Persistent Headaches, Dizziness, Nausea, and Memory Issues - Neurology

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Headache, dizziness, nausea, forgetfulness?


Hello, doctor.
About two weeks ago, I started experiencing severe headaches around 2 PM every day, accompanied by dizziness and nausea.
After taking painkillers, the pain subsides for just over an hour before the dizziness, headache, and nausea return.
This issue has been ongoing for about two weeks.
Additionally, I have become very forgetful over the past month; sometimes, I forget the content of conversations immediately after they happen.
I also find myself frequently forgetting things related to my studies, which is very distressing for me.
Thank you for your response, doctor.

cactus, 10~19 year old female. Ask Date: 2020/05/19

Dr. Jiang Junyi reply Neurology


Hello: Although your symptoms are more indicative of tension-type headaches, they have been progressively worsening over the past two months.
Additionally, there are signs of cognitive function impairment.
It is strongly recommended that you seek medical evaluation to rule out any structural issues in the brain.
I suggest consulting a neurologist to discuss further examinations and treatment options.
Wishing you good health and peace.
Dr.
Jiang, Shen Nei, Taoyuan, cares about you.

Reply Date: 2020/05/19

More Info


Your symptoms of persistent headaches, dizziness, nausea, and memory issues are concerning and warrant a thorough evaluation. Based on the information you've provided, it seems that you have been experiencing these symptoms for about two weeks, with a notable increase in forgetfulness over the past month. Let's break down the potential causes and considerations.


Headaches and Associated Symptoms
1. Types of Headaches: The nature of your headaches is crucial in determining the cause. Are they tension-type headaches, migraines, or cluster headaches? Migraines, for instance, can cause severe headaches accompanied by nausea and sensitivity to light or sound. Tension headaches often feel like a tight band around the head and can be exacerbated by stress or poor posture.

2. Dizziness and Nausea: These symptoms can be linked to various conditions, including vestibular disorders, which affect balance, or they could be a result of the headaches themselves. For example, migraines can cause dizziness and nausea, especially if they are accompanied by aura symptoms.

3. Medication Response: You mentioned that over-the-counter pain relief only provides temporary relief. This could indicate that the underlying cause of your headaches is not being addressed. It’s essential to consult a healthcare provider for a more tailored treatment plan.


Memory Issues
1. Cognitive Function: The sudden onset of memory problems, especially if they are affecting your daily life and academic performance, is concerning. Memory issues can stem from various factors, including stress, anxiety, depression, or even neurological conditions.
2. Stress and Mental Health: High levels of stress can significantly impact cognitive function. If you are under considerable pressure, it may lead to difficulties in concentration and memory retention. It’s important to assess your mental health and consider whether anxiety or depression could be contributing to your symptoms.


Recommended Actions
1. Consult a Neurologist: Given the complexity of your symptoms, it is advisable to see a neurologist. They can perform a comprehensive evaluation, which may include a neurological examination, imaging studies (like an MRI or CT scan), and possibly blood tests to rule out any underlying conditions.

2. Keep a Symptom Diary: Documenting when your headaches occur, their intensity, duration, and any associated symptoms can provide valuable information to your healthcare provider. Additionally, note any instances of forgetfulness or cognitive lapses.

3. Lifestyle Modifications: While awaiting your appointment, consider lifestyle changes that may alleviate some symptoms. This includes maintaining a regular sleep schedule, staying hydrated, managing stress through relaxation techniques (like yoga or meditation), and ensuring you have a balanced diet.

4. Mental Health Support: If you suspect that stress or anxiety is contributing to your symptoms, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) can be particularly effective in managing stress and improving cognitive function.


Conclusion
In summary, your symptoms of persistent headaches, dizziness, nausea, and memory issues are interconnected and require a thorough evaluation by a healthcare professional. Early intervention is key to managing these symptoms effectively and improving your quality of life. Remember, you are not alone in this, and seeking help is a crucial step toward understanding and addressing your health concerns.

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