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Headache with vomitting resulting in sudden falls - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3587 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   hi
Doctor :   Are you back?
User :   i have one query doctor

User :  
ues
User :  
yes
Doctor :  
Please go ahead
User :   recently my sister is facing one problem
User :  
she is getting pain in brain at back side of head in the middle
User :  
position
Doctor :  
ok
User :  
and when she is getting pain , suddenly she is falling down
User :  
with out any knowing herself and
User :  
she is feeling like Vamting sensation also at the time of pain
Doctor :  
Ok
User :  
these are main symptoms
User :  
please advice me in this
Doctor :  
So Headache, Vomiting and Sudden falls are the main complaints
User :  
yes
Doctor :  
When did the first episode happen?
Doctor :  
What is her age?
User :  
actually 4 years back she has got like this ..at that time we have used some course then it reduced. from last 1 month again she is feeling some times ..
User :  
her age is 27
User :  
this is 2 nd time from last 20 days
Doctor :  
Do you remember the medicine or tests done previously?
User :  
so tell me
User :  
do you need names of medicine and tests names ?
Doctor :  
Yes
User :  
exactly i don't remember
Doctor :  
Ok
Doctor :  
Does she get to know about the headache prior with some premonitory symptoms like
Doctor :  
reeling sensation, ringing in the ears or flashing of lights
User :   No ..

User :  
actually she is getting pain when she gettnig more stress and if she thinks
User :  
more about any issues
Doctor :   Ok

Doctor :  
Are you sure it is not a fit attack?
User :  
yes ... its not that
User :  
i am sure
Doctor :  
Ok, with the complaints you mentioned I could think of few possibilities.
Doctor :  
Those are
User :  
yes
Doctor :  
1) Migraine 2) Refraction error of the eye 3) Space occupying lesion of the brain
Doctor :  
So you have to rule them out by getting eye examination and neurological examination by the Doctor
Doctor :  
and if required
Doctor :  
an MRI of the brain
User :   actually she is getting pain in the brain itself .. not a general headache

Doctor :  
Yes I understand
Doctor :  
That is the reason why I could think of these possibilities
Doctor :  
IS the pain related to her menstrual periods?
User :   Y'day she has got the pain .. today or tomoroow is her period date
Doctor :  
Ok what about the previous episode of pain, any relation with the period?
User :   previous episode is not in period time ..
Doctor :  
Ok
User :  
ok doctor then could you tell me how serious is this issue?

Doctor :  
Yes this is worrisome since she had falls and not able to tolerate a pain
User :  
yes
User :  
she can able to tolerate but with some engage with any work
User :  
then she can manage the pain .. but any how getting
User :  
so tell me
Doctor :  
Anyhow she needs a complete examination that too with a opthalmoscopy by a Doctor
Doctor :  
where he looks into the eye with the help of a special instrument
Doctor :  
I suppose it is to be Migraine but with out these tests we cannot conclude
User :   is Migraine relating with brain ?

Doctor :  
Yes
Doctor :  
In fact it has no real cause
Doctor :  
The poor life style is the real cause
User :   poor life style means
Doctor :  
No exercise, more sedentary life style, over weight, poor eating habits, not able to manage stress
User :   ok , are these also could be happen

Doctor :  
Yes
User :   in previous time when we have done the tests , that doctor has told if the pain will come with Vomting sensation then it would be brain tumor in future .is it like that

Doctor :  
That is the reason why I said a possibility of Space occupying lesion
Doctor :  
of the brain
User :   could you explain me about Space occupying lesion means

Doctor :  
The space of the brain is occupied by some other mass in the form of tumor or cyst
User :   Ok

User :  
then is any other symptoms for this type if it is
User :  
to know exactly
Doctor :  
No all the symptoms point towards all these mentioned
Doctor :  
that is why before we start worrying let the examination be done
User :  
then is it better to consult Neurologist first
Doctor :   You can but you may go to a General Physician either who is capable of relating all the problems

User :   last time we had meet Neurologist itself .. so i have asked like that doctor

Doctor :  
It is upto you to decide on
Doctor :  
to see the same Doc
User :   ok doctor i got some idea about my query from your answers.

Doctor :   Please get back to me after you consult

Doctor :  
and I can give you more input
Doctor :  
after the tests
User :  
sure then do we have information reagrding in which city we have
Doctor :  
What do you want
User :   specialists list regarding Neurologists
User :  
in particular city
Doctor :  
Yes
Doctor :  
which city do you want
User :  
Vijayawada , Andhra Pradesh
Doctor :  
WWW.WWWW.WW Doctor :   You may visit this lin
Doctor :  
link
Doctor :  
and see the Doctor
Doctor :  
you can avail the opportunity to fix up appnt with the Doctor
Doctor :  
WWW.WWWW.WW Doctor :  
Please fill the feedback form say done when done.
Doctor :  
Thanks for consulting me. Bye for now.
User :   bye ..

User :  
thank you
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