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What Causes Slight Headache And Nausea?

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Posted on Wed, 9 Dec 2015
Question: Hi.
I have a slight pain on the upper side of my head from the morning and a slight vomiting feeling for about 5 hours now.

I had a CT scan with contrast done 6 months ago.
Can it be brain tumor?
doctor
Answered by Dr. Neeraj Kumar (37 minutes later)
Brief Answer:
Provide more clinical details and take pain killers at present

Detailed Answer:
Hello dear,
I have gone through your question and understand your concerns.
In young age most commonly primary headache is the diagnosis.
You have to describe more about headache.
1) Severity, duration,
2) associated features
3) previous history of headache or migraine
4) head trauma
5) visual loss, seizure,
6)stress and sleep
7)family history
Provide more details.
For pain relief you can take pain killers with anti-emetic like Naxdom.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar (24 minutes later)
1.It is very mild and not continuous.
A slight feeling of nausea which is also not continuous.
2.I do have migraine.
3.I also have Anxiety illness disorder for which I am taking Shine 25mg and Zapiz 0.25mg.
I did strike my head with a wooden door today unintentionally.
No visual lose or seizure yet.
I had done a CT Scan with contrast 6 months ago.
Nothing was found and everything was normal.

I did lose my father to brain tumor grade 4 in 2013.
That why I have a fear of that and I want to rule it out.

Help
doctor
Answered by Dr. Neeraj Kumar (44 minutes later)
Brief Answer:
Unlikely to be tumor, get medication for migraine under guidance

Detailed Answer:
Hello,
Your headache is most likely migraine headache with anxiety as aggravating factor.
If CT scan contrast study was normal then possibility of tumor is unlikely at present.
You should take treatment for migraine headache and prophylaxis if attacks are frequent.
For prophylaxis Topiramate, Valproate, amitryptiline, Flunarizine and propranolol may be used.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (7 minutes later)
Yes CT Scan with contrast was absolutely normal.
But that was 6 months ago.

Do I need to get another scan because 6 months has passed or is that a valid time period?

But the pain in not continuous
It is coming and going.

Can a brain tumor be ruled out because the CT scan with contrast came back absolutely normal 6 months ago?
doctor
Answered by Dr. Neeraj Kumar (12 minutes later)
Brief Answer:
No investigation required at present get treatment for migraine

Detailed Answer:
Hello dear,
There is no investigation to rule out tumor as very small initial stage tumor will not be detected on Mri also.
But the point is such a tumor may not produce any symptoms.
Headache vomiting, seizure in tumor occurs only when size is big and causing pressure symptoms.
6 months is short time for most tumor to grow and is any tumor grows in such a time then it produces pressure symptoms and seizures.
Be calm, get proper treatment for migraine by a neurologist and you will get improvement in headache.
There is no end to investigations and no point in doing without any indication.
Visit to a neurologist will ensure any clinical findings requiring investigations.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (54 minutes later)
What do you mean by pressure symptoms?
doctor
Answered by Dr. Neeraj Kumar (6 minutes later)
Brief Answer:
Features of raised intracranial pressure like diplopia visual blurring

Detailed Answer:
Hello dear
Pressure symptoms in head leads to constant severe headache, intractable vomiting, blurring of vision double vision motor sensory deficits. It is due to raised intracranial pressure and occurs due to fixed space and expanding tumor.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (8 minutes later)
My headache is not severe at all.
I have not vomited for over one year now.

I don't have confusion too.

So is it safe to say I don't have brain tumor?
Because 6 months ago,CT scan contrast came back absolutely normal.
doctor
Answered by Dr. Neeraj Kumar (4 minutes later)
Brief Answer:
No symptoms of tumor

Detailed Answer:
Hello dear,
Yes according to your clinical condition and investigation there is nothing to worry about tumor and you should be assured.
Do get back to me for further queries by putting a direct premium question if you require any clarification.
Treatment for migraine is all you require at present time.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (12 minutes later)
The mild headache I have is not continuous
The feeling of nausea has gone.

the headache is on the upper side of my head.

Nothing to worry about right?
doctor
Answered by Dr. Neeraj Kumar (1 hour later)
Brief Answer:
Nothing to worry

Detailed Answer:
Hello dear,
The character intensity and clinical scenario are consistent with a primary headache like migraine.
Be calm.
Regards
Dr Neeraj Kumar
Neurologist
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Causes Slight Headache And Nausea?

Brief Answer: Provide more clinical details and take pain killers at present Detailed Answer: Hello dear, I have gone through your question and understand your concerns. In young age most commonly primary headache is the diagnosis. You have to describe more about headache. 1) Severity, duration, 2) associated features 3) previous history of headache or migraine 4) head trauma 5) visual loss, seizure, 6)stress and sleep 7)family history Provide more details. For pain relief you can take pain killers with anti-emetic like Naxdom. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr Neeraj Kumar Neurologist