Headache and dizziness issues?
It started around last Saturday when I began experiencing headaches and dizziness, primarily around the temples, with a throbbing pain.
Sometimes the pain also occurs at the top of my head, but pressing on my eyeballs does not worsen the headache.
My balance and speech have not been affected.
The dizziness feels more like faintness rather than a spinning sensation, although I do feel faint sometimes even while sitting.
There has been no nausea or vomiting.
Note: On the day I started having headaches, I had played basketball, and my hair was wet at that time.
I was also wearing short sleeves and was exposed to the wind, so I'm not sure if that contributed to my symptoms.
Regarding the dizziness, I have a more sensitive sympathetic nervous system and have previously experienced fainting episodes.
I underwent tilt table testing, but as my symptoms improved, I did not return for follow-up appointments.
Mr. Lin, 10~19 year old female. Ask Date: 2016/03/06
Dr. Gao Chunde reply Neurology
Sometimes migraine attacks can cause the dizziness and throbbing pain you mentioned.
Similarly, the onset of a cold can present with similar symptoms.
It is important to monitor for the gradual appearance of other cold-related symptoms or any changes in the headache and dizziness.
If it is not a cold and the headache and dizziness do not improve over the next two to three days, it is advisable to consult a neurologist.
Reply Date: 2016/03/06
More Info
Headaches and dizziness can be complex symptoms that often require a thorough understanding of their underlying causes. Based on your description, it appears that you are experiencing tension-type headaches primarily localized around your temples, along with episodes of dizziness that feel more like lightheadedness rather than a spinning sensation. This combination of symptoms can be indicative of several potential neurological issues, and it is important to consider various factors that may contribute to your condition.
Firstly, tension-type headaches are the most common form of headache and are often triggered by stress, anxiety, poor posture, or muscle tension in the neck and shoulders. Given that you mentioned playing sports and being exposed to wind while having wet hair, it is possible that muscle tension or strain could have contributed to your headache. The fact that pressing on your eyeball does not exacerbate the pain suggests that the headache may not be related to increased intracranial pressure or other serious conditions.
Dizziness, particularly the type you described as feeling faint rather than vertiginous, can be associated with several factors, including dehydration, low blood pressure, or even anxiety. Since you have a history of sensitivity in your sympathetic nervous system and previous episodes of fainting, it is crucial to consider how these factors might interplay with your current symptoms. The autonomic nervous system, which regulates involuntary bodily functions, can sometimes become dysregulated, leading to symptoms like dizziness and lightheadedness, especially in response to stress or physical exertion.
Moreover, the absence of nausea or vomiting is a positive sign, as these symptoms can often indicate more serious conditions such as migraines or vestibular disorders. However, it is essential to monitor your symptoms closely. If you experience any changes, such as worsening headache intensity, visual disturbances, or persistent dizziness, it would be prudent to seek medical attention.
In terms of management, there are several strategies you can employ to alleviate your symptoms. Regular physical activity, proper hydration, and stress management techniques such as mindfulness or relaxation exercises can be beneficial. Additionally, maintaining good posture, especially during activities like playing sports, can help reduce muscle tension that may contribute to headaches.
If your symptoms persist or worsen, it is advisable to consult a neurologist or a healthcare professional specializing in headaches. They may recommend further diagnostic tests, such as MRI or CT scans, to rule out any structural abnormalities or other neurological conditions. A comprehensive evaluation will help determine whether your headaches and dizziness are related to tension, autonomic dysregulation, or another underlying issue.
In conclusion, while your symptoms may currently suggest tension-type headaches and lightheadedness, it is essential to approach this condition holistically. Pay attention to your body’s signals, maintain a healthy lifestyle, and do not hesitate to seek professional guidance if your symptoms do not improve. Understanding the interplay between physical health, stress, and neurological function is key to managing headaches and dizziness effectively.
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