Doctor insights on:
Can Carotid Bruits Cause Severe Headaches
What would cause a severe headache located behind the left ear at the base of the skull. Pain meds haven't helped. Now what? Medical history: heart surgery, diabetic, high blood pressure
Headaches and their causes can be complicated, difficult diagnoses to make. With your past history of diabetes and high blood pressure, you should make an appointment with your doctor for a complete evaluation as soon as possible. You doctor will take a thorough history and do a neurological evaluation to try and find out what is causing your symptoms. You may want to think about the answers to some of the questions they may ask you such as:
- when did it start?
- how often do they happen?
- are they getting more frequent or more painful?
- how long do they last?
- what does the headache feel like and can you point to it?
- does it occur around the same time at night or does it ever happen during the day?
- what other symptoms do you have and when do they occur in regards to the headache?
- have you had any big life changes?
- how is your lifestyle? Are you getting enough sleep, eating well, exercising?
- are you taking any medications? Do you drink caffeine and how much?
Answering these questions may help your doctor figure out what is causing your headaches, whether it is a serious problem or not, and how to help you. Good luck! ...Read more
Bruit refers to a sound, heard via a stethoscope, of blood when it flows through a narrowed opening. As blood flows through a narrow diameter within a vessel, the velocity of flow increases and also becomes more turbulent. The importance of this sound is that, if your doctor hears it, it can signify underlying atherosclerosis--i.e. Build-up ...Read more
How common is a 280 degree loop of the carotid artery & is it serious? I'm also suffering severe headaches, can it be related?
Not common: Looping of the carotid artery is not common but by itself does not indicate the need for treatment. The headaches are probably unrelated and you should consult with your physician or a neurologist. If the looping or tortuosity is associated with episodes of weakness or vision loss on the same side you should see a vascular surgeon. Otherwise you should probably not worry about it. ...Read more
Told gray area on brainmri was shadowing from carotid. Now having severe headaches awakening in am past 3 days. Should I go to ER or wait for primary?
ER: If these headaches are new and severe then you should be seen immediately in an er. ...Read more
Bruit yes, block no: 50% of bruits have no stenosis. However you need to be sure you don't have a congenital or aquired condition that could cause it. ...Read more
Yes: A carotid bruit is due to turbulent flow from a blockage in the carotid artery. The natural course of carotid disease / atherosclerosis is progression over time. This is especially true if people still smoke. When the blockage in a carotid artery becomes near occlusive, the flow rate drops and the bruit typically goes away. ...Read more
Yes: Trick question, but here are my thoughts. A carotid bruit is due to a partial obstruction in the carotid artery. A "sub-clinical" lesion may only give rise to a bruit during periods of intense exercise, when cardiac output is high. In the resting state, a bruit may not exist. At any rate, a carotid bruit in any circumstance should be evaluated. ...Read more
34 yo f w/swollen right corotid artery under right ear all the way down neck severe headaches fatigue. Severe high BP of 220/150 now on meds. Tired?
Headache: Severe refractory headaches referred as worst headache of my life, specially if abrupt onset, may suggest a very serious condition (brain hemorrhage). Migraine, the most common form of primary headache disorders can be severe. Other conditions can cause headaches. Sinusitis, and trauma for instance may also cause severe haedaches. For proper diagnosis and treatment I suggest medical evaluation. ...Read more
Orgasmic Headaches: Headaches near orgasm affect about 1% of the population, men 3 times more than women. No one is certain of the cause. Usually, this resolves w/in a few weeks. This can, however be a sign of aneurysm (although this is rare) which is a serious condition. Plan to see your dr soon for eval. ...Read more
Maybe: There are many, many causes of sudden severe headaches from simple dehyrdation or lack of adequate food intake to life threatening vascular events (brain bleeds). Migraines are a specific type of headaches which have a specific pattern and diagnostic criteria. If headaches persist they require speciatly consultation evaluation. ...Read more
All of them can: Headache and nausea are common side effects of general anesthesia. They are both patient and surgery dependent. For example, young females, non smokers with a history of motion sickness are likely to experience nausea after anesthesia. Surgery on the eye and head often triggers nausea and headache. For coffee drinkers headache may be due to caffeine withdrawal. Speak to your anesthesiologist. ...Read more
None: There are none that specifically cause headache and nausea. Some people are more sensitive to the effects of different medications. In general volatile agents (gas) can cause more nausea than intravenous medications. Some people can develop headaches with volatile agents, but others can get headaches with other medications ...Read more
Hi, my 9 year old son is poorly every week. Sickness, temps over 102+, severe headaches. His CPR IS 47 & CBC normal. What could cause this?
High CRP: And recurrent illnesses could be a chronic infection such as chronic sinusitis or adenoiditis. You will also need to consider an immune deficiency which can be diagnosed with specialized testing. Make sure his vaccines are current and have him checked for tuberculosis if you have any possible exposure to it. ...Read more
I'm having mild to severe headaches, shin tingles and the feeling of cold shins what could be the cause very sudden onset for tingles and cold feeling?
Well: Anybody with the symptoms should seek emergency medical attention if severe otherwise prompt visit with primary care doctor for diagnosis and treatment ...Read more
There: There is a diagnosis called "post-coital headache" (post-sexual intercourse headache), that can occur after sex, however as it sounds like it has been persistent he should be seen by his physician and have imaging studies of his brain (ct or mri). If he has any visual changes, vomiting, weakness, or change in consciousness then he would need to be seen as an emergency. ...Read more
It can: During clinical trials of Modafinil for narcolepsy, obstructive sleep apnea (osa), and shift work disorder (swd) in adults, headaches were reported more frequently in patients receiving Modafinil than the placebo (34% vs 23%), however only 2% found the side effect so severe that they discontinued treatment. ...Read more
Many possibilities: Your Headaches sharp or dull? Recently began or longstanding? What part of head involved? Also do you have nausea, change in vision or hearing? Awakes you from sleep? My initial thought is stress-related headache. But you need to visit a clinician to fully answer your question, or get back to us in a Concierge session. Hope that helps. ...Read more
Headache w/ Pain Med: Unfortunately, almost all prescription pain medications come with the side-effect warning of "headache" -- including tramadol (ultram). Any severe headache that doesn't go away with stopping the medication needs to be evaluated, as headaches are caused by a variety of different conditions (including medications). Hope this helps! ...Read more
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