Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Sudden Explosion In The Middle Of Forehead While Having A Bowel Movement?
Question: Greetings: my 31-yr-old daughter, while having a bowel movement, had a sudden "explosion" in the middle of her forehead, followed by extreme dizziness, sweating, and numbness to the extremeties. This is the 2nd time this has happened, while having a BM, and the first time she actually passed out. This is scarey!! Please advise.
Brief Answer:
It is likely Thunderclap headache/Rush to ER/Brain imaging.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
If your daughter would have presented to me as an outpatient with this complaint,I would have urgently evaluated her for signs of meningeal irritation and for any neurological deficit,considering the possibility of 'Thunderclap headache' as my working diagnosis.
Common causes of Thunderclap headache are-
1)RVCS(Reversible vasoconstriction syndrome)
2)CVT(Cortical venous thrombosis)
3)Subarachnoid hemorrhage
4)Brain aneurysm
5)Drugs like cocaine and sympathomimetics
6)Accelerated hypertension
First step would have been to get an urgent plain contrast tomographic scan(plain CT scan) of Head to see for any vascular event as listed above(1-4).
A CT angiogram may also be needed.Ophthalmologist opinion for funduscopic examination is also needed.
Whatever,she needs urgent evaluation.Please rush to Emergency room.
Hope I have answered your query.If you have some follow up questions,I shall be glad to answer else,please close the thread,rate it and write a review.
Dr.Ajay Panwar,
MD,DM(Neurology)
It is likely Thunderclap headache/Rush to ER/Brain imaging.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
If your daughter would have presented to me as an outpatient with this complaint,I would have urgently evaluated her for signs of meningeal irritation and for any neurological deficit,considering the possibility of 'Thunderclap headache' as my working diagnosis.
Common causes of Thunderclap headache are-
1)RVCS(Reversible vasoconstriction syndrome)
2)CVT(Cortical venous thrombosis)
3)Subarachnoid hemorrhage
4)Brain aneurysm
5)Drugs like cocaine and sympathomimetics
6)Accelerated hypertension
First step would have been to get an urgent plain contrast tomographic scan(plain CT scan) of Head to see for any vascular event as listed above(1-4).
A CT angiogram may also be needed.Ophthalmologist opinion for funduscopic examination is also needed.
Whatever,she needs urgent evaluation.Please rush to Emergency room.
Hope I have answered your query.If you have some follow up questions,I shall be glad to answer else,please close the thread,rate it and write a review.
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thank you so much for this! I will follow-up.
Brief Answer:
You are welcome.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
I appreciate your thanks.
Hope I have answered your query.If you have some follow up questions,I shall be glad to answer else,please close the thread,rate it and write a review.
Dr.Ajay Panwar,
MD,DM(Neurology)
You are welcome.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
I appreciate your thanks.
Hope I have answered your query.If you have some follow up questions,I shall be glad to answer else,please close the thread,rate it and write a review.
Dr.Ajay Panwar,
MD,DM(Neurology)
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
