Desperate for Answers – Persistent chronic Headache, Red Ears, and Nausea with No Diagnosis - Thanks for responding!
I hope this finds you well,
I’m a 25-year-old (formerly active) man who has played sports at a high level my whole life. I graduated in 2023 and started an IT job in September. However, in December 2023, I suddenly woke up with a chronic headache and other strange symptoms, and since that day, it has persisted. Now, I’m unable to work and struggle to cope with simple daily tasks. I’m posting here because I’m truly desperate for help and am hoping someone out there has experienced something similar and can offer advice or suggestions!
This text is quite long, but PLEASE bear with me, it would mean a lot to me if you have any thoughts about my situation. I would really appreciate any comments related to this!
-------------------------------------------------------------------------------
Impact on My Life:
This condition has taken over my life—I can’t work, and even simple daily tasks are challenging. Just taking a walk can make my symptoms worse. I find it really strange because I eat clean, stay in shape, and have no history of any sickness in my family.
-------------------------------------------------------------------------------
My Symptoms:
-Constant headache: Started suddenly one night and hasn’t let up in over a year. No previous history of headaches. I’ve seen multiple neurologists, and some say it’s simply unexplainable pain that may go away over time, but I’m struggling to just “wait it out” with no improvement. The pain is always a 6/10 but gets worse with my triggers.
-Red, warm, and painful ears: They become super hot, red, and painful every night or when I lay down. My jaw can also get warm simultaneously.
-Nausea: This can get quite intense, especially when driving, taking public transport, or being in motion.
-Pulsing sensations: My neck, sinuses, and behind my eyes pulsate, yet doctors say my pulse is normal.
-Neck: My neck and throat feel stiff and sore; my voice has become weaker with more frequent voice cracks.
-Jaw pain: My jaw is sore, clicks, snaps, and gets very warm. I do grind my teeth in my sleep but have tried Botox and sleep with a mouthguard. My teeth and gums can feel tight and sore
-Blurred vision and dizziness: Difficulty focusing with my eyes, reading, and being on screens. I’m also sensitive to bright lights.
-Ear pressure: I get a "dot" feeling in my ears when my heart rate increases or when I open my mouth. It clicks, and I get the same feeling as when I’m on a plane. My ear passage can also get very itchy.
-Migraine attack?: I’ve only had one extreme episode (possibly a migraine attack?) with intense nausea, clogged ears, vomiting, racing heart, and difficulty speaking; it lasted 2-3 days, and I struggled for a week after. Leading up to this, I tried pushing it a little bit physically (swimming and going to the gym). I learned that I should not do that anymore.
-Triggers: Symptoms worsen with any physical exertion (strength training, running, even slow walking), being in motion (like public transportation, driving, etc.), bright lights, stress, and prolonged screen use. It often worsens a few hours later, so I become much worse the following night.
Oddly enough, alcohol seems to provide temporary relief, both on the night I drink and the day after.
-------------------------------------------------------------------------------
What I’ve Tried and Ruled Out:
Medications: I’ve tried an extensive list of medications, with no success:
-Ajovy (fremanezumab-vfrm), a migraine prevention medication.
-Otomize Ear Drops (U.S. equivalents: Ciprofloxacin-Dexamethasone or Cortisporin Otic) for ear pain.
-Isoptin (Verapamil), a calcium channel blocker sometimes used for headache prevention.
-Indometacin (Indomethacin), a strong anti-inflammatory.
-Botox injections for both migraine protocol and jaw/ear areas.
-Lymecycline (Tetracycline), an antibiotic.
-Amitriptyline, an antidepressant also used for chronic pain and headache prevention.
-Metoprolol, a beta-blocker sometimes used for migraine prevention.
-Neurontin (Gabapentin), used for nerve pain and as an adjunct for migraines.
-Candesartan, an angiotensin receptor blocker (ARB) for migraine prevention.
-Paracetamol (Acetaminophen), a common pain reliever.
