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What Causes Severe Headache In A Patient With High BP?
Question: i have a severe headache since 15 days which usually starts in the evening and usually takes two painkillers paracetamol and ibuprofen to calm down. but still the head feels heavy and when its too sharp i feel nauseous. i also had a very small bleed from left ear. i have hypertension but bp is normal 130/86. what can be possible reasons.
Brief Answer:
Ear bleed needs ENT evaluation.
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your query. I think I would be able to help you.
However, I would need some more details.
Do you have one sided headache.
Is the headache pulsating or throbbing.
Is the headache associated with vomits.
Is the headache associated with photophobia or phonophobia.
Is this the first headache.
Did you have headache before. If yes, how is this episode different.
Have you ever had an imaging investigation.
As for the ear bleed, it's not normal and can cause infection and severe vertigo. Bleeding means the ear drum may be affected and you should meet an ENT surgeon as soon as possible.
Awaiting your response for the details.
I hope that the information helps you. I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact us for more information.
Best of luck. Dr Mittal.
Ear bleed needs ENT evaluation.
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your query. I think I would be able to help you.
However, I would need some more details.
Do you have one sided headache.
Is the headache pulsating or throbbing.
Is the headache associated with vomits.
Is the headache associated with photophobia or phonophobia.
Is this the first headache.
Did you have headache before. If yes, how is this episode different.
Have you ever had an imaging investigation.
As for the ear bleed, it's not normal and can cause infection and severe vertigo. Bleeding means the ear drum may be affected and you should meet an ENT surgeon as soon as possible.
Awaiting your response for the details.
I hope that the information helps you. I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact us for more information.
Best of luck. Dr Mittal.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
hi, thanks for you help.
About the headache it is like spread throughout the head like a throbbing one, i also feel involuntary twitching of muscles like eyebrows, thigh muscles . I have headaches before but never on a regular basis. I got my eyes checked six months ago so i dont think thats a problem.
And the bleed was not too much just a little and some clotted blood.
I had an MRI of the head i think 2 years ago and there were no abnormalities.
About the headache it is like spread throughout the head like a throbbing one, i also feel involuntary twitching of muscles like eyebrows, thigh muscles . I have headaches before but never on a regular basis. I got my eyes checked six months ago so i dont think thats a problem.
And the bleed was not too much just a little and some clotted blood.
I had an MRI of the head i think 2 years ago and there were no abnormalities.
Brief Answer:
sounds like migraine
Detailed Answer:
Hi
Thanks for the response.
I still await some of the answers I requested.
However, I think I would think of migraine as a possible cause in view of the additional symptoms that you have suggested.
I would suggest a pain killer like naxdom or paracetamol. This will help in terminating the episode. In case the headache is frequent, prophylactic therapy can be suggested.
The ear bleed should be looked into, even if small volume.
I hope that the information helps you. Please feel free to contact us for more information. Best of luck. Dr Mittal.
sounds like migraine
Detailed Answer:
Hi
Thanks for the response.
I still await some of the answers I requested.
However, I think I would think of migraine as a possible cause in view of the additional symptoms that you have suggested.
I would suggest a pain killer like naxdom or paracetamol. This will help in terminating the episode. In case the headache is frequent, prophylactic therapy can be suggested.
The ear bleed should be looked into, even if small volume.
I hope that the information helps you. Please feel free to contact us for more information. Best of luck. Dr Mittal.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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