Your Headaches: Causes and When to Seek Help - Neurology

Share to:

Thank you, doctor?


I apologize for the disturbance.
Recently, for the past week or two, I have been experiencing frequent headaches, primarily in the temples, but not on a specific side.
Sometimes the pain is on the right side, sometimes on the left, and at times it also occurs at the back of the head.
Occasionally, I feel pain at the top of my head, and it is sometimes accompanied by dizziness, similar to motion sickness, but I do not experience nausea or the urge to vomit.
What could be wrong with me? I am very scared.

Ya Ya, 10~19 year old female. Ask Date: 2016/03/11

Dr. Gao Chunde reply Neurology


Dizziness, vertigo, headache, without nausea, resembling a tension-type headache, but also accompanied by dizziness.
A consultation with a neurologist is recommended for further evaluation and analysis to determine whether it is peripheral or central vertigo.
Relevant tests will be arranged if necessary.

Reply Date: 2016/03/11

More Info


Headaches can be a common yet distressing symptom, and understanding their potential causes is crucial for effective management. Based on your description, it seems you are experiencing a variety of headache symptoms, including pain localized to the temples, the back of the head, and the top of the head, accompanied by dizziness. This combination of symptoms can be indicative of several underlying issues.

Firstly, it’s important to consider the types of headaches you might be experiencing. The most common types include tension-type headaches, migraines, and cluster headaches. Tension-type headaches are often characterized by a dull, aching sensation all over the head, and they can be triggered by stress, poor posture, or prolonged periods of screen time. Migraines, on the other hand, can present with unilateral pain (often on one side of the head), and they may be accompanied by nausea, sensitivity to light, and sometimes visual disturbances. Cluster headaches are less common but are known for their severe, one-sided pain that occurs in clusters or cycles.

Given your symptoms of pain in various locations on your head and the dizziness that resembles motion sickness, it’s possible that you could be experiencing tension-type headaches or migraines. The dizziness you describe could also be related to vestibular issues or even anxiety, which can exacerbate headache symptoms.
Another important aspect to consider is your lifestyle. Factors such as stress, lack of sleep, dehydration, and prolonged screen time can contribute significantly to headache frequency and intensity. If you find yourself under a lot of stress or not getting enough rest, these could be triggers for your headaches.
In terms of when to seek medical help, it is advisable to consult a healthcare professional if:
1. Your headaches are severe and interfere with your daily activities.

2. You experience a sudden change in the pattern or intensity of your headaches.

3. You have accompanying symptoms such as visual disturbances, confusion, weakness, or loss of consciousness.

4. You have a history of head trauma, as this could lead to more serious conditions such as concussions or intracranial bleeding.

For immediate management, consider keeping a headache diary to track the frequency, duration, and intensity of your headaches, along with any potential triggers. This information can be invaluable for your healthcare provider in diagnosing the type of headache you are experiencing.
In addition, lifestyle modifications can be beneficial. Ensure you are staying hydrated, managing stress through relaxation techniques such as yoga or meditation, and maintaining a regular sleep schedule. If you spend long hours in front of a computer, take regular breaks to reduce eye strain and muscle tension.

If over-the-counter pain relievers like ibuprofen or acetaminophen are not providing relief, or if your headaches persist, it is essential to follow up with a healthcare provider. They may recommend further evaluation, which could include imaging studies like an MRI or CT scan to rule out any serious underlying conditions.

In summary, while headaches can be a common occurrence, understanding their potential causes and recognizing when to seek help is crucial. By monitoring your symptoms and making lifestyle adjustments, you can take proactive steps toward managing your headaches effectively. If your symptoms persist or worsen, do not hesitate to reach out to a healthcare professional for further evaluation and treatment.

Similar Q&A

Understanding Headaches: When to Seek Neurological Evaluation

I have been experiencing headaches every two to three days, alternating between the right and left sides of my head, with a pulsating sensation. I have taken pain relievers, but they only provide temporary relief. Should I go to the hospital for a CT scan of my brain?


Dr. Ye Boshou reply Neurology
Headaches have numerous causes. In addition to understanding the location, nature, and duration of the headache, clinical physical examination is also necessary. Generally, the symptoms of headaches can be improved with medication. However, to treat the underlying causes, such as...

[Read More] Understanding Headaches: When to Seek Neurological Evaluation


Understanding Your Headaches: When to Seek Medical Advice

Hello, Dr. Huang. I often experience headaches that occur during times of anxiety, fatigue, laughter, or sometimes for no apparent reason. The pain varies: 1. Headaches triggered by anxiety or fatigue usually feel like a tension-type headache, and taking medications like acetam...


Dr. Huang Yingzhe reply Neurology
Is it necessary to seek medical attention during a headache episode to determine the cause? Not necessarily! Your third type of headache may require careful evaluation to rule out the possibility of intracranial abnormalities.

[Read More] Understanding Your Headaches: When to Seek Medical Advice


Chronic Headaches: When to Seek Medical Help for Your Pain

I have often experienced migraines since elementary school, and it continues to this day. Although it's not as frequent now, I used to take pain relievers regularly. It wasn't until college that I stopped. I'm not sure if my training in wrestling during vocational ...


Dr. Ye Boshou reply Neurology
I cannot determine the details of your headache from your description, such as whether it is a throbbing pain, a sharp pain, or a pulsating sensation like a blood vessel. Are there any accompanying neurological symptoms? I would recommend seeking treatment from an experienced neu...

[Read More] Chronic Headaches: When to Seek Medical Help for Your Pain


Understanding Headaches and Neck Pain: When to Seek Medical Help

Hello, Doctor: I have been prone to headaches since childhood, triggered by various factors such as heat and stress. Most of my headaches require pain relievers for relief, but the effects of the medication are usually quick. Does this mean that my headaches are of a less severe ...


Dr. Xiao Yongxun reply Family Medicine
Dear Ms. Kanghua: 1. Headache is a clinical symptom with a complex array of causes, leading to significant variability in the severity and urgency of the condition. Accurate diagnosis of headaches primarily relies on a detailed history and clinical symptoms, supplemented by vari...

[Read More] Understanding Headaches and Neck Pain: When to Seek Medical Help


Related FAQ

Headache

(Neurology)

Headache

(Psychiatry)

Headache

(Dermatology)

Headache

(Family Medicine)

Neck Pain

(Neurology)

Dizziness

(Neurology)

Stroke

(Neurology)

Headache

(Obstetrics and Gynecology)

Tinnitus

(Neurology)

Scalp Numbness

(Neurology)