[46F] Experiencing headaches, dizziness, and localized swelling

Patient Description

A 46-year-old female presents with intermittent headaches and episodes of lightheadedness, both occurring for approximately 2 months. The headaches vary in location and are described as pressure-like or aching, with an intensity of 5 out of 10. The lightheadedness, rated at a 4 out of 10, occurs suddenly and resolves within a minute, without specific triggers and is not noticed during physical activity. Additionally, the patient reports swelling around the temples and behind the ear, which is painful to touch. The patient has a history of high blood pressure, treated with medication, and a recent allergic reaction to anti-inflammatory medication and glaucoma eye drops. There are no reported changes in vision, jaw pain, fever, weight loss, night sweats, tinnitus, or hearing loss. The patient is currently using tafluprost eye drops nightly for glaucoma and has taken meloxicam 7.5 mg daily for a cyst in the knee.

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Arora's Assessment

What might be happening

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

  • Temporomandibular Joint Disorders (TMJ): This condition affects the joint that connects your jaw to the side of your head. It can cause pain in the jaw, face, and neck, and can sometimes lead to headaches and dizziness. The swelling near your ear could be related to inflammation in this joint.
  • Tension Headaches: These are common types of headaches that can cause a feeling of pressure or aching in the head. They can be triggered by stress, lack of sleep, or certain activities.
  • Side Effects of Medication: Some of your symptoms could be side effects of the medications you're taking. Tafluprost, which you're using for high eye pressure, can sometimes cause headaches and dizziness. Meloxicam, which you took for knee inflammation, can also cause dizziness.

What you can do

  1. Try to identify any triggers for your headaches and dizziness. This could include certain activities, foods, or situations. Avoiding these triggers may help reduce your symptoms.
  2. Practice good posture, especially if you spend a lot of time sitting or looking at a screen. This can help prevent tension headaches.
  3. If you think your symptoms might be related to your medication, talk to your doctor. They might be able to adjust your dosage or prescribe a different medication.

What you should look out for

If your symptoms worsen or if you develop new symptoms, you should seek medical attention. Specifically, you should contact a healthcare professional if:

  • Your headaches become more severe or frequent
  • You experience sudden, severe dizziness or have a fall
  • You develop a fever or other signs of infection

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.

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9 mo ago


People Also Ask


What are the common symptoms of Temporomandibular Joint Disorders (TMJ)?

Common symptoms of TMJ disorders include pain or tenderness in the jaw, aching pain around the ear, difficulty chewing, and locking of the joint, which can make it difficult to open or close your mouth.


Can tension headaches be triggered by stress or poor posture?

Yes, tension headaches can be triggered by stress, poor posture, and activities that strain the neck and shoulders. They often feel like a band of pressure around the head.


What are the potential side effects of tafluprost eye drops?

Potential side effects of tafluprost eye drops include eye redness, discomfort, itching, and sometimes headaches or dizziness. It's important to report any severe or persistent side effects to your doctor.


How can I differentiate between medication side effects and other health issues?

To differentiate between medication side effects and other health issues, consider the timing of symptoms in relation to starting a new medication, and consult with a healthcare provider. They can help determine if symptoms are likely related to medication or another underlying condition.

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