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Reason for pain in head, face, shoulder and dizzy.

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Hello I'm writing on behalf of my mother
She is 41 and she is experiencing a pain on the right side of her head, face & at her shoulder.
I have checked the web and I think it seems okay but she wants to have some peace of mind and she is a real worrier!

She said when she moves real fast she gets a shooting pain & feels dizzy and sometimes feel as if she wants to throw up.

It started two weeks ago and it's been on & off sometimes it goes away for a day or to.
If known what would It be? & how to get relief?

She has been under some stress lately with some problems going on .

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
 21 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
Headache, can lead to referred pain to the face or even the shoulder at times. But that shows that the pain is severe. It could occur due to anxiety. However based on further history i can guide you. A shooting pain, while being dizzy and the feeling of nausea, can also occue due to migraine.
- Is your mother a hypertensive? If not, can you get her BP checked?
- Did you give her any medicine for her pain?
- Is she a diabetic?
- Does she have any history of migraine?
Once you reply, i will get back to you.
Regards.


Patient replied :

Yes she does have bad anxiety at times & no never really had a history of high blood pressure.
i don't know how to check her blood pressure I'm sorry and its 2 am where I am so she's really worried .
No she's not diabetic & no she takes just normal headaches now and then this is the first time this has happened
, could it be a trapped nerve?
Thank you Doctor


Hello,
Thank you for additional information.
There is no problem if you can't check the BP now, but you can get it done whenever it is possible.
It can be due to a pinched nerve in the neck. I will advise you to give her Tab. Ibuprofen 400 mg twice daily for 3 days after food, and the pain is likely to subside.
I will still advise you to get an X RAY of the cervical spine done, to rule out spondylitis which can be one more possibility at her age. It is not an emergency, you can get it done at your convenience. Wearing a neck collar will be helpful, if it is due to spondylitis.
For the time being, i will advise her rest and Ibuprofen or Advil for pain relief.
Regards.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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