Ask an Eye Doctor and Get an Answer ASAP
Hello, Welcome to Pearl.com
Are you available for chat now?
It is good to know that the eye exam and the MRI brain and sinus X-ray are all fine. It helps to rule out some of the possible causes for headache such as sinusitis/ eye problems.
yes I am here.
One of the possible causes for chronic headache is tension headache which can come with stress ( mental or physical ).
Not much stress. I am retired and loving it.
Ok. The other possibility is of common migraine ( could be associated with nausea/vomiting too).
I have been taking migraine medication called Maxalt but it does not help. I have no auras or Vomiting. The pain has caused some Nausea.
I have strange sensation in my face. Feels tingly and quivers.
These are called facial myokymia or twitching.
They are not serious and can be left alone.
As they can get exacerbated with stress, anxiety, it is better to ignore them.
That's good. Do you thing the pain could be related to my accident with the TV? Maybe a clot that has not resolved or something. Not being able to open my eyes is bothersome. The pain is better when I am upright but as soon as I lay down it gets worse and my eyes hurt.
Is the inability to open eyes equally present in both eyes? Is it a constant feature or is it noticed only in the mornings?
It is present in both eyes but worse usually on the left side. Once I can get blinking it goes away.
I am using systane balance just in case my eyes are dry but not helping.
Though I cannot be sure but I feel that the inability to open eyes is more of a functional problem rather than something more serious or due to the injury as such because blinking helps and the eyes open after that.
Since the inability to open eyes has only begun after the injury, some amount of the muscle fibres of the levator muscle ( LPS muscle is the one which helps to open the eyelid) could have been functionally weakened . This would not require any treatment and can be expected to improve over a period of weeks.
If your major concern about an unresolved blood clot, then it would definitely have been picked up on the MRI ( though not better than CT in this regard). Since the MRI was found to be normal, looks like all is fine.
So you think this is Migraine and I just don't have the right medication yet?
Though very unlike typical migraine ( these headaches are not continuous but rather intermittent), it could still be a possibility.
Did you suffer from any episode of common cold or sinusitis in the last few weeks?
I get the HA every night. I don't have a cold or sinusitis that I know of but when I move my head it feels to me like fluid moving in there. Sounds strange I know but the pain moves when I move my head.
No fevers or nasal congestion. I can't clear my ears and do have some post nasal drip.
Do you feel like you have blocked ears?
Yes sometimes I do feel like there is a little pressure in my ears.
I feel a little dizzy sometimes.
Ok. It could be likely that you have benign paroxysmal positional vertigo(BPPV).
Ok what do I do about it?
Usually anti-histaminc medicines along with analgesics would help. You can try taking tab.Zyrtec, 10 mg , 1 tablet once at bedtime and Tab.Acetaminophen, 650 mg , 1 tablet twice a day for 1 week. In the meanwhile it is better to take an appointment with an ENT(ear, nose and throat doctor) specialist for a detailed ear check up and further treatment.
Ok thank you.
You are most welcome.
Please feel free to ask follow up questions if any.
Thank you and best wishes.
It was a pleasure to have answered this question. Experts are credited only if a positive rating is given and not otherwise. So do remember to give your rating. A positive rating is what I aim for and we can continue to interact till you get a satisfactory response. An excellent feedback and /or bonus are most welcome and appreciated.
Views expressed are for information purpose only and cannot substitute a visit to an ophthalmologist