Unexplained Headaches, Nausea, and Dizziness: When to Seek Medical Help - Family Medicine

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Unexplained headache accompanied by nausea and dizziness?


I'm not sure if it's related to a head injury from a car accident in my childhood or if there are other issues with my body.
Recently, I've been experiencing discomfort and I'm unsure which specialist to consult.
Should I retrieve my medical records from that time? I had an adult health check-up in March.
Additionally, I often get bitten by mosquitoes; should I be concerned about this or adjust my diet? Also, I experience breathing difficulties when exposed to flavor enhancers or processed flavoring agents.
Should I see a doctor for this? I would appreciate guidance from any medical professionals on these matters.

jan, 30~39 year old female. Ask Date: 2011/05/26

Dr. Liao Yaopan reply Family Medicine


Hello: Based on your description, there are several symptoms that are concerning you.
However, it is still recommended that you consult your primary care physician to clarify the issues and symptoms before considering whether further examinations are necessary.
Thank you for your concern from Changhua Hospital.

Reply Date: 2011/05/26

More Info


When experiencing unexplained headaches, nausea, and dizziness, it is crucial to understand the potential underlying causes and when to seek medical attention. Given your history of a head injury from a car accident, it is essential to consider that some symptoms may be related to that incident, especially if they have recently worsened or changed in nature.

Headaches can arise from various sources, including tension-type headaches, migraines, or more serious conditions like intracranial pressure changes or neurological disorders. The presence of nausea and dizziness alongside headaches can indicate a more complex issue, such as vestibular disorders, migraines with aura, or even post-concussion syndrome, particularly if you have a history of head trauma.


When to Seek Medical Help
You should seek medical attention if you experience any of the following:
1. Sudden Onset of Severe Headache: If your headache comes on suddenly and is the worst headache you've ever experienced, it could be a sign of a serious condition like a hemorrhage or aneurysm.


2. Neurological Symptoms: If you notice any weakness, numbness, difficulty speaking, or changes in vision, these could indicate a stroke or other neurological issues.

3. Persistent Symptoms: If your headaches, nausea, and dizziness persist for more than a few days or worsen over time, it is essential to consult a healthcare provider.

4. Accompanying Symptoms: If you experience fever, stiff neck, confusion, or seizures, these are red flags that require immediate medical evaluation.

5. History of Head Injury: Given your past head injury, any new or worsening symptoms should be evaluated by a healthcare professional, preferably a neurologist.


Recommended Medical Specialties
For your symptoms, it would be advisable to see a neurologist, who specializes in disorders of the nervous system, including headaches and dizziness. They can conduct a thorough evaluation, which may include imaging studies like an MRI or CT scan, to rule out any serious conditions.


Additional Considerations
Regarding your concerns about being frequently bitten by mosquitoes, while this is generally not a medical issue, it can be bothersome. If you are experiencing unusual reactions to mosquito bites, such as severe itching, swelling, or signs of infection, it may be worth discussing with a healthcare provider.
As for your sensitivity to monosodium glutamate (MSG) or processed flavor enhancers causing respiratory difficulties, this is a valid concern. If you suspect that certain foods are triggering your symptoms, it is advisable to keep a food diary and discuss this with an allergist or a primary care physician. They may recommend allergy testing or dietary modifications to help manage your symptoms.


Conclusion
In summary, given your symptoms of unexplained headaches, nausea, and dizziness, along with your history of head trauma, it is crucial to seek medical evaluation promptly. A neurologist can provide the necessary assessments and help determine the underlying cause of your symptoms. Additionally, addressing your concerns about food sensitivities and mosquito bites with the appropriate specialists can help improve your overall well-being. Remember, taking proactive steps in managing your health is essential, especially when experiencing persistent or concerning symptoms.

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