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Suggest Remedy For Dizziness And Pain In Head While Lying Down

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Posted on Thu, 30 Apr 2015
Question: I am suffering sleep trouble. At night, when I lay down, I get dizzy, then I feel a needle stabbing my brain, which goes away very fast, then my ears feel like they are on an airplane, which also goes away very fast. It also happens when I am almost asleep.
doctor
Answered by Dr. Dariush Saghafi (2 hours later)
Brief Answer:
More information would be helpful for a diagnosis

Detailed Answer:
Good afternoon. My name is Dr. Saghafi and I am an Adult Neurologist and Headache Specialist.

I am happy to give you a bit more clarity to your problem but the information you've provided lacks certain detail that would make it much more likely to give you a better diagnosis if I could have that from you. For example, did this type of problem just start recently or has it been going on for some time? Any head trauma, new medications, or other events that could be related to the onset of this problem in your opinion..or did this just appear from nowhere? Have you tried treating it with either prescription or over the counter medications. Have you had any imaging studies done? When you say "very fast" do you mean, FRACTIONS of a second, SECONDS, MINUTES, or something else in terms of the duration. Are there ever more than 1 of these attacks that occur either repetitively or during the course of 24 hrs.? Anybody in your family with similar headaches?

So, this gives you an idea of some of the information that I as a headache specialist typically ask my patients who have these types of headaches just to get as much information as possible.

From what you're describing in the brief few lines you've written you may having symptoms of what is generically referred to as stabbing or ice pick headaches. These are generally caused by a derangement of the trigeminal nerve and could represent some type of dysautonomic form of headache.

Of course, headaches of this type could be due to stress and anxiety if there's an event that has recently happened of importance and you find that these headaches basically started around that time period. After all, STRESS (either physical or mental) is considered to the the #1 TRIGGER or ASSOCIATED RISK factor for spontaneous headaches.

My recommendation is that you begin documenting your episodes on a log or diary of which there are many on the internet designed for headaches which ask you for various symptoms such as the duration of the headaches, the symptoms, and what you do to treat the episode....they sound to be so brief that almost no treatment you could take would work that fast.

If you can provide more information I'd be happy to give you more recommendations of what to look for and what to consider doing for them. I think getting to a neurologist for a personal examination in addition to some possible blood work would be a good start.

I'd appreciate the favor of a STAR RATING and some written feedback if your question has been satisfactorily answered.

Also, CLOSING THE QUERY on your end will be most helpful and appreciated so that this transaction can be expeditiously processed.

Don't forget that my webpage to keep me abreast as to how you're doing with this or any other medical problem in the future is:

bit.ly/drdariushsaghafi

All the Best

This query has required a total of 25 minutes of physician specific time to read, research, and compile the return envoy to the patient.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dariush Saghafi (3 hours later)
It started recently. I recently had dental work done and I started on a mood stabilizer (Viibryd). It happened suddenly. No over the counter, I have tried to use BusPIRone (how it's written on the bottle) and it was not effective. No imaging studies as yet. When I say very fast, I mean it is over almost as soon as it begins. I have 3 or 4 a night. Nobody in my family has anything like this. I also have many dreams that make me afraid to fall asleep.
doctor
Answered by Dr. Dariush Saghafi (17 hours later)
Brief Answer:
Side effects of Viibryd

Detailed Answer:
Thanks for your information.

Side effects of the new medication you are are dizziness (especially upon changing body positions) and occurs in about 10% of people taking the drug. Headaches, electric like sensations throughout the body can also occur in a percentage of patients as well as insomnia, restlessness, and VIVID DREAMING (10%)

My recommendation is that you speak to your doctor about stopping that medication for a period of time to see if these symptoms get better. I feel confident that by stopping the medication (per your doctor's instructions) you will begin feeling better in a short amount of time.

I'd appreciate the favor of a STAR RATING and some written feedback if your question has been satisfactorily answered.

Also, CLOSING THE QUERY on your end will be most helpful and appreciated so that this transaction can be expeditiously processed.

Don't forget that my webpage to keep me abreast as to how you're doing with this or any other medical problem in the future is:

bit.ly/drdariushsaghafi

All the Best

This query has required a total of 39 minutes of physician specific time to read, research, and compile the return envoy to the patient.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2473 Questions

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Suggest Remedy For Dizziness And Pain In Head While Lying Down

Brief Answer: More information would be helpful for a diagnosis Detailed Answer: Good afternoon. My name is Dr. Saghafi and I am an Adult Neurologist and Headache Specialist. I am happy to give you a bit more clarity to your problem but the information you've provided lacks certain detail that would make it much more likely to give you a better diagnosis if I could have that from you. For example, did this type of problem just start recently or has it been going on for some time? Any head trauma, new medications, or other events that could be related to the onset of this problem in your opinion..or did this just appear from nowhere? Have you tried treating it with either prescription or over the counter medications. Have you had any imaging studies done? When you say "very fast" do you mean, FRACTIONS of a second, SECONDS, MINUTES, or something else in terms of the duration. Are there ever more than 1 of these attacks that occur either repetitively or during the course of 24 hrs.? Anybody in your family with similar headaches? So, this gives you an idea of some of the information that I as a headache specialist typically ask my patients who have these types of headaches just to get as much information as possible. From what you're describing in the brief few lines you've written you may having symptoms of what is generically referred to as stabbing or ice pick headaches. These are generally caused by a derangement of the trigeminal nerve and could represent some type of dysautonomic form of headache. Of course, headaches of this type could be due to stress and anxiety if there's an event that has recently happened of importance and you find that these headaches basically started around that time period. After all, STRESS (either physical or mental) is considered to the the #1 TRIGGER or ASSOCIATED RISK factor for spontaneous headaches. My recommendation is that you begin documenting your episodes on a log or diary of which there are many on the internet designed for headaches which ask you for various symptoms such as the duration of the headaches, the symptoms, and what you do to treat the episode....they sound to be so brief that almost no treatment you could take would work that fast. If you can provide more information I'd be happy to give you more recommendations of what to look for and what to consider doing for them. I think getting to a neurologist for a personal examination in addition to some possible blood work would be a good start. I'd appreciate the favor of a STAR RATING and some written feedback if your question has been satisfactorily answered. Also, CLOSING THE QUERY on your end will be most helpful and appreciated so that this transaction can be expeditiously processed. Don't forget that my webpage to keep me abreast as to how you're doing with this or any other medical problem in the future is: bit.ly/drdariushsaghafi All the Best This query has required a total of 25 minutes of physician specific time to read, research, and compile the return envoy to the patient.