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. David Your Own Question

Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 29479
Experience:  Experienced Physician trained in New York City. I'm ready to help.
Type Your Medical Question Here...
Dr. David is online now
A new question is answered every 9 seconds

Severe Headaches w/lightheadedness-feeling like passing out

Resolved Question:

I am having severe headaches with lightheadness (feeling like passing out). What could be wrong? Long story but I will keep it short. It staredt in July 2011 with what I thought was a head cold. It later progressed to head pressure headaches, vice like, so went to urgent care and the doctor thought it was sinus infection and put me on antibotic which didn't really help. I continued to have the head pressure headaches, took over counter pain meds which gave some relief. I only took when I could no longer tolerate the pain. I went to urgent care again and a different doctor thought it was still a sinus infection and prescribed another antibotic. I only took only one or two pills of that round of meds because I went to ER for blood in urine (later found out I have kidney stones) and was told to stop the antibotic. Because the headaches continued I finally went to see my internal medicine doctor and he set me up for MRI of brain. That came back normal. Since the MRI, I have had severe headaches with episodes of overwhelming feeling like I am going to passing out. I had two of these while sitting at work. I had once last week and went to urgent care and they precribed Topomax. And another yesterday when I when to Emer Room. They did work up of bloodwork which all came back normal. They suggested not to drive until I see my internal medicine doctor on Friday in follow up due to the feeling like like I am going to pass out. I had one another episode and that was while shopping. I started getting a severe headache and then the overwhelming feeling like I was going to pass out. I then sat down and drank some water. Since this has started in July I have complainted about tiredness. To the point of wanting to nap which is unusul for me as I don't nap. Another thing to add which I do not know if it relates is that around Christmas the left side of my neck was swollen and lasted for about two days. I don't know if if any or all of this is related but I am getting frustrated especially when it is now affecting my job.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
This is Dr. David.

Sounds like a tough situation.

you need to have your thyroid and vitamin D and B12 levels checked. these could be off.

you need to have your glucose measured during one of these episodes. it could be due to low blood sugar. have you tried to eat during one of these headache episodes? does that help?

you need to get an ultrasound of your neck to see if there are enlarged lymph nodes still there. sometimes when a mass is pressing on the neck, they can press on barrow receptors which can tell your brain that your blood pressure is too high and then your brain tries to drop your blood pressure and this can make you feel like passing out with headaches.

it could still be a sinus infection, I would try a second course of antibiotics different than the first just in case.

Customer: replied 2 years ago.

I had my thyroid test done and they came back okay. I also had the 24 urine test and salvia tests done.I did try to eat while I was having the last episode at work and also drink a small amount a sugary drink to see if that would help. When I was in the ER they test my glucose and it was not low. I have been home all day and limited my activity and as long as I am not moving alot I appear to be somewhat okay. Could I have a sinus infection for that long of a time? My concern is long term antibotic use when I may not have a sinus infection.

Would you suggest a CT scan of the sinus or other test to confirm? I really think it may have something to do with my neck. Would a pinched nerve in the neck cause the symptoms I am experiencing? Any further input will be greatly appreciated.

Expert:  Dr. David replied 2 years ago.
a course of antibiotics would be for 2-3 weeks. if you took that and it didn't help, then most likely you don't have a sinus infection.

as I mentioned, it could be something going on in your neck like a lymph node pressing on barrow receptors or a pinched nerve. instead of the sinus CT scan, you should get a CT scan of your neck or MRI of the neck to see if you have a pinched nerve or something else going on.
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 29479
Experience: Experienced Physician trained in New York City. I'm ready to help.
Dr. David and 7 other Medical 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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • 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
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    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

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.