How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29642
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
5625079
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

I have a strange, non-painful pulsating sensation in my head.

Resolved Question:

I have a strange, non-painful pulsating sensation in my head. I can feel it behind my eyeballs, my temples, in the back of my head, and down my neck. In addition I feel borderline dizzy but not actually dizzy. Sometimes it seems like a kinesthesia echo, if that makes any sense. Other times it feels more as if it were the sensation of the blood moving through the vessels in my head. It's very hard to describe and I'm usually pretty good at specifically describing or labeling symptoms. This has been going on for nearly two months now. Initially it was only at night when I was lying down. It was a very strong sensation but seemed kind of fascinating at that time. I continued to feel it at night every few nights. But for the last 3 days I have been feeling it all day as well and it's no longer so fascinating. I feel it when still and I feel it more strongly whenever I move my head or my eyes, or if I'm lying down. I went to my GP and I do not have high blood pressure. I do not have any cold symptoms or any reason to suspect a sinus infection. She really didn't have any answers at all but referred me to a neurologist. The neurologist doesn't have any appointments for 3 weeks and I don't know whether this should be seen more urgently or if it's not acute and nothing to really worry about.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.
Greetings.

I am sorry that your question was unanswered for long.

Do you have nausea, vomiting, headache, vision disturbance, imbalance, hearing problem?
Any significant past medical history?
Are you on any medications?
Are you stressed / anxious?

Dr. Arun
Customer: replied 1 year ago.

No nausea, headache, vision disturbance, hearing problem, etc.

I take singulair, levothroid, buproprion xl, cymbalta, and zyrtec daily for "Hashimoto's Syndrome" (hypothyroid), non-allergic rhinitis and mild asthma, and depression. No more stressed or anxious than usual.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello Cindy,

Following are the possibilites to be looked for your symptoms;

1) Vestibular neuronitis
2) Labyrinthitis
3) Cranial neuropathy
4) B 12 deficiency
5) Central vertigo

Following investigations are likely to help in the diagnosis;

1) Electromyography; measures the electrical activity of muscles when working and at rest

2) CT or MRI scan

3) Nerve conduction velocity tests to help identify how and where the nerve is damaged

4) Hearing tests

5) Angiography

6) Blood levels of the B 12.

7) Tilt table test

8) Electronystagmography (ENG); to evaluate dizziness or balance dysfunction.

 

Stress and anxiety, hypothyroidism, migraine are the other possibilities of the causes, which may be concomitant to the above issues. Often, dizziness or related sensation can be a multisensory disorder due to any combination of peripheral neuropathy, visual impairment, and musculoskeletal disease. Many patients who have thyroid dysfunction can present with dizziness as an initial complaint. In individuals who have migraine, dizziness and vertigo can occur as part of the aura or separately. Spells usually last approximately an hour but can last several hours or days in patients who have severe symptoms. Most patients who have migraines have a long history of recurring symptoms. So that too should be assessed as a cause if you have a history of migraine.

 


Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

 

We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."

Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.
Customer: replied 1 year ago.

I believe I may not have described the primary symptom adequately. I would not consider it to be dizziness. It's more a "wooshing", pulsating sensation throughout the head. It's behind my eyes, my temples, and back down my neck. It worsens when I move my eyes around when they're open. The first time I experienced it I was lying in bed and the sensation felt as if I could completely sense the flow of all the blood vessels within my head. I know that all sounds kind of nuts, but it's really a difficult sensation to put into words as it is not something I have ever experienced before. I have had dizziness and vertigo, and it is definitely not the same as either of those. I have had no pain at all associated with this, and it's on both sides of my head, as well as feeling as if it goes deeper into my head, not just on the outside of my skulls.

I've had the hypothyroid for over 15 years and it is well regulated and was tested recently. My GP did order tests for that and some other blood tests (I'm not sure what she covered) and has given me a referral to a neurologist. But the neurologist doesn't have any appointments available for 3 weeks. I'm trying to assess the severity of this, whether it's ok for me to do things like drive or not, and whether I should find a different neurologist with an earlier availability or not.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Cindy,

As you can understand, providing a specific diagnosis for this symptom and sensation is not easy. A physical examination (neurology examination of reflexes, muscle power, cranial nerve exam etc) give the clue. But this symptoms would specifically need an MRI and other work up to pin point the cause. While this sensation is not the pointer to anything serious (like a tumor or loss of blood supply to the part of brain), but anything which has been going on for two months would need an early evaluation. So if you can find a neurologist earlier than the 3 weeks, it would be good. As further investigations would take some more time. Meanwhile, you may ask your primary care physician to get an MRI, if the neurologist appointment cannot be sought earlier. Again, to re-emphasize, this does not sound to be serious, though no harm in early evaluation.

It is privilege assisting you.
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29642
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 4 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery