Recent Headaches and Dizziness: Possible Causes and Concerns - Neurology

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Recently, I've been experiencing sudden dizziness, and I woke up this morning with a headache and a fever?


Recently, I have been experiencing sudden dizziness.
This morning, I woke up with a headache and a fever.
I have a history of headaches since childhood, which are a peculiar type of pain that moves around (it hurts in the front when I bend down and in the back when I lie down).
There was a time when I had a headache and thought moving around would help, so I jumped on a trampoline, but it felt like something inside my head was shaking along with me, which made the pain worse.
I believe I might have migraines, as they occur occasionally and can be so painful that I cry.
Usually, I experience mild pain throughout the day, with severe episodes in the afternoon and evening.
If I manage to fall asleep, it can alleviate some of the pain.
However, I am currently more concerned about the recent episodes of dizziness, which seem to have started after my dental extraction.
I wonder if this could be related to inflammation or infection, or if there might be a serious issue with my brain...

Tou Tong QAQ, 10~19 year old female. Ask Date: 2021/09/06

Dr. Jiang Junyi reply Neurology


Hello, Miss: In addition to considering common migraines, your symptoms may also suggest tension-type headaches.
The characteristics of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain.
The nature of the pain is dull, aching, with a sensation of pressure or tightness, and it is non-pulsating.
There may be tightness and stiffness in the occipital and neck regions, which is more pronounced when turning the neck, with pain intensity ranging from mild to moderate.
(2) There are tender points in the muscles at the pain site, and sometimes pulling on the scalp can also elicit pain.
The muscles may feel stiff, and one or more nodules, referred to as tender nodules, may be palpable.
(3) The pain does not interfere with daily activities; for instance, walking or climbing stairs does not exacerbate the headache.
(4) Fatigue, tension, excitement, anxiety, insomnia, or depression can worsen the headache.
Bending the head forward and backward may trigger pain.
In contrast, migraines typically last from 4 to 72 hours.
The characteristics of migraines include unilateral pain, which can be throbbing or pulsating, often accompanied by nausea and vomiting, and sensitivity to light and sound.
Additionally, walking, climbing stairs, or shaking the head can intensify the headache.
Many patients require analgesics or preventive medications for relief.
It is recommended to visit a neurology clinic for examination and follow-up.
Please ensure self-protection, maintain cleanliness and disinfection, and adhere to new epidemic prevention measures before and after seeking medical care.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi from Taoyuan Hospital cares for you.

Reply Date: 2021/09/06

More Info


Understanding headaches and dizziness can be quite complex, as they can stem from a variety of causes ranging from benign to more serious conditions. Based on your description, it seems you have a history of headaches that have evolved over time, and you are currently experiencing new symptoms such as dizziness and a peculiar sensation of "floating."
Firstly, it’s important to recognize that headaches can be classified into primary and secondary types. Primary headaches include migraines and tension-type headaches, while secondary headaches are symptomatic of other underlying conditions, such as infections, inflammation, or structural issues in the brain. Given your history of headaches, it is plausible that you may be experiencing migraines, especially since you mentioned episodes of severe pain that can lead to crying. Migraines are often characterized by unilateral (one-sided) pain, throbbing or pulsating sensations, and can be accompanied by nausea, vomiting, and sensitivity to light and sound.

The "floating" sensation you described could be related to several factors. One possibility is that it could be a form of vestibular dysfunction, which affects balance and spatial orientation. This could be exacerbated by your recent dental work, particularly if it involved the jaw or teeth that are closely related to the inner ear structures responsible for balance. Infections or inflammation in the ear or sinuses can also lead to dizziness and may coincide with headache symptoms.

Moreover, the fact that you have experienced a peculiar pressure sensation in your head, especially after physical activity, could indicate increased intracranial pressure or tension-type headaches. These types of headaches can be triggered by stress, poor posture, or prolonged periods of inactivity, such as sitting for long hours or sleeping in an awkward position.
Given your symptoms, it is crucial to consider the possibility of an underlying condition that may require medical attention. For instance, if the headaches and dizziness persist or worsen, it would be wise to consult a neurologist. They may recommend imaging studies, such as an MRI or CT scan, to rule out any structural abnormalities or other serious conditions.
Additionally, lifestyle factors such as sleep patterns, stress levels, and hydration should not be overlooked. Poor sleep hygiene and high-stress levels can significantly contribute to the frequency and intensity of headaches. Regular exercise, maintaining a consistent sleep schedule, and practicing relaxation techniques can be beneficial in managing headache symptoms.

In summary, while your symptoms may be related to migraines or tension-type headaches, the recent onset of dizziness and the peculiar sensations you are experiencing warrant further investigation. It is advisable to keep a headache diary to track the frequency, duration, and intensity of your headaches, as well as any associated symptoms. This information can be invaluable for your healthcare provider in determining the best course of action. If your symptoms persist or worsen, seeking a thorough evaluation from a healthcare professional is essential to ensure that any potential underlying issues are addressed promptly.

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