[35F] Experiencing dull headaches with nausea and dizziness

What might be happening

Based on the information you've provided, here are a few possibilities:

• Migraines: Given your history of migraines, it's possible that your current headaches are related. Migraines can sometimes change in frequency, duration, and intensity. However, the fact that these headaches are new and different from your usual migraines is a reason to seek further evaluation.

  • Treatment for migraines typically involves a combination of lifestyle changes, over-the-counter medications, and prescription medications.

• Medication overuse headaches: These can occur from overusing painkillers for headaches. If you've been taking Tylenol every day, this could potentially be contributing to your headaches.

  • Treatment typically involves reducing or stopping the overused medications under the guidance of a healthcare provider.

• Tension headaches: These are often described as a constant ache or pressure around the head, especially at the temples or back of the head and neck. They can be triggered by stress, lack of sleep, missed meals, or depression.

  • Treatment typically involves pain relieving medication and stress management.

• Side effects from medication: Some medications can cause headaches as a side effect. Given that you're taking several medications, it's possible that your headaches could be related.

  • Treatment would involve discussing with your doctor whether a change in medication is appropriate.

What you can do

1. Keep a headache diary: Write down when your headaches occur, how long they last, their intensity, and any potential triggers (like stress, certain foods, changes in sleep, etc.). This can help you and your healthcare provider identify patterns and triggers, which can be useful for managing your headaches.

2. Practice good sleep hygiene: Try to keep a regular sleep schedule, and make your sleep environment as comfortable as possible. Lack of sleep or poor sleep quality can contribute to headaches.

3. Stay hydrated and eat regular meals: Dehydration and skipping meals can trigger headaches.

4. Try relaxation techniques: Stress can trigger headaches, so techniques like deep breathing, yoga, or meditation might help.

5. Consult with your healthcare provider: Given that these headaches are new and different from your usual migraines, it would be a good idea to consult with your healthcare provider. They can evaluate your symptoms, consider whether your medications might be contributing to your headaches, and discuss appropriate treatments with you.

What you should look out for

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

• A sudden, severe headache like a thunderclap
• Headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
• 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.