What causes severe headache during pregnancy?

default
Posted on Mon, 14 Dec 2015 in General Health
Question: My 18 year old daughter just came to me and said that she had a headache on right side of her head and that the right side of her body felt numb. Especially her extremities. She said that her eye was twitching and she felt like she couldn't stop shaking. She is also 6 months pregnant.
doctor
Answered by Dr. Muhammad Sareer Khalil 1 hour later
Brief Answer:
Headache in 2nd or 3rd trimester needs evaluation

Detailed Answer:
Hello and Welcome

I appreciate your concern

Mild headache can be safely treated with acetaminophen or paracetamol in pregnancy. Severe Headache in pregnancy especially in the 2nd and 3rd trimester needs to be taken seriously. It could be a sign of preeclampsia, which is marked by high blood pressure and vision changes. Liver and kidney functions would also need to be checked via blood work (liver and renal function tests). Urine needs to be checked for presence of proteinuria. If there is associated edema, shortness of breath or mental status changes then she should be transferred to an ER facility. Unilateral headache can occur in either migraine or sinusitis. The usual migraine medications are not safe in pregnancy and paracetamol 1g is the only safe alternative. For sinusitis , antibiotics can be prescribed along with nasal decongestants. Vision also needs to be checked as eye strain related to reading or watching a laptop screen can also need to headache. The tremors or shaking can be related to fever, low blood sugar or low blood pressure or electrolyte imbalance.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2919 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication

Recent questions on  Electrolyte imbalance

doctor1 MD

Hi dr xxxxxxxx as requested I had blood panel done and they came back normal no signs of heart attack or enzymes I have a stress test set up...

doctor1 MD

My wife is 77 years old. In 2016, she had 1/2 of right lung removed due to lung cancer . She then had a-fib and later chemo for cancer. In march...

doctor1 MD

I am a 72 yr old female. For the past week, I have been suffering on and off with upper posterior thigh muscle spasms, together with a knife-like...

Get personalised answers from verified doctor in minutes across 80+ specialties

151 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2