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Suggest Treatment For Temporal Headache With Dizziness And Blurred Vision

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Posted on Fri, 22 Jan 2016
Question: Hey guys, first time poster.
I have always had headaches off and on for the last five years. I am a 31 year old overweight smoker. Currently trying to lose weight :D

Anyways I am crying as I type thhis. I have been to urgent care twice, my primary doc once, and the er once.

I had a CAT scan on August 9th of this year and docs dont feel I need another one, but of course since I have anxiety im flipping out, as my dad and gramma died from glioblastoma multiforme in the brain

So, my headaches
*never had a headache like this
* history of sinus infections in the sphenoid sinus
* I did a Z-pak, but not on clarithromycin day 2
* Use my neti pot every day with some alkalol in it
* I also take effexor xr and klonopin

SYMPTOMS:
a month ago, when i stand up i get headrushes
doc blamed tension in the neck
1 er visit, the doc refused another scan and told me that since i had one on august 9th i didnt need another
went to urgent care a week and a half ago, did a z-pak, didnt help
When I wake up, my vision is blurry and im dizzy when i sit up
Both temples also hurt really bad, the pain would go over my ears and down to the base of my skull on both sides
Now the headache isnt both sides, but its switching sides from the moment I wake up!
Now a week later, urgent care gave my clarithromycin yesterday
No nose stuffiness but occasional "gunk" in nose, no big deal
My temple headache is switching sides every day, sometimes twice a day
Doc said my optic nerve and blood pressure are good
I changed my regular pillow to an orthopedic pillow
When I go anywhere I feel dizzy
I cant handle tylenol and ibuprofen anymore, both the er and urgent care did magnesium, fluids, and toradol shots, which typically kills off my headaches, but this one keeps coming back, I have even seen a chiropractor!
The pain was in the left temple, going over the ear, into the neck and base of skull yesterday, then it switched sides. I was having ear congestion but thats off an on now, all docs checked ears and they were very clean and nice.

I am fearing carotid artery stuff, brain tumours and cancer, since my dad died from that, I know I had a scan on the August 9th (non contrast CT) but im anxious as hell and i want to enjoy life. I cant live like this. I have even been doing flonase. Please someone help? Thank you.
doctor
Answered by Dr. Abubakar Siddiqh (7 hours later)
Brief Answer:
blood tests, ultrasound neck needed.

Detailed Answer:

Hi,

I had gone through your question and understand your concerns that you are having head-ache over temples.

Answers and solutions for your recurrent head-ache issues.

1. Kindly attach the reports of CT scan of para nasal sinuses (PNS), so that, I can give you further advise.

2. Temporal (temples) head-ache commonly occurs with tension or it could be due to neuralgia. Dizziness, blurred vision occurs due to neck vessels compression. In my opinion, you need to do ultrasound neck and carotid Doppler and neurologist opinion to rule out neuralgic head-ache.

3. Nutritional deficiencies (anemia-iron, calcium), electrolyte imbalance (sodium,potassium,chloride), thyroid hormone irregularities and fluctuating blood sugars also causes head-Ache. You need to differentiate with series of blood tests to know the exact cause of head-ache.

4. As such, simple tylenol (paracetamol) will not work on complicated head-ache (neuralgia) and you require anti-neuralgics, needs to be taken under supervision.

4. Kindly discuss with your treating doctor about this instructions and investigations before doing them and please stop smoking. Smoking inhibits the action of flixonase spray and causes allergic rhino-sinusitis.


Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Abubakar Siddiqh (1 hour later)
The CT scan was in August 9th and it was completly ok. Why do I need to have my cartoid arterys scanned? That scares me!
doctor
Answered by Dr. Abubakar Siddiqh (10 hours later)
Brief Answer:
do not worry.

Detailed Answer:

Hello again,

Thanks for considering my answer and for your follow up.

Ct scan will give more information like anatomical anomalies (deviated septum, turbinate hypertrophy) and pathological extent (sinusitis, polyp). These pathologies are more commonly associated with allergic rhinitis.

Carotid vessels are the main neck vessels, which connects brain with vital organs of chest. Any defects (atheroma, stenosis, vessel wall abnormalities or compression from external sources) causes head-ache with dizzy spells. Do not worry, these are the just screening tests to rule out the cause.

Hope, I have answered your query.

All the best. Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions

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Suggest Treatment For Temporal Headache With Dizziness And Blurred Vision

Brief Answer: blood tests, ultrasound neck needed. Detailed Answer: Hi, I had gone through your question and understand your concerns that you are having head-ache over temples. Answers and solutions for your recurrent head-ache issues. 1. Kindly attach the reports of CT scan of para nasal sinuses (PNS), so that, I can give you further advise. 2. Temporal (temples) head-ache commonly occurs with tension or it could be due to neuralgia. Dizziness, blurred vision occurs due to neck vessels compression. In my opinion, you need to do ultrasound neck and carotid Doppler and neurologist opinion to rule out neuralgic head-ache. 3. Nutritional deficiencies (anemia-iron, calcium), electrolyte imbalance (sodium,potassium,chloride), thyroid hormone irregularities and fluctuating blood sugars also causes head-Ache. You need to differentiate with series of blood tests to know the exact cause of head-ache. 4. As such, simple tylenol (paracetamol) will not work on complicated head-ache (neuralgia) and you require anti-neuralgics, needs to be taken under supervision. 4. Kindly discuss with your treating doctor about this instructions and investigations before doing them and please stop smoking. Smoking inhibits the action of flixonase spray and causes allergic rhino-sinusitis. Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.