-Ibuprofen (NSAID pain reliever).
-Prednisolone, a corticosteroid for inflammation.
-Azithromycin (antibiotic).
-Phenoxymethylpenicillin (Penicillin V), another antibiotic.
-Sleeping with a mouthguard.
-Blood tests are normal.
None of these have provided any relief.
-------------------------------------------------------------------------------
Specialists I’ve Seen:
I’ve consulted with multiple specialists, but no one has found a clear cause or effective treatment for my symptoms. Here’s a list:
-Multiple neurologists
-ENT specialist (ear, nose, and throat doctor)
-Psychologist
-Dentist
-Jaw specialist
-Physical therapist
-Chiropractor
-Rheumatologist
-Cardiologist
-Eye doctor
-------------------------------------------------------------------------------
Recent Medical History and Background:
October 2023: I had surgery to correct a deviated septum and remove nasal polyps under general anesthesia.
November 2023: Contracted COVID-19 and was quite sick for a while.
December 2023: Headache and other symptoms began and have persisted ever since.
Additionally, October through December was an extremely stressful period for me, with both work-related pressures and significant stress in my personal life. I’m unsure if this stress played a role, but I wanted to include this in case it’s relevant.
-------------------------------------------------------------------------------
Current Theories from Specialists: (just theories)
-Long COVID: I am vaccinated but have become quite ill every time I have caught it or been vaccinated.
-New daily persistent headache (NDPH)
-Atypical migraine
-Stress-related chronic headache
-Red ear syndrome
-Erythromelalgia
-------------------------------------------------------------------------------
Why I’m Posting:
I’m hoping someone here has faced similar symptoms or knows of treatments I might not have tried. I would be incredibly grateful for any suggestions, shared experiences, or tips—any insight means a lot!
Thank you so much for taking the time to read this—I’m open to any and all advice.
Before I was diagnosed with sleep apnea and went on a C-pap I had headaches every day. The C-pap cured that. I still get regular headaches and migraines, but it is definitely not every day!
Do you snore? If so, I would request a sleep study to be done.
Desperate for Answers – Persistent chronic Headache, Red Ears, and Nausea with No Diagnosis - Thanks for responding!
I hope this finds you well,
I’m a 25-year-old (formerly active) man who has played sports at a high level my whole life. I graduated in 2023 and started an IT job in September. However, in December 2023, I suddenly woke up with a chronic headache and other strange symptoms, and since that day, it has persisted. Now, I’m unable to work and struggle to cope with simple daily tasks. I’m posting here because I’m truly desperate for help and am hoping someone out there has experienced something similar and can offer advice or suggestions!
This text is quite long, but PLEASE bear with me, it would mean a lot to me if you have any thoughts about my situation. I would really appreciate any comments related to this!
-------------------------------------------------------------------------------
Impact on My Life:
This condition has taken over my life—I can’t work, and even simple daily tasks are challenging. Just taking a walk can make my symptoms worse. I find it really strange because I eat clean, stay in shape, and have no history of any sickness in my family.
-------------------------------------------------------------------------------
My Symptoms:
-Constant headache: Started suddenly one night and hasn’t let up in over a year. No previous history of headaches. I’ve seen multiple neurologists, and some say it’s simply unexplainable pain that may go away over time, but I’m struggling to just “wait it out” with no improvement. The pain is always a 6/10 but gets worse with my triggers.
-Red, warm, and painful ears: They become super hot, red, and painful every night or when I lay down. My jaw can also get warm simultaneously.
-Nausea: This can get quite intense, especially when driving, taking public transport, or being in motion.
-Pulsing sensations: My neck, sinuses, and behind my eyes pulsate, yet doctors say my pulse is normal.
-Neck: My neck and throat feel stiff and sore; my voice has become weaker with more frequent voice cracks.
-Jaw pain: My jaw is sore, clicks, snaps, and gets very warm. I do grind my teeth in my sleep but have tried Botox and sleep with a mouthguard. My teeth and gums can feel tight and sore
-Blurred vision and dizziness: Difficulty focusing with my eyes, reading, and being on screens. I’m also sensitive to bright lights.
-Ear pressure: I get a "dot" feeling in my ears when my heart rate increases or when I open my mouth. It clicks, and I get the same feeling as when I’m on a plane. My ear passage can also get very itchy.
-Migraine attack?: I’ve only had one extreme episode (possibly a migraine attack?) with intense nausea, clogged ears, vomiting, racing heart, and difficulty speaking; it lasted 2-3 days, and I struggled for a week after. Leading up to this, I tried pushing it a little bit physically (swimming and going to the gym). I learned that I should not do that anymore.
-Triggers: Symptoms worsen with any physical exertion (strength training, running, even slow walking), being in motion (like public transportation, driving, etc.), bright lights, stress, and prolonged screen use. It often worsens a few hours later, so I become much worse the following night.
Oddly enough, alcohol seems to provide temporary relief, both on the night I drink and the day after.
-------------------------------------------------------------------------------
What I’ve Tried and Ruled Out:
Medications: I’ve tried an extensive list of medications, with no success:
-Ajovy (fremanezumab-vfrm), a migraine prevention medication.
-Otomize Ear Drops (U.S. equivalents: Ciprofloxacin-Dexamethasone or Cortisporin Otic) for ear pain.
-Isoptin (Verapamil), a calcium channel blocker sometimes used for headache prevention.
-Indometacin (Indomethacin), a strong anti-inflammatory.
-Botox injections for both migraine protocol and jaw/ear areas.
-Lymecycline (Tetracycline), an antibiotic.
-Amitriptyline, an antidepressant also used for chronic pain and headache prevention.
-Metoprolol, a beta-blocker sometimes used for migraine prevention.
-Neurontin (Gabapentin), used for nerve pain and as an adjunct for migraines.
-Candesartan, an angiotensin receptor blocker (ARB) for migraine prevention.
-Paracetamol (Acetaminophen), a common pain reliever.
-Ibuprofen (NSAID pain reliever).
-Prednisolone, a corticosteroid for inflammation.
-Azithromycin (antibiotic).
-Phenoxymethylpenicillin (Penicillin V), another antibiotic.
-Sleeping with a mouthguard.
-Blood tests are normal.
None of these have provided any relief.
-------------------------------------------------------------------------------
Specialists I’ve Seen:
I’ve consulted with multiple specialists, but no one has found a clear cause or effective treatment for my symptoms. Here’s a list:
-Multiple neurologists
-ENT specialist (ear, nose, and throat doctor)
-Psychologist
-Dentist
-Jaw specialist
-Physical therapist
-Chiropractor
-Rheumatologist
-Cardiologist
-Eye doctor
-------------------------------------------------------------------------------
Recent Medical History and Background:
October 2023: I had surgery to correct a deviated septum and remove nasal polyps under general anesthesia.
November 2023: Contracted COVID-19 and was quite sick for a while.
December 2023: Headache and other symptoms began and have persisted ever since.
Additionally, October through December was an extremely stressful period for me, with both work-related pressures and significant stress in my personal life. I’m unsure if this stress played a role, but I wanted to include this in case it’s relevant.
-------------------------------------------------------------------------------
Current Theories from Specialists: (just theories)
-Long COVID: I am vaccinated but have become quite ill every time I have caught it or been vaccinated.
-New daily persistent headache (NDPH)
-Atypical migraine
-Stress-related chronic headache
-Red ear syndrome
-Erythromelalgia
-------------------------------------------------------------------------------
Why I’m Posting:
I’m hoping someone here has faced similar symptoms or knows of treatments I might not have tried. I would be incredibly grateful for any suggestions, shared experiences, or tips—any insight means a lot!
Thank you so much for taking the time to read this—I’m open to any and all advice.
Hello fellow migraine sufferer. I’m 64 and have had chronic severe migraines and daily tension headaches for 45 years. Like you I’ve tried everything. Hundreds of more medications, too many to list. Acupuncture, chiropractic, TENS unit, hospitalized at a world renowned clinic at least 7 times, special diets, nerve ablation and finally a pain specialist put me on methadone and started using Botox injections that have helped me for over 6 years without the methadone. However, I’m now experiencing breakthrough headaches that aren’t responding to my migraine medication Amerge of which I can only take 10 per month. I’ve just been researching a surgical procedure called the Reed Procedure that has a 80% success rate. However it’s only performed in Dallas, Texas. I’m obtaining more information now. Best wishes to you. I’m on permanent disability because of the migraines.
Before I was diagnosed with sleep apnea and went on a C-pap I had headaches every day. The C-pap cured that. I still get regular headaches and migraines, but it is definitely not every day!
Do you snore? If so, I would request a sleep study to be done.
Fioricette with codeine works great for me for migraines. When I get the aura signaling a migraine is starting, I take Fioricette right away and it takes all the pain away. Usually, I don't know what side of the head the migraine has happened on until the next day (still get the day after migraine effects, but they are manageable). I do have to eat a couple pieces of bread to coat my stomach because the codeine always gives me awful stomach pains - the trade off.
What you just described has been my life for about the past fifteen years. Like you, I have tried EVERY possible therapy available. NOTHING WORKED! Not even Botox! There is, however, one therapy out there that you did not mention - CGRP antagonists. They inhibit the process by which the migraine pain is produced in the first place from happening. Mind you, it did nothing for me. My neurologist tried five of them, the last one being Vyepti, which, unlike the others that were administered orally, this was by intravenous drip. My only relief is when I allow myself one Tylenol 3 (with codeine), twice a week. More than that will cause rebound headaches - well, not MORE headaches sine I have them all the time anyway, but they become worse. I really sympathize as it is no way to live on a daily basis. If you have not tried the CGRP’s, it would be a good idea to do so. I wish you all the best.
What you just described has been my life for about the past fifteen years. Like you, I have tried EVERY possible therapy available. NOTHING WORKED! Not even Botox! There is, however, one therapy out there that you did not mention - CGRP antagonists. They inhibit the process by which the migraine pain is produced in the first place from happening. Mind you, it did nothing for me. My neurologist tried five of them, the last one being Vyepti, which, unlike the others that were administered orally, this was by intravenous drip. My only relief is when I allow myself one Tylenol 3 (with codeine), twice a week. More than that will cause rebound headaches - well, not MORE headaches sine I have them all the time anyway, but they become worse. I really sympathize as it is no way to live on a daily basis. If you have not tried the CGRP’s, it would be a good idea to do so. I wish you all the best.
Francine, like you, I have had this headache every day/all day for 5 yr/4 mos. Vyepti did not work for me nor Botox. I start Qulipta next week and Phenergen today. I tried Sinus Plumber this morning. It has chili peppers in it. It was a distraction but no results. Sorry for all of us.
Hi! Sorry to hear that Vyepti did not work for you either. If I am not mistaken, right now, as I understand it, Vyepti is la crème de la crème as far as CGRP’s go. Qulipta is also a CGRP. That is one I haven’t tried. I hope it works for you. If it does, could you be so kind as to post your positive results for the rest of us miserable souls out there? Thank you. Take care.
Hello fellow migraine sufferer. I’m 64 and have had chronic severe migraines and daily tension headaches for 45 years. Like you I’ve tried everything. Hundreds of more medications, too many to list. Acupuncture, chiropractic, TENS unit, hospitalized at a world renowned clinic at least 7 times, special diets, nerve ablation and finally a pain specialist put me on methadone and started using Botox injections that have helped me for over 6 years without the methadone. However, I’m now experiencing breakthrough headaches that aren’t responding to my migraine medication Amerge of which I can only take 10 per month. I’ve just been researching a surgical procedure called the Reed Procedure that has a 80% success rate. However it’s only performed in Dallas, Texas. I’m obtaining more information now. Best wishes to you. I’m on permanent disability because of the migraines.
