Severe Headache with vomiting and nausea - #11401
Age-23, Gender-Female. When i was 2 years old i suffered with a head trauma to my left occipital region. Since i was 3 years old i am suffering with severe headache along with sensitivity to light, and loud sound. When i get this episode I get nausea and end up in vomiting. Since 2 years I am experiencing new symptoms like feeling dizziness and unable to remember what happened during that episodic period. I even took some painkillers but it ended up in vomiting. I usually get these kind of episode once in a month but from last 2 years its coming times in a week. I had the head ct when I was 9years old and I was having arachnoid cyst. Please help me with it.
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Doctors’ responses
Hello dear See trauma may be very fatal causing a lot of damage. I doubt probably it has caused some damage to either cerebral cortex or medulla oblongata Iam suggesting some tests for confirmation. Please share them with neurologist in person for better clarification Ct scan skull Mri skull EMR test Cervical spine Eeg Icp monitoring if recommended Kindly share the details with neurosurgeon or neurologist for better clarification Please donot take any medications without consulting the concerned doctor Hopefully you recover soon Regards
with chronic headaches post-head trauma and known arachnoid cyst, now worsening with vomiting, dizziness, and memory lapses. This suggests possible migraine with complications or secondary headache due to cyst progression. You require urgent neurology evaluation, MRI brain, and EEG. Interim relief may be given with triptans and anti-nausea medication under medical supervision, along with lifestyle modification. Thank you.
It’s been 4 weeks since I had the aspiration procedure and no fluid were extracted as it was calcified and from a week I am experiencing terrible pain in my right wrist and when I try to lift something it’s start shaking. So what might be the reason?
I am also suffering with calcified ganglion cyst in my right wrist which is killing me with terrible pain, so is there any connection between these two types of cyst?
Hello mam There are 2 possibilities One because of arachnoid cyst kindly repeat the mri to see the progression of the disease If so visit a neurologist Second is with your history looks like Vestibular migraine this can be managed with medications Avoid bright light and loud sounds Avoid butter cheese Avoid caffine products Manage your stress Take a paracetamol if headache is there Hope this is helpful Thank you
Hi sir kindly take TAB STEMETIL VM 3 mg 1–1-1 for 5 days the tablet should be kept between teeth and buccal mucosa it will dissolve And this tablet dont use more than 5 days Tab MD UP 1-0-1 for 30 days Take care
I try to take Paracetamol but I always endup in vomiting. So can you suggest something different medicine.
Hello Pim Benny,
Am really sorry to hear about your sufferings.
Your clinical history is referring to A type of migraine, but most importantly you have to repeat CT head as well as you have to take MRI to rule out some other causes as you have increasing frequency of episode and history of small cyst .
Do visit nearest Neurologist and explain your symptoms clearly, and do the investigation as soon as possible
With regards
Sympotms suggestive of migraine with aura but as the history is of arachnoid cyst and worsening of symptoms recently so would suggest you to get a brain mri done and for prophylaxis you can take propranolol
Does migraine changes its pattern?
Hi dear Your symptoms — long-standing severe headaches with light/sound sensitivity, nausea, vomiting, dizziness, and memory gaps — strongly suggest migraines or seizure-like activity, especially with your history of arachnoid cyst and head trauma. Since attacks are now frequent and worsening, urgent reassessment is needed with MRI brain and EEG to rule out cyst progression or neurological causes. Please consult a Neurologist as soon as possible for proper diagnosis and long-term treatment rather than relying on painkillers, which won’t control the root cause.
Considering the recurrent nature of your severe headaches, sensitivity to light and sound, nausea, vomiting, and the new symptoms of dizziness and memory lapses during episodes, it’s crucial to have these evaluated by a healthcare professional. While you did have a CT scan at age 9 that revealed an arachnoid cyst, given the progression and frequency of these symptoms — now multiple times a week — it is vital to reassess your current condition. An increase in frequency and changes in symptoms such as the dizziness and memory issues can signal the need for further imaging and evaluation.
Migraines can be a likely diagnosis due to your symptoms, but their worsening and additional neurological signs warrant additional attention to rule out other conditions, potentially including the arachnoid cyst’s impact or other neurological issues. A consultation with a neurologist might be an appropriate next step. They may recommend updated imaging studies like an MRI and a thorough neurological examination to determine any significant changes since your last scan. It’s crucial to avoid delaying medical consultation as these symptoms, especially with a history of head trauma and a known cyst, could indicate structural or functional changes in the brain that need prompt management.
Painkillers that you’ve been trying, if leading to vomiting, may not be suitable, and prescriptions specifically tailored for migraines might help if that’s indeed the diagnosis. A neurologist can offer medications that reduce the frequency and severity of migraine attacks and manage migraine-related symptoms like nausea. There may also be non-pharmacological approaches, such as lifestyle modifications and trigger identification, which should be integrated into the regimen. Ensuring not to skip meals, staying hydrated, maintaining a regular sleep schedule, and avoiding known migraine triggers are simple steps to possibly reduce the frequency of headaches. Again, prioritizing an immediate consultation is key given the potential severity and disruption these symptoms are causing in daily life.
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