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What causes frequent headache? - Online Doctor Chats

Date : 12-Apr-2014
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User:I am having frequent headaches and I am having episodes of blacking out.
Doctor:How long have the blackouts been going on
User:I am not sure but the most recent one was last Wednesday. I can tell when I am about to have one because of the way my head feels.
Doctor:Ok, Have you ever been diagnosed with a migraine disorder?
Doctor:Other than the Metabolic Syndrome. Have you had to get treatment for any chronic diseases? (Like Diabetes, or hypertension, etc)
User:Pre diabetic, low thyroid, high cholestrol, low vitamin D and B.
User:Also mild depression and now on vary acne because I can't seem to stay focused. I am also having some episodes of blurred vision.
Doctor:I see
Doctor:Ok. At this point the things that worry me are that your are becoming hypoglycemic or having migraine attacks.
Doctor:you are*
User:I take met foremen and victors shots every day. Lipitor, synthroid, an estrogen patch, weekly vitamin B shots and 10000 vitamin D three times a week. I am also on Seritonin and vyvance
Doctor:So I would suggest you get your blood sugar checked and you seek your primary doctor for a neurological workup.
Doctor:I'm glad you are getting the Metformin. That will help control your sugars
Doctor:That moves the possibility of Migraines to the fore in my mind
User:What is a neurological work up? I think I may have Cushings Syndrome. Everytime I go to my Endocrnologist there is something else wrong with me.
Doctor:Hmmm, A Neurological workup is basically a physical exam. They test your nerves and they use that little hammer to check your reflexes, etc. It's a very simple thing. It also will help greatly in findgin out if you have migraines
Doctor:I see about the endocrinologist. I'm sorry I'm asking you to see yet another specialist. But from where I am, Migraines are something that should be ruled out.
User:I do have a hump in my back. Ugly veins in my legs. I've gained 25 pounds since September. I have red patches on my face and a few actual whiskers I am always spraining or breaking my feet and ankles. Right now I have a sprained thumb. I bruise very easily. I have a lot of trouble sleeping. At night my legs, feet and arches hurt very badly. I had a 24 hour urine test and it was in the normal range that is why they say I have Metoblic Syndrome.
Doctor:I understand. Have they ever discussed the possibility that this is also due to menopause?
User:I had a complete hysterectomy at 28 due to endometriosis. I have also had my gall bladder removed and a hytial hernia repair.
Doctor:I see
User:Are you saying that migraines can make you black out?
Doctor:Yes, migraines can make people blackout and they are generally foreshadowed by an aura.. a funny feeling in the head
User:I do not have a headache after I wake up. I am very alert and the tiredness I felt before I passed out is gone.
Doctor:I'm glad... I hate to do this to you, but the other possibility that comes to mind os a seizure disorder. But i'm not very convinced of that right now
Doctor:So. A neurological workup is the best bet there too
User:Okay I'll see about one. Thank you. I was thinking it might be Cushings Syndrome
Doctor:Generally doesn't cause blackouts.... but cushings can make your bloodsugars go a bit crazy
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