Persistent Headaches and Dizziness After a Cold - Otolaryngology

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Dizziness and headache?


Hello Dr.
Cheng: I am currently in the fourth grade.
After catching a cold, I have been experiencing persistent headaches and dizziness.
I visited Mackay Memorial Hospital and Taipei Medical University Hospital, but the doctors said I was fine.
They suspected that my ears might be affecting my head, but my ears are also fine.
This has been going on for a long time.
For instance, on the night of the 9th, I was awake from 9:16 PM until 3:15 PM on the 10th, and I kept waking up almost all night.
I hope Dr.
Cheng can tell me what illness I might have.
Is it contagious? Can it be treated?

Mi Mi, 0~9 year old female. Ask Date: 2015/11/11

Dr. Zheng Jueyi reply Otolaryngology


If the imbalance in the inner ear occurs after a cold, it may be caused by a viral infection.
It is recommended to maintain a regular routine and find time for exercise, as most cases will gradually improve.
Additionally, sufficient and good quality sleep can help alleviate dizziness; otherwise, insomnia can easily trigger dizziness.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/11

More Info


Persistent headaches and dizziness following a cold can be concerning, especially for a young child. It's important to understand that these symptoms can arise from various causes, and while they can be frustrating, they are often manageable with the right approach.

Firstly, after a cold, it is not uncommon for individuals to experience lingering symptoms, including headaches and dizziness. This can be due to several factors:
1. Post-Viral Syndrome: After a viral infection like a cold, some individuals may experience a post-viral syndrome, where symptoms such as fatigue, headaches, and dizziness persist even after the acute phase of the illness has resolved. This is usually self-limiting and improves over time.

2. Sinusitis: If the cold was accompanied by nasal congestion, it could lead to sinusitis, which is an inflammation of the sinuses. This can cause headaches, particularly in the forehead and around the eyes, as well as dizziness. If there is facial pain or pressure, this could be a sign of sinus involvement.

3. Tension-Type Headaches: Stress and anxiety, especially in children who may be worried about their health, can lead to tension-type headaches. These headaches are often described as a tight band around the head and can be exacerbated by poor posture or prolonged screen time.

4. Vestibular Issues: Dizziness can sometimes be related to vestibular (inner ear) problems. Even if the ear examination appears normal, there can be functional issues that affect balance and cause dizziness.

5. Dehydration or Fatigue: After being sick, children may not hydrate adequately or may be more fatigued than usual, both of which can contribute to headaches and dizziness.

6. Migraine: Some children may experience migraines, which can be triggered by various factors, including changes in routine, stress, or even dietary changes following illness.

Given that you have already consulted with doctors at reputable hospitals and they have ruled out serious conditions, it is likely that the symptoms are related to one of the above factors. Here are some recommendations to help manage the symptoms:
- Hydration: Ensure that the child is drinking plenty of fluids. Dehydration can worsen headaches and dizziness.

- Rest: Encourage adequate rest and sleep. Sleep is crucial for recovery, especially after an illness.

- Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can be used to manage headaches, but always consult with a healthcare provider for appropriate dosing in children.

- Monitor Symptoms: Keep a diary of the headaches and dizziness, noting the time of day, duration, and any associated activities or triggers. This can help identify patterns and inform future medical consultations.

- Relaxation Techniques: Encourage relaxation techniques such as deep breathing, gentle stretching, or mindfulness exercises to help reduce tension and anxiety.

If symptoms persist or worsen, it would be advisable to follow up with a pediatrician or a pediatric neurologist. They may consider further evaluations, such as imaging studies or referrals to specialists, to rule out any underlying conditions.

In summary, while persistent headaches and dizziness after a cold can be distressing, they are often manageable with supportive care and monitoring. It is essential to maintain open communication with healthcare providers to ensure the best outcomes for your child's health.

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