Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

155 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes severe headache, photophobia and nausea when diagnosed with meningism?

Answered by
Dr. Sudhir Kumar


Practicing since :1994

Answered : 5759 Questions

Posted on Wed, 15 Mar 2017 in Headache and Migraines
Question: I was admitted to hospital last week and treated initially for bacterial meningitis, following an LP I was diagnosed with meningism. I've felt progressively better for the past few days but have woke this morning with an excruciating headache I can't get rid of with medicine, photophobia again and extreme nausea with no vomiting. It is normal to have a set back like this in recovering?

thank you. I had a CT scan 7 days ago which was reported as normal, but I feel dreadful today which has come as a XXXXXXX I phoned my gp who wanted to assess me but I couldn't being myself to get out of bed and dressed to go in. hopefully tomorrow will be better. thanks again.
Answered by Dr. Sudhir Kumar 1 hour later
Brief Answer:
Another CT scan should be done if headache does not subside.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your clinical details. Based on this, you require further evaluation. I presume your lumbar puncture was normal. In that case, the exact cause is still not identified.

It is possible that it is a migraine attack now. You can try taking naproxen 500 mg or rizatriptan 10 mg tablet for relief of headache. If headache persists, you should go in for a repeat CT scan of brain to exclude other causes of severe headache.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY:

Brief Answer:
That should be fine.

Detailed Answer:
Thank you for getting back.

I hope you get better soon. Please keep me informed of your progress.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Medical Procedures
Lab Tests

Recent questions on  Photophobia

doctor1 MD

I woke this morning with pain (dull ache that will somewhat intensify then subside some) in the base of my head, down my neck and into my shoulder on the right side and it sort of goes into my right side jaw. I don't believe this is a concern for...

doctor1 MD

My daughter (5.6 years) had an adenotonsillectomy done in January this year...Since then she is complaining of headaches , these were off and on episodes which she had if she had disturbed sleep. A dose of ibugesic plus would relieve her..but...

doctor1 MD

Hi! When I woke this morning I had a slight pain in my right eye from any light. Please advise.

doctor1 MD

My Age: 31 My gender: female List of symptoms over the years: mind fog - diffuculty concentrating on conversation, activities difficulties with speech - getting words out, stuttering on words, can t find the words Depression, situational-environemental-mood swings severe PMS\mood swings ringing in ears, hearing loss, unexplained sever ear pain (right ear) tingling, numbness, burning sensations of hands, arms, feet and legs severe joint pain - knees, wrists, hands, fingers, hips and shoulders extreme fatigue not reduced by proper sleep headaches, jaw pain, facial and neck\head pains cardiac palpitations, can feel heart skip beats, race, slow down difficulties breathing (shortness of breath) dizziness eye floaters , blurred vision, extreme vision changes, color changes - goes greyish\more yellowish photophobia, eye pain with severe bright light, sunlight habitual constipation light headedness, sudden and severe blood pressure drops, feelings of faintness muscle cramping, toe and finger cramping, hand cramps dropsies hand grasp weakness, leg weakness, knees & hips, back feel like they will give out. extreme clumsiness, bruises and cuts heal very slowly, get sick often (catch everything going around and severely), constant low grade fevers back pain and hip pain. Hand and feet and arm swelling in morning that takes a few hours to dissipate, hand and back\hip pain in the mornings. numbness in finger tips - thumb, pinky and ring finger. Palm of hand numbness. Rib pain and chest numbness, radiation pain that moves from one place to another. Heat sensitive, cannot deal with extreme heat situations, hot showers, baths, summer weather, too high heat in vehicle or home. Prefer it cold for enivronment but cannot deal with extreme cold either. Can go 2 to 3 weeks symptom free then comes back for a few weeks. Has gotten progressively worse over the years. Started with hip joint and lower back pain in mid\late teens. Had to adverse reactions to vaccines. Tetanus (July 2004 -dead arm syndrom, arm pain, inability to grasp items with left hand, fever, arm weakness) and Flu shot in Oct 2005 with arm pain, inability to grasp with left hand, arm weakness, fever, severe nauseau and vomitting, headache, back pain, exteme hip pain and joint pain, faintness, dizzy, shortness of breath, severe fatigue and rip pain. Allergies: Shell fish, eggs, OTC cough syrups with codeine and DMs, pepto bismol, very dairy sensitive. Genetics\History: congentital cataracs, missing xaphoid process (PC - mild pigeon chest), bicorneated uterus. Family history: epileptsy, cardiac conditions (valve defects, PDA, high blood pressure, low blood pressure, stroke, heart attack, murmurs), stroke, TIAs, brain anurisms (mother, aunt, grandmother - direct maternal link - all three had clamp surgery done for brain anurisms). Lung, uterine, cervical, colon, breast and skin cancers. Paternal link to cardiac valve defects and murmurs. Grandmother and father have valve defects, grandmother died of congestive heart failure due to vavle defect and arrythmia (valve replacement surgery was done 3 times in her lifetime), father has leaky valve (left vent) and murmur. Mother had a stroke in 1997 and TIA in (July) 2010 - subsequent anurism surgery (clamp) performed in Sept 2010. Has high blood pressure, high RA antibodies, high cholesterol. Had c6\c7 spinal fusion surgery in 1999 due to stroke in 1997. Tests done: Depression scales (was on welbutrin for 4 yrs - 150mg\day for clinical depression). Even with medication for depression above symptoms would come and go. Diagnosed 2005. thyroid testing, RA antibody tests, bone scan - all negative except bone scan showing slight scoliosis of mid back. Tests done 2005 (May)

doctor1 MD

I had keratokonus in both eyes and it got bad in one eye so I had a corneal transplant, this was 2 years ago, i somewhat developed a slight light sensitivity after the operation but i am not sure if it was because of the transplant or because of keratokonus getting worse in the other eye. anyway 4 months ago I had lasik intralase on the eye with a corneal transplant and cross-linking+ intact ring on the other eye in an attempt to stop keratokonus progression. after the operations which I had all together i developed a high sensitivity to light I cant go out without sunglasses, It wasn't like this before the operations another complication is that I see halos or glares around light objects with the eye that went under cross-linking+ intacts it's like a round light around any light object. so what i want to know is why light sensitivity increased and which eye is responsible? is it the intralase one because of TLS or the crosslining and intacts one? and will the halos or glare decrease or are they permanent? I must remind you that the operations were 4 months ago

doctor1 MD

Hi Doctor, I am having head ache, accompanied by photophobia and phonophobia , used to take Dart which used to relieve me of the headache, but as it was not available i have taken Nicip and i read about its side effects and one of the answers provided here by the doctor sourav ganguly that during menstruation (Accompanied by leg pain), its ok to consume Nicip. Also Just after 10 mins am feeling better, in case of a similar situation is it advisable to take Nicip.

doctor1 MD

Hi, I was diagnosed with a corneal ulcer on fri. I am doing much better with the pain ( they prescribed vigamox) and redness. It feels like it is healing pretty well. Still some photophobia with natural light, and one good sized red spot on the white of my eye. I also feel really run down and have been sleeping for at least 12 hours a night. I have been running a small fever this entire time 99.6 at clinic and 99.2 now ( both on vicadin). Is this normal?