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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Throbbing Headache/whooshing Sound When Standing/sudden Shifts In Position?

For the past week or so, I ve noticed that upon standing or sudden shifts in position ignites a throbbing headache on the left side and a whooshing sound that follows my pulse. Last week I also noticed a palpable and sore lump in the preauricular area in front of my ear. My last molar on that side is also achy,as is my ear (slightly). What the heck is wrong with me?
Fri, 29 Jan 2016
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  User's Response
Hello!

Welcome on HCM!

I read carefully your question and would explain that the symptoms occuring when standing up seem to be related to orthostatic hypotension.

I would recommend measuring your blood pressure during sitting and standing up position. A decrease in your systolic blood pressure more than 20mmHg would be indicative of orthostatic hypotension.

A head up tilt test is needed to rule in/out this possibility.

The lump in the preauricular area seems to be an inflammatory lymph node related to possible infection in your last molar.

I recommend you to consult with the dentist for a careful physical exam and an X ray of this tooth.

Some blood lab tests (complete blood count, inflammation tests) would be needed in your clinical situation.

Hope you will find this answer helpful!

Best wishes,
Dr. Aida
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What Causes Throbbing Headache/whooshing Sound When Standing/sudden Shifts In Position?

Hello! Welcome on HCM! I read carefully your question and would explain that the symptoms occuring when standing up seem to be related to orthostatic hypotension. I would recommend measuring your blood pressure during sitting and standing up position. A decrease in your systolic blood pressure more than 20mmHg would be indicative of orthostatic hypotension. A head up tilt test is needed to rule in/out this possibility. The lump in the preauricular area seems to be an inflammatory lymph node related to possible infection in your last molar. I recommend you to consult with the dentist for a careful physical exam and an X ray of this tooth. Some blood lab tests (complete blood count, inflammation tests) would be needed in your clinical situation. Hope you will find this answer helpful! Best wishes, Dr. Aida