Physician: If you are unsure where to start, your primary care physician can provide an initial evaluation and refer you to the appropriate specialist based on their findings.

Conclusion
In summary, your symptoms warrant further investigation to determine their cause. While stress and tension-type headaches are common, the presence of dizziness, nausea, and memory issues suggests that a more comprehensive evaluation is necessary. It is advisable to consult a neurologist for a detailed assessment and appropriate management. Remember to keep track of your symptoms, including their frequency and intensity, as this information will be valuable for your healthcare provider. Take care of your health, and don’t hesitate to seek help when needed.

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