[28F] Experiencing heavy head and episodic lightheadedness

What might be happening

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

• Tension-type headache: This is the most common type of headache and can cause a sensation of a tight band or heavy weight around the head. It can be associated with muscle tightness in the neck and shoulders. These headaches are often related to stress, depression, anxiety, a head injury, or holding your head and neck in an abnormal position.

  • Treatment typically involves over-the-counter pain relievers, stress management, and physical therapy.

• Orthostatic hypotension: This condition causes a sudden drop in blood pressure when standing up from a sitting or lying position, leading to dizziness or lightheadedness. It can be more common in those who are dehydrated or have been bedridden.

  • Treatment usually involves lifestyle changes such as standing up slowly, staying hydrated, and avoiding alcohol.

• Cervicogenic headache: This is a secondary headache caused by a disorder of the cervical spine and its component bony, disc and/or soft tissue elements. It's often accompanied by neck pain and stiffness.

  • Treatment usually involves physical therapy, medications, and in some cases, nerve blocks.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

1. Try over-the-counter pain relievers for your headache, but do not exceed the recommended dosage.
2. Stay hydrated and avoid sudden movements, especially when getting up from a sitting or lying position.
3. Try to rest and avoid any activities that may strain your neck.
4. Consider seeking physical therapy if your symptoms persist.

What you should look out for

Seek immediate medical attention if you experience:

• A sudden, severe headache or a headache accompanied by a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties.
• A headache after a head injury, especially if the headache gets worse.
• A chronic headache that is worse after coughing, exertion, straining, or a sudden movement.
• New headache pain if you're over 50.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.