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    What causes cluster headache at night?

Posted on Mon, 24 Oct 2016 in Headache and Migraines
Question: I have been sick with flu like symptoms for 6 weeks and last 4 weeks extreme pain in left eye ear and face excriciating all symtoms match cluster headache comes on at night starts when temperature drops and lying down .I now have left pupil small eye closes but not paralized blurred vision effecting balance and coordination do not want to bend down had extremely painful red bloodshot and closing left eye then noticed change of pupil size which now appears to be permanent not usualy high blood pressure but was 190 180 165 at different times at doctor have had cat scan Mri and many bloods all normal had amoxicillin and Doxycillin as had ticks at onset of illness and possibly rodent flea bites severity of night headache and flu symptoms easing but frightened by loss of coordination and vision especialy cant cope well with bright daylight eye just closes spontaneously there was night after night of agonising head eye and ear pain all this started after 4 weeks of what felt like a normal flu and I was nearly better.
Im 56 overweight and not very fit but that is unusual I do not smoke drink or take drugs or medications at all normaly only vitamins and progesterone cream 10% for menopause symptoms .I have recently diagnosed Hashimitos but still functional level of thyroid hormone and no history of heart or cholesterol or blood pressure problems .Severe stress in last few years including hospitalisation for domestic violence but was feeling well strong and good energy until onset of what originaly just seemed like a flu???
COLD eg fridge aircon brings on unbearable knifing pain head eye and ear left side and worst left eye and temple -strange feeling head pushed forward and slightly tilted strange itching on top of head and forehead without visible rash ???
possible precipitating factors TICKS FLU RODENT FLEAS then when happy calm and recovering feeling just like a tail end of a normal flu sudden stress happened and all new symptoms of eye red watering painful terrible head and earaches and neck pains and tension unbelievable sweating causing wet clothes and causing coldness of wind supermarket etc to be unbearably painful pain so severe in head ear eye etc spent night after night with burning hot wheat packs all around head and neck and jaw normal paracetamol did not fix pain but then woke up with pain and heart going like freight train .All symptoms better morning and with coffee have a few good hours but pupils remain uneven balance or coordination orientation still feels a bit odd NO LOSS OF STRENGTH EVIDENT ANYWHERE OR SPEECH OR COGNITIVE FUNCTION but do not like to bend over as vision and strange heavy head and back feeling odd and so although PAIN and running nose eye watering etc not there in morning especialy venturing out of house into greater environment reveals frightening problem with vision and negotiating eg gutters uneven ground etc .
Muscles all test strong
No known diabetes
Never been a headache migraine person before but EXTREMELY CHEMICAL SENSITIVE
Coeliac disease undiagnosed till age 35 adhere strictly to healthy gluten free diet was swimming olympic laps and walking every day 6 months ago not FIT recently but strong and good energy just overweight and not FIT due to recovering from traumatic leg injuries .
Did have check for ricketsia and antibiotics and did feel reduction in flu like symptoms but not in head and ear pain and uneven light painful pupil improvement in degree of light sensitivity and vision but not fully normal .
Answered by Dr. Geeta Sundar 8 hours later
Brief Answer:
Hi, the symptoms you describe can either be due to glaucoma or hypertension

Detailed Answer:
Hi, the symptoms you describe can either be due to glaucoma or hypertension. I see you already have moderately raised blood pressure. Its probably going higher at night. It could also be cluster headache as you have rightly deduced. There are excellent medicines for cluster headache.Since you have already visited a Neurologist, he would have ruled out a left sided Trigeminal Neuralgia (inflammation in the left fifth cranial nerve that supplies the face), that can also present similarly. I would advise you to visit your Primary care Physician or ER. Blood pressure and glaucoma are easily diagnosed and you will have immediate relief in symptoms with treatment. Cluster headache is the third alternative that he can consider. And finally possibility of Trigeminal Neuralgia can still be considered. Regards
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
Follow up: Dr. Geeta Sundar 18 hours later
Dear Doctor XXXXXXX
So lovely to hear from you and see your beautiful photo .I am a very spiritual person and all my life been attracted to XXXXXXX since I was a little girl.
I have not been to the neurologist yet but as my sugar levels always test normal and I do not have any history or even family history of blood pressure normally until the terrible stress of this excrutiatingly painful episode .
The explanation of cluster headaches is non existent -my symptoms fit perfectly but there is no explanation on the internet as to what causes cluster headaches ???
I do not want to take medication for anything unless it is totally unavoidable /life threatening -I am more inclined to manage my diet exercise lifestyle and spiritual life for health and cures.
Can you explain to me what causes cluster headaches -Ive never been a headache person before ??
Is there a hormonal connection or cause with cluster headaches what is the role of the hypothalmus and what puts it out of order to cause the cluster headaches .
I did recently go off my 10% natural progesterone cream as I was so sick already and sweating and yet not feeling hot i couldn't see the point as I'm mostly on it to control hot flushes .

I have put myself back on it now just trying to keep everything as normal as possible until I can find out what is wrong and what happened to me.

Answered by Dr. Geeta Sundar 4 hours later
Brief Answer:
Hi dear, thanks for the compliment. The cause of cluster headache is not kn

Detailed Answer:
Hi dear, thanks for the compliment. The cause of cluster headache is not known but it is generally considered of vascular origin. The Hypothalamic origin is postulated because the attacks have a certain kind of regularity (which normally happens with problems related to it).There does not seem to be a hormonal connection. I understand you do not want medication, but I have a simple solution for you. Since your Blood pressure has touched 180, 190, 165 at various times--VERAPAMIL would be an ideal drug for you. It will relieve your headaches and also keep your blood pressure under control. It is a very safe drug and is also beneficial to the heart. I would advise you to discuss this with your doctor. It is possible that after a few months your doctor can consider withdrawing it (as I have been able to do in several of my patients with a similar history)-- especially if you go on a diet for hypertension, exercise and meditate. Warm regards
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
Answered by
Dr. Geeta Sundar

Internal Medicine Specialist

Practicing since :1975

Answered : 1329 Questions


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