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What could cause chronic headaches with nausea and dizziness?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am an 18-year-old girl who weighs 140 lbs, and I am 5.7 feet tall. I get sharp stabbing headaches, which get worse after exercise. I also feel less intense pressure throughout my head. I have had this problem for the past four years, and they are getting worse.

When I am stressed, I get these headaches 10 to 30 times a day. They last for about 20 seconds to 20 minutes. I get pressure between my eyes that makes me feel dizzy, and I feel nauseous, and it is the same feeling as the stabbing headaches, but less intense.

These headaches have recently become more frequent and last longer. I can feel it behind my eye sometimes, too. When I get it somewhere else, my eyes water up. It increases when I strain my back, bend over, and am exposed to light.

My long-distance vision is possibly decreased, and sometimes I have very slightly blurred vision. I always seem to be nauseous. I even have memory problems, and the things I want to say do not come out properly, and I lose my train of thought. I have a constant cold, sleep paralysis, dizziness, and hallucinations.

I am always tired, and I feel a sharp pain in my neck and shoulders. Should I go to the doctor about all of these things? Or should I not worry about them?

Please guide.

Hello,

Welcome to icliniq.com.

The signs you described are non-specific but should be checked. Especially, if headaches are followed by vomiting, you have had multiple prescription glasses changed rapidly, loss of smell, and have trouble expressing yourself verbally.

There are quite a few diseases that give these symptoms, from a simple sinusitis to more complex neurological diseases. So, you should book an appointment with a local neurologist and perform a cerebral MRI (magnetic resonance imaging).

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At May 19, 2017
Reviewed AtOctober 31, 2025

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