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Are The Sudden Onset Of Pain In The Head, Productive Cough And Vomiting Of Food Due To A Serious Concern?

Posted on Thu, 4 Apr 2024

Question: My husband has had sudden onset of headpain . He never gets headaches typically. He feels sleepy . His symptoms began w allergy problems due to cottonwood pollen at unusually high levels. We originally Thought ..he was having sinuous headache. He was coughing up mucous & couldn't keep food down. Said he had no appetite.he has been on bed rest for past 3 days. I am concerned he may have had an aneurysm that pressure increase in head is causing headache . No obvious change in vision but he is acting very subdued not talking much but lucid.

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Aneurysm are mostly asymptomatic

Detailed Answer:

Hello and Welcome,

I appreciate your concern

If an aneurysm is large enough to have a mass effect then it can present with ptosis, visual changes, a dilated pupil , painful eye and paresthesia or weakness on one side of the face or body.

However, a non ruptured aneurysm in most cases , is usually asymptomatic.

A neurological exam is required. If there are definite mental status changes or a focal neurological deficit then workup should start with a CT brain without contrast.

Thanks

Wishing you best of health

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Raju A.T