Severe Headaches with Vomiting: Signs of a Serious Condition?

Headache accompanied by vomiting..?

Hello doctor, I would like to ask you some questions on behalf of my mother.
My mother is 54 years old and has recently experienced severe headaches that are so intense they cause vomiting.
She underwent an EEG at the hospital, but no issues were found.
Although the pain improved after taking the prescribed analgesics, she has been feeling fatigued, has poor balance while walking, and her steps are unstable, often veering to one side and making her prone to tripping and falling.
After sitting or lying down for a long time, her legs become numb and weak, making it difficult for her to get up immediately.
Additionally, she has been unable to have a bowel movement for several days, and neither laxatives nor enemas have been effective (she is eating, but her stomach doesn't seem to hurt much).
Could these symptoms indicate a serious underlying condition? If further detailed examinations are needed, which specialty should she consult?

Ms. Tsai, 20~29 year old female. Ask Date: 2005/01/27

Dr. Lai Lunxiang reply Neurology

Hello! I believe that headaches that occur later in life should be further evaluated, especially if there are other issues.
It's important to consult a physician for a thorough examination.
Thank you!

Reply Date: 2005/01/27

More Info

Based on the symptoms you've described regarding your mother's condition, it is essential to approach this situation with caution. Severe headaches accompanied by vomiting, balance issues, and changes in bowel habits can be indicative of several serious medical conditions. While I cannot provide a diagnosis, I can outline some potential concerns and suggest appropriate steps for further evaluation.

Firstly, the combination of severe headaches and vomiting raises the possibility of increased intracranial pressure or other neurological issues. Conditions such as a brain tumor, hemorrhage, or meningitis could present with these symptoms. The fact that your mother experiences balance problems and unsteadiness while walking is particularly concerning, as these can be signs of neurological dysfunction. Additionally, the difficulty with bowel movements and the sensation of weakness in her legs could suggest a broader systemic issue that may require immediate attention.

Given these symptoms, it is crucial to seek further evaluation from a neurologist. A neurologist specializes in disorders of the nervous system and can conduct a thorough assessment, which may include imaging studies such as an MRI or CT scan of the brain. These imaging techniques can help identify any structural abnormalities, lesions, or other issues that may be contributing to her symptoms.

In addition to neurological evaluation, it may also be beneficial to consult with a gastroenterologist, especially considering her bowel issues. Constipation and gastrointestinal discomfort can sometimes be related to neurological conditions, but they can also arise from dietary factors, medication side effects, or other gastrointestinal disorders.

When discussing your mother's symptoms with healthcare providers, it is important to provide a comprehensive overview of her condition. Be sure to mention:
1. The onset and duration of her headaches.

2. The severity and nature of the pain (e.g., throbbing, constant).

3. Any associated symptoms, such as nausea, vomiting, or changes in vision.

4. The balance issues and any incidents of falling.

5. The changes in bowel habits, including the duration of constipation and any attempts to alleviate it.

This detailed information will help the physician understand the urgency and complexity of her situation.

In summary, your mother's symptoms warrant further investigation due to their severity and the potential for serious underlying conditions. A neurologist should be the first point of contact to evaluate her headaches and neurological symptoms, followed by a gastroenterologist for her bowel issues. Prompt medical attention is crucial in such cases to ensure that any serious conditions are identified and treated appropriately.

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