I have had migraine and other neck related issues. Have you had a flexion xray? Regular scans showed nothing till flexion showed facet joint issues. After 17 years of cervical vertigo and inability to use my arms, a doctor suggested a C56 transforminal injection which helped tremendously. It's the foramen that is possibly the problem. Ask about that. It constructs the nerves. I will be getting a foraminotimy but you may have this issue somewhere in your neck too.
Before I was diagnosed with sleep apnea and went on a C-pap I had headaches every day. The C-pap cured that. I still get regular headaches and migraines, but it is definitely not every day!
Do you snore? If so, I would request a sleep study to be done.
Hello fellow migraine sufferer. I’m 64 and have had chronic severe migraines and daily tension headaches for 45 years. Like you I’ve tried everything. Hundreds of more medications, too many to list. Acupuncture, chiropractic, TENS unit, hospitalized at a world renowned clinic at least 7 times, special diets, nerve ablation and finally a pain specialist put me on methadone and started using Botox injections that have helped me for over 6 years without the methadone. However, I’m now experiencing breakthrough headaches that aren’t responding to my migraine medication Amerge of which I can only take 10 per month. I’ve just been researching a surgical procedure called the Reed Procedure that has a 80% success rate. However it’s only performed in Dallas, Texas. I’m obtaining more information now. Best wishes to you. I’m on permanent disability because of the migraines.
Thank you so much for this information
I had a sleep study. Do not snore. Tx
Fioricette with codeine works great for me for migraines. When I get the aura signaling a migraine is starting, I take Fioricette right away and it takes all the pain away. Usually, I don't know what side of the head the migraine has happened on until the next day (still get the day after migraine effects, but they are manageable). I do have to eat a couple pieces of bread to coat my stomach because the codeine always gives me awful stomach pains - the trade off.
Hello fellow migraine sufferer
What you just described has been my life for about the past fifteen years. Like you, I have tried EVERY possible therapy available. NOTHING WORKED! Not even Botox! There is, however, one therapy out there that you did not mention - CGRP antagonists. They inhibit the process by which the migraine pain is produced in the first place from happening. Mind you, it did nothing for me. My neurologist tried five of them, the last one being Vyepti, which, unlike the others that were administered orally, this was by intravenous drip. My only relief is when I allow myself one Tylenol 3 (with codeine), twice a week. More than that will cause rebound headaches - well, not MORE headaches sine I have them all the time anyway, but they become worse. I really sympathize as it is no way to live on a daily basis. If you have not tried the CGRP’s, it would be a good idea to do so. I wish you all the best.
Francine, Ottawa On
Francine, like you, I have had this headache every day/all day for 5 yr/4 mos. Vyepti did not work for me nor Botox. I start Qulipta next week and Phenergen today. I tried Sinus Plumber this morning. It has chili peppers in it. It was a distraction but no results. Sorry for all of us.
Hi! Sorry to hear that Vyepti did not work for you either. If I am not mistaken, right now, as I understand it, Vyepti is la crème de la crème as far as CGRP’s go. Qulipta is also a CGRP. That is one I haven’t tried. I hope it works for you. If it does, could you be so kind as to post your positive results for the rest of us miserable souls out there? Thank you. Take care.
I was nauseated for 2 years. A C23 facet ablation took it all away! Immediate relief after procedure. A year later, no nausea
I have had migraine and other neck related issues. Have you had a flexion xray? Regular scans showed nothing till flexion showed facet joint issues. After 17 years of cervical vertigo and inability to use my arms, a doctor suggested a C56 transforminal injection which helped tremendously. It's the foramen that is possibly the problem. Ask about that. It constructs the nerves. I will be getting a foraminotimy but you may have this issue somewhere in your neck too.