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What Causes Heaviness In Head And Tiredness In Eyes?

Posted on Sat, 13 Sep 2014

Question: hello doctor...my head is feeling heavy and eyes are feeling tired what happen to me

Answered by Dr. Divakara (16 minutes later)

Brief Answer:
Need more information

Detailed Answer:
HI XXXXXXX

Thanks for posting your query to HCM.

Heavy head with tiredness can be due to many causes . From simple excess strain from work to some serious diseases .

I need more information on your symptoms .

Since how long you are having this problem ?

Is there any headache ? or only heaviness ?

Any Vomiting sensation ? Any Visual Blurring ?

Any fever ? Any Nasal Congestion ?

Any irritation to bright light or loud sound ?

Kindly revert back with these details for further discussion .

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Divakara (23 hours later)

Dear Doctor,

Thanks for your reply, the more details which you asked i have mentioned below,

Since how long you are having this problem ?...actually i will say it since more than 6 month but i recently noticed it

Is there any headache ? there is no any headache its only heaviness, but some time head pains (specially above eye area and back of neck)

Any Vomiting sensation ? amm..i will say yes, after food i feel like vomiting but after 4 to 5 minutes everything goes well, Any Visual Blurring ? blurring Not really i can read any thing from any distance but eyes feel very heavy,

Any fever ? No fever at all,
Any Nasal Congestion ? Nasal Congestion...Mean Muscle pain or congestion...yes about year a go i checked with doctor and he said that throat is very congested..he given me antibiotics.. but no result so i continue without any medicine...actually am an XXXXXXX but living in Nigeria where medical facility is not much (don't worry this is not Ebola)

Any irritation to bright light or loud sound ? Yes since last 2 days i get very angry and irritated....

Please let me know if you want to know any thing else...

Regards
XXXX

Answered by Dr. Divakara (2 hours later)

Brief Answer:
It's Sinusitis

Detailed Answer:
Hi XXXXXXX .

Thanks for the follow up .

Your information is very useful in making diagnosis. I have 2 provisional diagnosis.

1. Migraine.
2. Sinusitis.

If I was your doctor I would have started treatment for sinusitis first and seen the response for the treatment. If there is no response then we can start migraine treatment.

Do steam inhalation every night. You can add eucalyptus oil or vicks vaporub to water and take steam from it . Drink hot water , avoid citrus fruits.
Ask your doctor for a prescription of xylometazoline nasal drops . Use it for a week . Do all this and see for response. If problem persists kindly revert back .

Any clarification feel free to ask . Happy to answer.
If no clarification kindly close the discussion and please rate my answer.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Divakara (5 hours later)

Dear Doctor,

Thanks for your reply,

Is it any serious problem.....

Answered by Dr. Divakara (4 hours later)

Brief Answer:
Not serious at all

Detailed Answer:
Hi XXXXXXX

My diagnosis of sinusitis is not at all serious but it can be a recurrent problem . Avoid exposure to cold air and dust as much as possible.

Nothing to be of concerned.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Divakara (16 hours later)

Hi Doctor,

Greetings !!

i visited the doctor here,

he checked by BP, Ear and asked certain question about vomiting, fever, headache, etc,

he also did blood test,

based on his diagnostics its not sinusitis...its normal thing he gave me Azithromycin tablet (1 in day before food) with Penadol,

he says lets see if the pain goes then ok or else we will do X-ray..

as i stated erlier that here not much medical facility available.

what should i do..

Answered by Dr. Divakara (6 minutes later)

Brief Answer:
No need of Azithromycin

Detailed Answer:
Hi XXXXXXX

I don't think there is a necessity of azithromycin. You need to be started on nasal decongestants. Ask your doctor for the prescription as its a prescription drug.
You don't have any signs of infection for which azithromycin needs to be used.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Divakara (17 hours later)

Dear Doctor,

unfortunately here no body gives a prescription in writing, they diagnostic and give medicines,

that is the reason why people will avoid to visit doctor here, but since i was worried about the symptoms and visited the doctor,

all XXXXXXX people here have family doctors in XXXXXXX who they contact for any cases, but i dont have any family doctor, even since last 1 month most of the hospital (the hospital operated by foreigners) is closed or operating with fear due to Ebola threat and any XXXXXXX will try to avoid to go to hospital because of Ebola virus,

but going ahead, what should i do now...i took 1 tablet yesterday nigh before food with penadol,

Please guide me ...

Regards
XXXX

Answered by Dr. Divakara (11 minutes later)

Brief Answer:
Take Xylometazoline nasal spray from Pharmacy .

Detailed Answer:
HI XXXXXXX

You can continue Penadol ( it is paracetamol )

Ask a Pharmacist there to get Xylometazoline nasal spray / drops and use it 2 times a day . Continue Penadol .

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Divakara (3 hours later)

How do I use drops.....in nose or ear

Answered by Dr. Divakara (6 minutes later)

Brief Answer:
Nose

Detailed Answer:
Hi XXXXXXX

I said earlier its a nasal spray. Use it in your nose.. Lay on bed put it in your nose into both nostrils and be in supine position for 3 mimutes.

Any further clarification feel free to ask . If none kindly close the discussion and rate my answer.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj