[34F] Experiencing headache, ear pressure, vision changes, and dizziness

Patient Description

A 34-year-old female reports a continuous dull headache localized at the front of the head, rated as a 4 out of 10 in severity, which has been present all day. The headache responds partially to Excedrin. Additionally, she has been experiencing ear pressure described as a blocked ear sensation for three months, which varies in severity and is exacerbated by sudden movements and changes in altitude. She also reports a decline in long-distance vision that has become blurry, coinciding with the onset of ear pressure. The patient has a medical history of degenerative disc disease in the lower cervical vertebrae diagnosed within the past year, endometriosis diagnosed in 2015, and low vitamin D since 2017. There are no known allergies or adverse reactions to medications, and the patient is currently taking medications for degenerative disc disease and endometriosis. No recent trauma, fever, chills, nasal congestion, sinus pain, or severe neurological symptoms have been reported.

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Arora's Assessment

What might be happening

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

  • Migraine: Migraines are a type of headache characterized by severe, throbbing pain, often accompanied by other symptoms such as sensitivity to light, sound, or movement, nausea, and changes in vision. The fact that you have a continuous dull headache and changes in vision could indicate a migraine.

    • Treatment for migraines often involves over-the-counter pain relievers, prescription medications, and lifestyle changes to avoid triggers.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches and pressure around the eyes, cheeks, and forehead. However, you mentioned that you do not have nasal congestion or sinus pain, which are common symptoms of sinusitis.

  • Ear Infection or Eustachian Tube Dysfunction: These conditions can cause a feeling of fullness or pressure in the ear, along with some degree of hearing loss. However, they are usually accompanied by pain, which you did not mention.

  • Meniere's Disease: This is a disorder of the inner ear that can lead to dizziness and a feeling of pressure in the ear. However, it's usually accompanied by ringing in the ear (tinnitus) and hearing loss.

  • Vision Problems: Changes in vision can be due to a variety of conditions, from simple refractive errors (like nearsightedness or farsightedness) to more serious conditions like glaucoma or macular degeneration. Since you mentioned that your distant vision has gotten worse, it could be a refractive error like myopia (nearsightedness).

What you can do

  1. Schedule an appointment with your primary care doctor to discuss your symptoms. They can help determine the cause of your symptoms and refer you to a specialist if necessary.
  2. If your headaches continue to be a problem, consider seeing a neurologist who specializes in headache disorders.
  3. Schedule an eye exam to check for vision problems that might need correction.
  4. Try to avoid triggers that might worsen your symptoms, such as loud noises or bright lights.
  5. Stay hydrated and get plenty of rest.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Sudden, severe headache or a headache that is accompanied by a stiff neck, fever, confusion, seizures, double vision, weakness, numbness, or speaking difficulties.
  • Sudden, severe pain in your ear.
  • Sudden loss of vision or sudden double vision.
  • Dizziness or loss of balance.

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What could be causing a continuous dull headache at the front of the head?

A continuous dull headache at the front of the head could be caused by tension headaches, migraines, or sinus issues. It's important to consider other symptoms and consult a healthcare provider for an accurate diagnosis.


How can ear pressure that feels like a blocked ear sensation be managed?

Ear pressure that feels like a blocked ear sensation could be due to Eustachian tube dysfunction, sinusitis, or an ear infection. Management may include decongestants, antihistamines, or nasal sprays, but a doctor's evaluation is recommended.


What might cause a decline in long-distance vision that coincides with ear pressure?

A decline in long-distance vision coinciding with ear pressure might be related to refractive errors like myopia or other eye conditions. An eye exam can help determine the cause and appropriate corrective measures.


What are the potential connections between degenerative disc disease and headaches?

Degenerative disc disease in the cervical spine can sometimes lead to headaches due to nerve compression or muscle tension. A healthcare provider can offer treatments such as physical therapy, medications, or lifestyle changes to manage symptoms.


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