Hed hurs apon standing up...

[Lunos219]

Whenever I stood, 3 days to about 5 days ago,  I began to feel lightheaded and dizzy, and, today, my head pounds when I stand, or when my pulse increases. It starts throbbing behind my left eye, and branches back through my head as it gets worse. As of now, it pounds behind my eye even as I sit.

I am taking prilosec, and I read the side effects. Could this be one of the side effects? I started taking it about 14 days ago.

[Lunos219]

But, then again, the funny thing is...

I was at a friend's house Friday, and I had a headache then, and it hurt similar to how it does now. I played it off as a sinus headache, and then moved on. After I got home Saturday, I forgot to take my prilosec, and then I had no headache, and there was none Sunday, only slightly, which went away overnight (I took the medicine Sunday morning).

Then, I come home yesterday, with the headache, and today was a repeat. I was/am on prilosec since Sunday, with symptoms. I'm going to try going without my medicine for a day or two, and see what happens.

Though, it could be a psychological somatoform disorder, considering that the pain occurs around the time stress presents itself (coming home and having to clean the house for thanksgiving, my art teacher saying that I have to work faster on my drawing, ect.)

[Lunos219]

Well, it seems to fit... I have also been having some slight neck pain, and also, neither ibuprofen nor decreasing my sinus pressure has any effect...

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
A headache that worsens on standing up and improves or disappears on lying flat is a spinal headache. This happens when the CSF pressure in the brain falls. This usually happens after spinal anesthesia, spinal taps, or spinal injuries. However in some people this happens without a cause. This is known as spontaneous intracranial hypotension.
A procedure called an epidural blood patch, if is successful, even temporarily, it generally means the patient does indeed have a spinal headache. A small amount of the patient’s own blood is injected into the space between the dura and the bony spine known as the epidural space. If this causes temporary or permanent cure of headache, the diagnosis of spontaneous intracranial hypotension is confirmed.
Other tests are a spinal tap and measuring the pressure. Although spinal fluid pressure is usually low in patients with spontaneous intracranial hypotension, it can be occasionally normal due to variations in the spinal fluid pressure.
A dye can be injected into the spinal fluid and entire spine’s CT scan is taken to locate the leak.
Please discuss this with a neurologist. This may help you cure your headaches. Of course a confirmed diagnosis cannot be given on net, but there is no harm in discussing this with a neurologist.
Other than that it can also be due to postural hypotension as you also have dizziness. Get your blood pressure checked. Both high and low BP can also cause headache with dizziness. If you use computer a lot or read a lot then the symptoms of headache, dizziness, etc could be due to compression of the spinal nerves in the cervical spine region. This can happen due to overuse of computers, work involving straining of neck, herniated disc, canal stenosis, bone disease, spondylosis, poor posture etc. A MRI of the cervical spine and nerve conduction studies may be required. Please consult a neurologist.
TMJ is another possibility. If you have been out in sun a lot or drink less of fluids then it can also be due to electrolyte imbalance or dehydration. Benign intracranial hypertension also causes dizziness with headache and a spinal tap is confirmatory. It can be a migraine attack too. But yes, all these causes should be evaluated. Discuss with your doctor. Take care!