head hurts eyes hurt feel hot and cold.

hi there on sat night about 7pm i started  to feel really cold my head hurt to the point of wanting to cry and my eyes hurt to move. So i went to bed felt hot and cold all night but in the morning about 8am i felt ok.Then about 6pm sun it all started again this time the headache has not gone and my eyes hurt to move have taken headache tabs but have had no affect

[Dr Sharma]

Hi there. These headaches could be due to stress, anxiety, migraines or tension headaches, sinus headaches radiating to the ear, headache usually front of head, on one or both  the sides of temples along with nausea, vomiting, irritability, low blood pressure, sensitivity to lights, sound, etc. aura associated with migraines could include blind spots, blindness in half of your visual field, paresthesia, weakness or visual hallucinations. Your vision needs detailed testing by an ophthalmologist. Hypertension and hypotension need to be checked. An MRI brain is warranted to rule out any intracranial lesion particularly aneurysm and MRI spine for ruling out cervical spondylosis and degenerative disc disease.  Temporal tendinitis mimics migraines including TMJ pain temporal headaches, tooth sensitivity, neck and shoulder pain. Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered. If the neurologist and radiologist are suspecting a cerebral aneurysm, they can confirm with cerebral angiography and clipping of the aneurysm could be done. Hope this helps. Take care.

[Dr Santos]

Hi,
How are you? Are there other symptoms present? If there was no history of head trauma, this could indeed be due to primary headaches such as migraine, cluster and tension headaches. Direct clinical and neurological examination of your doctor and diagnostic tests including imaging studies will help determine the underlying cause. Knowing your medical history, such as presence of allergies and other medical conditions will also help. Take care and hope to hear from you soon.