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    What causes severe right sided head pain?

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Posted on Thu, 18 May 2017 in Brain and Spine
Question: Hello Dr. Rynne; My name is XXXX- for appx. 3-4 months I have been having a terrible pain in the right side of my head acc. by extreme dizziness when standing, sitting or rapid head movement. This has developed into vertigo in some instances (feeling of falling or no balance) and over the last 2-3 mo. my left hand goes numb from time to time (2-3 times/week lately) and absolutely no energy. If I ran full out for 100 ft. I'd have to sit down for 1/2 a day. No energy. No stamina.
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Answered by Dr. Saddiq Ulabidin 2 hours later
Brief Answer:
Needs CT or MRI brain and detailed neurological examination

Detailed Answer:
Hi! Welcome to HealthcareMagic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through.

Based on the history you have shared, these symptoms can't be ignored and should be evaluated preferably by a neurologist or a neurosurgeon after a detailed neurological examination, and then proceeding to CT or MRI Brain as first priority as this can be menifestation of multiple neurological conditions including space occupying lesions inside brain.

If examination is absolutely normal and there is no focal neurological defect, other aspects like some ear conditions contributing to vertigo should also be evaluated by an otolaryngologist or ENT specialist.

Basic blood work up including baselines blood screens as well levels for lipid profile, B12, folic acid, thyroid, sugar levels, as well as renal functions should also be evaluated keeping the history of kidney disease in past.

Vertigo is a multi system disorder and has even relations to cardiac conditions like arrythmias or BP fluctuations so a baseline EKG and of needed holter monitoring may also be needed but keeping in view your other symptoms, it can be considered down the list as neurological symptoms are too significant to be ignored.

Meanwhile only OTC analgesics like acetaminophen can be used temporarily. Wishing you a speedy recovery. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3272 Questions

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