Severe Headache with Dilated Pupils

This afternoon I was exceptionally tired and nauseated. I slept 9 hours last night and had only been awake for 4, but I took a nap. When I woke up I had a severe headache. Now after drinking some caffeine and taking 800mg of ibuprofin I still have a bad headache (although not quite as severe) as well as dilated (very small) pupils.

[Dr. A. Srivastava]

Hi, Thank you for your question. For persistent headaches, possibilities like migrainous, cluster, tension and refractive errors that need to be evaluated thoroughly with the help of a neurologist here. Migraine like headache can be throbbing, one sided of face & head and preceded by aura (starts with blurred vision). Cluster headache may appear as burning, explosive in nature and tear appears from eyes. Tension headache originates with stress and anxiety disorder. Please arrange an appointment with a neurologist right away who will evaluate the further underlying disorders by clinically examine you & ordering MRI or CT scan here that may be the main reasons of your headache attacks & other symptoms and can provide you an appropriate treatment. Hope this information proves helpful to you. Take Care & Regards!!!