[29F] With ear whooshing sound, headache, and nausea

Patient Description

A 29-year-old female has been experiencing a rhythmic whooshing sound in her ears for a couple of weeks, rated as a 7 out of 10 in intensity. This sound is persistent but intermittent. She also reports a headache on the left side to the front of her head for about a week, also rated as a 7 out of 10. The headache is relieved by wearing shades and dimming lights. The patient has glaucoma and has experienced a severe migraine in the past when missing a dose of her glaucoma eye drops. She feels nauseous and dizzy, especially in the mornings and after smoking. She smokes up to 10 cigarettes a day but has been smoking less recently due to queasiness. Her medical history includes fetal alcohol syndrome, gallbladder removal, sleep apnea (non-compliant with CPAP), and she is allergic to metal buttons and jewelry. She is currently taking Latanoprost ophthalmic solution for glaucoma and has no other prescribed or over-the-counter medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Tinnitus: The whooshing sound in your ear could be a form of tinnitus, which is a common condition characterized by hearing sounds that are not caused by an external source. Tinnitus can be caused by various factors, including ear infections, exposure to loud noises, or earwax buildup. Given your recent head injury and use of ear tips, this could be a contributing factor.

    • Treatment: Treatment for tinnitus often involves addressing the underlying cause. This could include removing earwax, treating an ear infection, or managing any other contributing factors. In some cases, sound therapy or hearing aids may be recommended.
  • Migraine: Your headache, sensitivity to light, and nausea could be indicative of a migraine. Migraines are a type of headache that can cause severe pain, often on one side of the head, and can be accompanied by other symptoms such as nausea, vomiting, and sensitivity to light and sound.

    • Treatment: Treatment for migraines often includes over-the-counter pain relievers, prescription medications, and lifestyle changes to avoid triggers. It may also be helpful to keep a headache diary to track your symptoms and identify potential triggers.
  • Sinusitis or Ear Infection: The combination of a headache, ear whooshing, and nausea could also be related to a sinus infection or ear infection. These conditions can cause pressure and pain in the head and ears, as well as other symptoms like dizziness and nausea.

    • Treatment: Treatment for sinusitis or an ear infection may include decongestants, nasal sprays, antibiotics (if bacterial), and pain relievers. Keeping your head elevated and using a humidifier can also help alleviate symptoms.
  • Vertigo: The dizziness and nausea you are experiencing could be related to vertigo, which is a sensation of spinning or dizziness often caused by inner ear problems. Vertigo can be triggered by changes in head position and can be associated with tinnitus.

    • Treatment: Treatment for vertigo may include medications to reduce dizziness and nausea, physical therapy exercises (vestibular rehabilitation), and lifestyle changes to avoid triggers.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Avoid Loud Noises: Try to avoid exposure to loud noises, as this can exacerbate tinnitus and headaches.
  2. Stay Hydrated: Drink plenty of water to stay hydrated, which can help reduce headaches and dizziness.
  3. Rest and Relaxation: Ensure you get enough rest and try relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage stress and reduce headache frequency.
  4. Monitor Symptoms: Keep a journal of your symptoms using MDandMe to track their frequency, intensity, and any potential triggers. This information can be helpful for your healthcare provider.
  5. Limit Smoking: Since smoking seems to worsen your symptoms, try to reduce or quit smoking. This can improve your overall health and potentially reduce nausea and dizziness.
  6. Use Over-the-Counter Medications: Consider using over-the-counter pain relievers like ibuprofen or acetaminophen for headache relief, but be cautious not to overuse them.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Symptoms: If your headache, ear whooshing, or other symptoms become more severe or do not improve with self-care measures.
  • Visual Disturbances: If you notice any changes in your vision, such as flashing lights or blind spots.
  • Hearing Loss: If you experience any sudden or significant changes in your hearing.
  • Fever or Signs of Infection: If you develop a fever, chills, or other signs of infection, such as ear discharge or severe sinus pain.
  • Difficulty Breathing: If you experience any difficulty breathing or chest pain.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any further questions or need additional support, feel free to continue the conversation.

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5 mo ago


People Also Ask


What causes the whooshing sound in my ears, and how can it be treated?

The whooshing sound in your ears could be a form of tinnitus, which may be caused by factors like ear infections, loud noises, or earwax buildup. Treatment involves addressing the underlying cause, such as removing earwax or treating an infection, and may include sound therapy or hearing aids.


How can I manage my migraines and what are common triggers?

Migraines can be managed with over-the-counter pain relievers, prescription medications, and lifestyle changes to avoid triggers like stress, certain foods, or lack of sleep. Keeping a headache diary can help identify and manage these triggers.


Could my symptoms be related to a sinus or ear infection, and what should I do about it?

Your symptoms could be related to a sinus or ear infection, which can cause pressure and pain in the head and ears. Treatment may include decongestants, nasal sprays, antibiotics if bacterial, and pain relievers. Keeping your head elevated and using a humidifier can also help.


What is vertigo, and how can I alleviate the dizziness and nausea associated with it?

Vertigo is a sensation of spinning or dizziness often caused by inner ear problems. It can be managed with medications to reduce dizziness and nausea, physical therapy exercises, and lifestyle changes to avoid triggers.


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