Brief Answer: Plenty of causes. Need few answers. Detailed Answer: Hello, I have gone through your query and understand your concern. There are plenty of causes for headache with ringing in ears. Even living in the noisy are can cause these symptoms. I would like to have few answers to rule out any organic diseases. Do you have ear problem other than ringing in ears like discharge or ear pain? Do you have any dizziness or lightheadedness or vertigo like symptoms? Do you have visual problems? Any history of head injury? Waiting for your response.

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Brief Answer: Migraine headache. Life style change. Medications Detailed Answer: Hello, Thanks for your reply. It seems to be you are suffering from Migraine Headache. I suspect this because of the following points 1. Throbbing headache 2. Associated with Nausea 3. Associated with dizziness 4. Transient visual symptoms 5. Ringing in ears - This let me to suspect you might probably have Vestibular type of Migraine. Some negative history no discharge from ear, no history of head injury and No history of ear pain are also helpful in ruling out other local causes. Further Migraine is more common in women and Vestibular migraine is too common in females. There is no specific tests to identify the cause for migraine headache. Genetics and environmental factors play a important role in migraine. But my suggestion is to do ElectroEncephaloGram(EEG) and MRI as well as through neurological examination to rule out any problems in brain and also to rule You need some life style changes along with medications to combat this migraine headache. Avoiding the food that trigger your headache. Avoiding stressful and unlikely environment. If you are a smoker, Quit smoking. Getting regular exercise. Relaxation techniques like Yoga and Meditation will be helpful. You should understand that there are no surefire migraine medications that will work for everyone who gets migraines. here are, though, a variety of options that may be used alone or in combination to relieve headaches and the associated vision problems, dizziness, and vertigo they can cause. Usually we give preventive ( prophylactic) medications like antidepressant amitriptyline, can help block migraines before they start. In some people or some times this will not be effective, then you need abortive mediactions like triptans and pain killers like Ibuprofen. There are millions of people living with migraine and leading day to day life activities without any major disturbance by changing their life styles and also by taking medicines. This is nothing to be concerned too much. Hope this helps. Please write back for further queries. Wishing you good health.

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