Headaches and Nausea: Possible Gastrointestinal Issues - Gastroenterology and Hepatology

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Headache + vomiting


Hello Doctor, I started experiencing a headache last night.
Initially, I felt a shadow in my vision, similar to the sensation of standing up quickly after squatting.
Then, I began to feel pain in my right temple and eye, accompanied by nausea.
However, I couldn't vomit.
After eating, my condition stabilized, but the next morning, I experienced the same symptoms: headache and nausea.
I tried to vomit multiple times but couldn't bring anything up, and it felt like my stomach was cramping.
Eventually, after taking Tylenol, I felt somewhat better.
Could you please tell me what might be the issue? Is it possible that I have gastroenteritis?

Mo, 20~29 year old female. Ask Date: 2009/07/12

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello, your main issue is a headache, which is causing nausea.
The nausea is leading to dry heaving, and the severe dry heaving is causing gastric cramps.
Please consult a neurologist to address the headache.
Wishing you good health.
Sincerely, Dr.
Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Reply Date: 2009/07/12

More Info


Headaches accompanied by nausea can be indicative of several underlying issues, and while gastrointestinal problems like gastroenteritis could be a possibility, it is essential to consider a broader range of potential causes. Based on the symptoms you've described, including the onset of headaches, visual disturbances, and nausea, there are several factors to consider.

Firstly, the initial sensation of seeing "black shadows" when standing up quickly may suggest a transient drop in blood pressure, known as orthostatic hypotension. This can occur when you stand up too quickly, causing a temporary decrease in blood flow to the brain, leading to dizziness or visual disturbances. If this happens frequently, it may warrant further investigation into your cardiovascular health.

The headache localized to the right temple and eye, combined with nausea, could suggest a migraine. Migraines are often accompanied by nausea and can be triggered by various factors, including stress, dietary changes, dehydration, or hormonal fluctuations. The fact that your symptoms improved after eating may indicate that your headache could be related to hunger or low blood sugar levels, which can also trigger migraines.

Another possibility is tension-type headaches, which can occur due to stress, anxiety, or poor posture. These headaches can also lead to nausea, especially if they are severe. The pain you experienced after vomiting could be due to the strain of vomiting itself, which can cause muscle tension and discomfort in the abdominal area.

Gastrointestinal issues, such as gastroenteritis, could also be a factor, especially if you have experienced any changes in bowel habits, diarrhea, or fever. However, the absence of these symptoms makes it less likely to be the primary cause of your headaches and nausea. If you suspect that your symptoms might be related to gastrointestinal issues, it is essential to consider other symptoms like abdominal pain, bloating, or changes in appetite.

It is also worth noting that dehydration can lead to both headaches and nausea. If you have not been drinking enough fluids, this could exacerbate your symptoms. Ensuring adequate hydration is crucial, especially if you have been experiencing nausea and vomiting.

In summary, while gastrointestinal issues like gastroenteritis could be a consideration, the combination of headaches and nausea you are experiencing may be more closely related to migraines, tension-type headaches, or even dehydration. It is advisable to monitor your symptoms closely and consider keeping a headache diary to identify any potential triggers. If your symptoms persist or worsen, or if you experience additional symptoms such as fever, severe abdominal pain, or changes in consciousness, it is important to seek medical attention promptly. A healthcare professional can provide a thorough evaluation and recommend appropriate treatment based on your specific situation.

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