Chronic Headaches and Blurred Vision: Seeking Answers in Neurology

Q: Chronic Headaches and Blurred Vision: Seeking Answers in Neurology

Hello： For headaches and dizziness, you can first consult a neurologist. <br>A physical examination will determine whether further tests are necessary.

Headache, dizziness, and slight blurred vision?

Hello, for the past 2-3 months, I have been experiencing headaches almost every day.
When I wake up during the day, I initially feel dizzy, and then by the afternoon or evening, it turns into a headache.
Now, it has progressed to a point where I have a constant headache until I go to sleep, but when I wake up the next day, it starts again.
My vision feels very blurry, and I experience pain on both sides of my eyes.
The headache is bilateral (on both sides of my ears) and is a continuous pain rather than a throbbing one.
I have seen doctors, but they haven't conducted any examinations; they only prescribe painkillers.
I am unsure of the cause and don't know how to get the doctors to properly examine me.
This daily suffering is very difficult to endure.
Which specialty should I consult, and how can I ensure that the doctor will perform a thorough examination instead of just prescribing medication?

Xiao Miao, 20~29 year old female. Ask Date: 2007/01/03

Dr. Ye Boshou reply Neurology

Hello: For headaches and dizziness, you can first consult a neurologist.
A physical examination will determine whether further tests are necessary.

Reply Date: 2007/01/03

More Info

Chronic headaches accompanied by blurred vision can be quite distressing and may indicate an underlying neurological issue that requires thorough evaluation. Based on your description, it seems you are experiencing daily headaches that begin upon waking and persist throughout the day, along with visual disturbances and pain around your eyes. This combination of symptoms can be indicative of several potential conditions, including tension-type headaches, migraines, or even more serious issues such as increased intracranial pressure or neurological disorders.

Firstly, it is essential to understand that headaches can be classified into primary and secondary types. Primary headaches, such as migraines and tension-type headaches, are not caused by another medical condition. Secondary headaches, on the other hand, are symptoms of an underlying issue, which could range from sinus infections to more serious conditions like tumors or vascular malformations.

Given that your headaches are persistent and accompanied by blurred vision, it is crucial to seek a comprehensive evaluation from a neurologist. Here are some steps you can take to ensure you receive the appropriate care:
1. Document Your Symptoms: Keep a headache diary that includes details such as the frequency, duration, intensity, and nature of your headaches, as well as any accompanying symptoms like visual disturbances, nausea, or sensitivity to light and sound. This information can be invaluable for your healthcare provider.

2. Seek a Neurologist: Since your symptoms are chronic and complex, a neurologist is the appropriate specialist to consult. They can perform a detailed neurological examination and may recommend imaging studies such as an MRI or CT scan to rule out any structural abnormalities in the brain.

3. Request Specific Tests: When you meet with the neurologist, be proactive in discussing your symptoms and express your concerns about the lack of previous evaluations. Ask about specific tests that can help identify the cause of your headaches and visual symptoms. These may include blood tests, imaging studies, or even a lumbar puncture if increased intracranial pressure is suspected.

4. Discuss Treatment Options: If a diagnosis is made, your neurologist can discuss various treatment options. These may include preventive medications for migraines or tension-type headaches, lifestyle modifications, physical therapy, or even alternative therapies such as acupuncture or cognitive behavioral therapy.

5. Consider a Multidisciplinary Approach: Sometimes, headaches can be exacerbated by factors such as stress, poor posture, or eye strain. In addition to seeing a neurologist, consider consulting an ophthalmologist for your visual symptoms and possibly a physical therapist or psychologist to address any contributing factors.

6. Be Persistent: If you feel that your concerns are not being adequately addressed, do not hesitate to seek a second opinion. Your health is paramount, and you deserve a thorough evaluation and appropriate treatment.

In summary, chronic headaches with blurred vision warrant a careful and comprehensive evaluation by a neurologist. By documenting your symptoms, seeking the right specialist, and advocating for yourself, you can work towards finding the underlying cause of your headaches and receiving effective treatment. Remember, it is essential to address these symptoms promptly to improve your quality of life and prevent potential complications.

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