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

149 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 is the cause and treatment for headache with dizziness?

Answered by
Dr. Dariush Saghafi


Practicing since :1988

Answered : 1709 Questions

Posted on Tue, 5 Aug 2014 in Headache and Migraines
Question: Hello.

I'm having a headache right now. But the thing is, my head feels like spinning around and I feel warm inside my head. When I woke up, my head starts to spin around. I tried to lay down for few minutes and can only lay down facing one position. If I move my whole body face to the left or right, My head will feel spinning around again. Then I got up, but it feels quite nice but my head is still feel dizzy. And now, whenever I tried to lay down again, my head feels dizzy (feel heavy).

This also happened a month ago. I was in the same pain for a week. I did put ice in a towel and put it on my head. it feels so good tho.

Now, I'm doing the ice in the towel thing again. It feels nice but my head is still heavy. I just want to know what's wrong with my head.
Answered by Dr. Dariush Saghafi 4 hours later
Brief Answer:
You may have migraine headache or BPPV

Detailed Answer:
Good morning. My name is Dr. Saghafi and I would like to make several comments which I hope will help you understand your condition a little bit better.

First of all it is important to know whether or not these symptoms of headaches and dizziness are brand new or you've been having these for awhile. If they have never occurred before and this is something which just recently started and especially if your symptoms include nausea, vomiting, or changes in your vision then, I recommend you find a physician right away who can order either a CT scan or preferably an MRI of your brain because we will need to make sure you do not have anything going on inside the head that could be causing these symptoms.

If your symptoms are longstanding then, what you describe can fall into 2 possible categories. The first is migraine headache with a major component of vertigo (spinning feeling). These are sometimes referred to VERTIGINOUS MIGRAINES. The 2nd category you may be suffering from is BENIGN PAROXYSMAL POSITIONAL VERTIGO or BPPV. This is a condition where changes in your head position will trigger a sudden spinning sensation possibly with nausea/vomiting and sometimes even bad headaches.

My feeling is that your headaches are likely in the first category and that is to say VERTIGINOUS MIGRAINE headache.

The first thing, however, is to seek out a neurologist or headache specialist who can help instruct you on how to keep a good headache diary so that all the important aspects of these headaches and spinning sensations can be well documented.

Secondly, you need to determine whether these headaches are new or old so that proper imaging may be ordered if appropriate.

Thirdly, appropriate medications for these sorts of headaches can include things such as triptans for the headaches, promethazine and/or hydroxyzine for symptoms related to the dizziness, and then, if appropriate exercises to do so that your body doesn't misinterpret the movements of your head every time you change position as you describe.

All the best and please let me know if I can be of further assistance.
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
Drug/Medication ,  

Recent questions on  Promethazine

doctor1 MD

I cant pass a bowel movement it is awkward it is not constipation because if i try my hardest blood comes out this is not a good sign well i think it may be a reaction to amoxicilin because i got a sinus and ear infection im taking it as prescribed that and promethazine dm i also have not had as much water as usual could this cause it i need to know asap if i should consult a doctor due to the blood i am worried and feel tired or light headed this happened after the bloody bowel attempt

doctor1 MD

My daughter is 14 years old, she weighs about 105 pounds and is around 5'2. Over this past week my daughter has been complaining of intense stomach pain that doesn't have any particular side radiation to it. It passed quickly but was recurring. This afternoon, she began to feel nauseated along with the pain. She began throwing up at 3:30 am and
has thrown up pretty much every hour since them. I gave her a 25mg phenergan suppository at 5:30 am after she complained of increased nausea and pain in the right side of her belly button. After the suppository, she made it about 10 minutes and then had to go to the bathroom where she said that poop came out but was not diarrhea. Does this sound like just regular tummy bug or something more?

doctor1 MD

Severely swollen legs that are seeping clear water below the knees. Person is male age 67. Has frequent coughing spells, little or no appetite and has lost quite a lot of weight over 3 to 4 weeks. He is very week. The fluid that is seeping from...

doctor1 MD

Hello Doctor, I thought I may have had an overdose of acetaminophen . I had some diarrhea and it went away after several days. and it's been over a week since my last dose of the meds. everything seems to be fine. I took some Claritin D 12 for a...

doctor1 MD

My husband has been dizzy on and off for about a week. What is the cause and what OTC medication can he take? YYYY@YYYY

doctor1 MD

hello i have had diareea for a month i went to er @ they gave me promethazine 25mg.well i fininised the bottle and the results are still the same my mom has colidus could have have that every time i eat im on the toilet wiyhin 15 minutes 4or 5 times

doctor1 MD

Hello, I have had food poisoning since tuesday and I have been taking pepto bismol, but it hasnt been working. I then remembered that I have this prescription drug called Promethazine that was used to treat my nausea a month or 2 ago. Do you know if it is ok to take Pepto Bismol and Promethazine together?