Headaches and Nausea: When to Seek Medical Help - Gastroenterology and Hepatology

Headache with nausea?

Hello doctor, a few days ago I had discomfort in my throat, but after visiting an ENT specialist and taking medication, I felt much better.
However, after my throat improved, I suddenly had a severe headache last night, accompanied by significant nausea.
After vomiting some food, the nausea improved, but the headache persisted.
This morning when I woke up, I felt normal in both my head and stomach, but around noon (after having breakfast in the morning), I started to experience some headache again, and now I'm feeling a bit nauseous again.
What could be the reason for this? Should I refrain from eating for now? Do I need to see a gastroenterologist or a family medicine doctor? Thank you!

Nianqing, 30~39 year old female. Ask Date: 2022/03/15

Dr. Chen Shidian reply Gastroenterology and Hepatology

Please seek medical attention from a gastroenterologist or a family medicine physician.

Reply Date: 2022/03/15

More Info

Headaches accompanied by nausea can be quite distressing and may arise from various underlying causes. Based on your description, it seems that you initially experienced throat discomfort, which improved with medication. However, the subsequent onset of severe headaches and nausea raises some important considerations regarding your health.

Firstly, it is essential to understand that headaches can be classified into primary and secondary types. Primary headaches, such as tension-type headaches or migraines, are not caused by underlying medical conditions. Secondary headaches, on the other hand, are symptoms of other health issues, which can range from infections to more serious conditions.

Given that you had throat discomfort prior to the onset of your headaches, it is possible that your headaches could be related to a viral infection, such as a cold or flu, which can cause both throat irritation and headaches. Infections can lead to inflammation and increased pressure in the sinuses, which may also contribute to headache symptoms. Additionally, nausea can occur as a result of the body's response to infection or inflammation.

The fact that your headache and nausea improved after eating suggests that they may be related to your gastrointestinal system. Sometimes, headaches can be triggered by gastrointestinal issues, including gastritis or reflux, which can cause nausea. If you experience nausea after eating, it might be worth considering whether certain foods are triggering these symptoms.

Regarding your question about whether to eat or not, it is generally advisable to maintain a light diet if you are experiencing nausea. Eating small, bland meals can help settle your stomach. However, if you find that eating exacerbates your symptoms, it may be wise to avoid solid foods until you feel more stable. Staying hydrated is also crucial, so consider sipping on clear fluids.

As for seeking medical help, if your symptoms persist or worsen, it would be prudent to consult a healthcare professional. Given your symptoms, you could start with a visit to your primary care physician or a family medicine doctor. They can evaluate your symptoms in the context of your overall health and may refer you to a gastroenterologist if they suspect a gastrointestinal issue is contributing to your symptoms.

In summary, while your symptoms may be related to a viral infection or gastrointestinal issues, it is essential to monitor them closely. If you experience severe headaches, persistent nausea, or any new concerning symptoms, do not hesitate to seek medical attention. Early intervention can help identify the underlying cause and provide appropriate treatment, ensuring a quicker recovery.

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