Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Headaches And Vision Problems
Question: 15 year old daughter who is a volleyball player had an issue last night where she had head ache, some blanks in her field of vision, had difficulty writing numbers when keeping score (ex. would write a 6 when she meant to write a 9), had some limited difficulty finding words to express what was going on. My husband brought her home and she threw up and went to sleep. Seems perfectly fine now. She had stayed up very late the night before studying. Wants to go to school. She's never had migraines but both I and her brother get them. Could it be that or do we need to be more concerned?
Brief Answer:
need more information
Detailed Answer:
Hi
I am Dr Mittal
I will like to help you
However I need more details
Can she describe her headache?
How long did she have the headache?
Any prior history of headache?
Please let me know
So i can help u better
DR Mittal
need more information
Detailed Answer:
Hi
I am Dr Mittal
I will like to help you
However I need more details
Can she describe her headache?
How long did she have the headache?
Any prior history of headache?
Please let me know
So i can help u better
DR Mittal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
She said her headache was dull and achy and started around 6pm. She went to sleep around 7:30 and still had it when my husband went to check on her , around 10:30. No prior history of headaches.
Brief Answer:
Need more information
Detailed Answer:
Is there a possibility that she is anxious about something??
Was it a pulsatile pain?
were her eyes red?
was there any eyes pain?
has she been sleeping sufficiently?
Any neck pain/discomfort?
Fever?
diet pattern? normal?
I think it may fit into the syndrome of migraine
But I will need to be sure further.
Need more information
Detailed Answer:
Is there a possibility that she is anxious about something??
Was it a pulsatile pain?
were her eyes red?
was there any eyes pain?
has she been sleeping sufficiently?
Any neck pain/discomfort?
Fever?
diet pattern? normal?
I think it may fit into the syndrome of migraine
But I will need to be sure further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Anxious about grades she is A student but not more anxious than normal for that type of student
Not pulsating, no red eyes or eye pain, no neck stiffness
Was up until 1:00 am the night before last night studying because volleyball game ended late
Her diet is normal for her. Has been eating 2000-2500 calories per day to gain weight. She is 5'4" and weighs about 102. She has not had her period since Feb( had really just started to have periods a few months prior to that). Her doctor is aware of period loss and that's why she is eating the higher calories.
Neither me nor my son has ever experienced number confusion or visual issues with our migraines
Not pulsating, no red eyes or eye pain, no neck stiffness
Was up until 1:00 am the night before last night studying because volleyball game ended late
Her diet is normal for her. Has been eating 2000-2500 calories per day to gain weight. She is 5'4" and weighs about 102. She has not had her period since Feb( had really just started to have periods a few months prior to that). Her doctor is aware of period loss and that's why she is eating the higher calories.
Neither me nor my son has ever experienced number confusion or visual issues with our migraines
Brief Answer:
Migraine vs Tension headache
Detailed Answer:
the idea about visual issues was to rule out other differentials of migraine.
And migraine does have photophobia- a condition where the light feels brighter and hurts more than usual while the headache is there.
I think there is a strong possibility that this is one of the 2 possible diagnosis
1. migraine- being a first episode, we do need to watch for the further episodes. lack of sleep can always trigger a migraine. stress (of grades) can be a trigger for a migraine. Plus she has family history of migraine. I would consider this as a strong possibility. If this is a migraine, I think right now we just need to give her painkillers as and when needed. The medicine has to be give as soon as possible after the onset of headache. She could use a general painkiller like paracetamol, or a more migraine specific painkiller like sumatriptan or ergotamine (with an antacid of course.
2. this second is not the top diagnosis, but one needs to be sure that this is not there- tension headache. The idea is simply this that if it is a tension headache, all she has to do is learn relaxation techniques like yoga and meditation. she really wont need medications as of now.
I hope that information helps
Please feel free to ask a follow up query if you need any more info
Best of luck
Dr Mittal
Migraine vs Tension headache
Detailed Answer:
the idea about visual issues was to rule out other differentials of migraine.
And migraine does have photophobia- a condition where the light feels brighter and hurts more than usual while the headache is there.
I think there is a strong possibility that this is one of the 2 possible diagnosis
1. migraine- being a first episode, we do need to watch for the further episodes. lack of sleep can always trigger a migraine. stress (of grades) can be a trigger for a migraine. Plus she has family history of migraine. I would consider this as a strong possibility. If this is a migraine, I think right now we just need to give her painkillers as and when needed. The medicine has to be give as soon as possible after the onset of headache. She could use a general painkiller like paracetamol, or a more migraine specific painkiller like sumatriptan or ergotamine (with an antacid of course.
2. this second is not the top diagnosis, but one needs to be sure that this is not there- tension headache. The idea is simply this that if it is a tension headache, all she has to do is learn relaxation techniques like yoga and meditation. she really wont need medications as of now.
I hope that information helps
Please feel free to ask a follow up query if you need any more info
Best of luck
Dr Mittal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
One last question- is the number confusion when she was writing a 6 when she meant to write a 9 and she knew it was right also consistent with a migraine?
Brief Answer:
Not really
Detailed Answer:
Ideally the number confusion is not a feature of migraine.
However I will say that the pain may have caused her to do this in a hurry or confusion.
But if it was a caused by some neurological problem, it wont go away by sleep.
Therefore it is a migraine
Not really
Detailed Answer:
Ideally the number confusion is not a feature of migraine.
However I will say that the pain may have caused her to do this in a hurry or confusion.
But if it was a caused by some neurological problem, it wont go away by sleep.
Therefore it is a migraine
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
