Will overweight be a reason for my headache?

Question

Hello doctor,

I am a 27-year-old obese woman with venous pulsatile tinnitus in my left ear. I have no history of high blood pressure or diabetes. I have been overweight for about five years and was a normal weight before. I am being treated for obsessive compulsive disorder (OCD), attention deficit disorder (ADD), and depression. I take 150 mg Sertraline, 20 mg Amphetamine salts, and 50 mg Trazodone. I am also on Loestrin 24 Fe birth control. I have been having some headaches (two times per week, mild pain) that occasionally improve with caffeine but no other symptoms. Would losing weight be the best first step to take before visiting a neurologist?

Answer 1

Hello,

Welcome to icliniq.com. Regarding your concern, I would explain that this feeling could be related to an inner ear disorder. Your blood lab tests show increased white blood cell count suggestive of an infection. Anemia is also present. That is why I recommend taking iron supplements. A brain magnetic resonance imaging (MRI) is also necessary to exclude possible vascular malformation of the brain. It is also essential for checking thyroid hormone levels. I hope you will find this answer helpful.