[19F] Experiencing chronic headaches with associated symptoms

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

• Migraines: These are severe headaches that can cause throbbing pain, usually on one side of the head. They can be accompanied by other symptoms such as nausea, dizziness, blurred vision, and sensitivity to light and sound. The fact that your headaches are often preceded by blurred vision (a phenomenon known as an "aura") is characteristic of migraines.

  • Treatment typically involves medications to relieve symptoms and prevent future attacks. Lifestyle changes, such as avoiding triggers and managing stress, can also be helpful.

• Anxiety Disorders: Chronic anxiety can lead to physical symptoms like headaches, dizziness, and tingling in the hands and feet. The fact that you've mentioned waking up shaking could be indicative of panic attacks, which are associated with anxiety disorders.

  • Treatment typically involves psychotherapy (talk therapy), medications, or both. Lifestyle changes, such as regular exercise, a healthy diet, and adequate sleep, can also be beneficial.

• Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. It could explain your lightheadedness and dizziness, especially since you mentioned these symptoms get worse when you're standing up or working.

  • Treatment usually involves lifestyle changes, such as standing up slowly, drinking plenty of fluids, and avoiding alcohol.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

In the meantime, here are some things you might find helpful:

1. Keep a symptom diary: This can help you identify any patterns or triggers related to your symptoms. Note down when your symptoms occur, what you were doing at the time, what you had eaten that day, and how severe the symptoms were. This information can be helpful when you consult with a healthcare provider.

2. Stay hydrated and maintain a balanced diet: This can help manage symptoms of orthostatic hypotension and improve overall health.

3. Practice stress management techniques: Techniques such as deep breathing, yoga, and mindfulness meditation can help manage symptoms of anxiety and potentially reduce the frequency of migraines.

4. Regular exercise: Physical activity can help reduce anxiety and improve overall health. However, make sure to consult with a healthcare provider before starting a new exercise regimen.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• A sudden, severe headache like a thunderclap
• Headache accompanied by fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties
• Headache after a head injury
• Chronic, progressive headache that's accompanied by other symptoms, such as loss of sensation or loss of movement.

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.