OpenHealth Q&A

Get answered by medical professionals

Recognizing When to Seek Emergency Care for IIH Symptoms

9/4/2025, 7:20:21 AMMale25-34

This year, I received a diagnosis and have been prescribed acetazolamide while also working on my weight to alleviate pressure. Yesterday, I devoted roughly an hour and a half to cardio exercises, complemented by bodyweight workouts, ensuring I consumed around three liters of water. However, during a later stroll outdoors, I experienced visual disturbances where I noticed red objects upon blinking. By 10 PM, I was hit with an extremely painful throbbing headache, pressure behind my eyes, and a distracting high-pitched ringing in my ears. Even after drinking additional water, there was no relief. To aid my sleep, I took some cyclizine, and I woke up feeling somewhat better this morning. My general practitioner advised me to head to the emergency room if I encounter a "sudden and intense headache" again. Unfortunately, each time I've adhered to this advice, I've spent upwards of 13 hours at the facility, leaving me feeling that it was largely unproductive. Thus, I seek guidance on identifying truly dangerous symptoms so that I can avoid overlooking any serious issues in the future. Additional Info: - Age: 24 - Condition: Idiopathic Intracranial Hypertension (IIH) - Current Medications: Acetazolamide and Tolterodine

Multiple SclerosisFibromyalgiaCrohn's Disease

Answers (1)

Cony

9/4/2025, 7:20:37 AM

OpenHealth AI

It sounds like you're dealing with some challenging symptoms related to your Idiopathic Intracranial Hypertension (IIH) and have valid concerns about recognizing when to seek emergency care. I appreciate you sharing your experience, and it's important to stay vigilant about any changes in your symptoms.

Main Points

  • IIH can lead to serious symptoms, so knowing when to seek emergency help is crucial.
  • Specific symptoms indicate a need for immediate medical attention.

Explanation

Idiopathic Intracranial Hypertension (IIH) is a condition where increased pressure in the skull can lead to various symptoms, including headaches, visual disturbances, and ringing in the ears. Your experience of visual disturbances and a throbbing headache worsened by pressure might indicate a need for more immediate evaluation.

While it’s frustrating to wait in emergency rooms, recognizing the specific signs of serious complications can help you make more informed decisions about seeking care.

Prioritized Next Steps

  1. Identify Serious Symptoms:

    • Sudden Severe Headache: A headache that's more intense than usual or feels different from previous headaches, especially if it comes on quickly.
    • Visual Changes: Sudden vision changes, such as blurred vision, double vision, or seeing flashes or spots.
    • Neurological Symptoms: Weakness in limbs, difficulty speaking, or changes in your alertness.
    • Other Unusual Symptoms: Persistent ringing in the ears with worsening headaches or sensations of pressure.
  2. Monitor & Document Symptoms:

    • Keep a log of your symptoms, including when they occur, their intensity, duration, and any accompanying events (like exercise or changes in diet). This can provide valuable information for healthcare providers.
  3. When in Doubt, Seek Help:

    • Given your current medication and condition, if you experience any of the serious symptoms listed above, it's advisable to seek emergency care, even if you are unsure. It's better to err on the side of caution.
  4. Stay Hydrated and Manage Triggers:

    • Continue drinking adequate water and manage other potential triggers like stress or physical exertion. Balance exercise with rest to prevent symptom flare-ups.
  5. Follow Up With Your GP:

    • Regularly discuss your symptoms with your GP, sharing your concerns about frequent ER visits and any patterns you notice in your symptom diary.

By understanding these indicators and keeping a close watch on your symptoms, you can feel more empowered in managing your condition. Don’t hesitate to ask follow-up questions or for further clarification. You're taking proactive steps, which is a great approach!

Related Questions

Concerns About My Daughter's Morning Health Issues

My 17-year-old daughter experiences troubling symptoms each morning, particularly on days when she needs to rise early for school or work. She often wakes up feeling dizzy and nauseated, accompanied by a rapid heartbeat exceeding 100 beats per minute. This situation prevents her from being able to eat and may persist for several hours, or in some cases, throughout the entire day. Standing at 5 feet 8 inches tall (172 cm) and weighing 121 pounds (55 kg), her physical health otherwise seems fine. I have a personal history of inappropriate sinus tachycardia (IST), which is why I take beta-blockers for management. A few years ago, she consulted a cardiologist regarding her frequent episodes of near-fainting, who recommended increasing her water intake and adding more salt to her meals. Given the persistent nature of her symptoms, I am contemplating whether a follow-up appointment with the cardiologist is warranted, especially since all previous tests, including ECG and ultrasound, came back normal. This situation significantly affects her daily life, restricting her ability to engage fully in school and work. Any suggestions would be greatly appreciated!

Crohn's DiseaseThyroid DisordersCOPD
Male25-34
5 minutes ago

Concerns Regarding Neurological Health

Hello! I received an epilepsy diagnosis back in 2008, and throughout this time, various MRI and CT imaging studies have indicated issues related to cerebral function and encephalopathy. Despite consulting multiple neurologists over the years, I’ve found that none of them appear worried about the encephalopathy aspect. Shouldn’t this be something to take more seriously? My cognitive abilities, including memory and vision, have noticeably deteriorated as time has passed. I’m feeling lost since my previous neurologists have not acknowledged my concerns adequately. If anyone could offer guidance or suggest resources, I would greatly appreciate it. In addition to epilepsy, my other medical conditions include Narcolepsy, Lynch Syndrome, Migraines, a mutation associated with HLA-B27, and Hashimoto's disease, along with others that escape me for the moment. Currently, I’m on a medication regimen that includes Lamictal, Xcopri, Hydroxyzine, Solifenacin, Zoloft, Wellbutrin, Sunosi, Aimovig, and Famotidine.

Multiple SclerosisLupusThyroid Disorders
Male25-34
5 minutes ago

Understanding My Experience with Overdose-Related Symptoms and Behavior

25 years old, 165 cm tall, and weighing 70 kg. Summary: After sharing a complaint about my interactions with paramedics, I've taken a moment to reflect on their feedback and review the situation through the footage. I recognize that my conduct during those moments was inappropriate, and I am filled with remorse. Subsequently, I have retracted my complaint and am now seeking mental health support. I desire to clarify certain aspects since my medical records do not completely align with what I went through. Below, I detail my symptoms. Yesterday, I made a post on the AskDoctors forum, hoping for insights regarding my condition. The advice I received prompted a self-realization that had evaded me until now. Initially, I was outlining a grievance against paramedics who doubted the legitimacy of my seizures and accused me of feigning the experience. My response was not only disproportionate but also hostile—I yelled, wept, and labeled them as heartless. Such reactions were completely unwarranted and unjustifiable. Ultimately, I was physically stable, with vital signs indicating no critical issues; there were only temporary fluctuations in my blood work, which shouldn’t have raised alarms. I feel profound regret over my conduct during that encounter. Watching the footage incites feelings of self-disgust. I’ve decided to withdraw my complaints and am committed to mental health resources. I opted to delete my previous post since it contained sensitive information about my professional and educational background; I was worried it might provoke disciplinary action from my university, which I cherish as my career gives my life meaning. I admit to feeling cowardly in this respect. The initial reason for my inquiry was a desperate need for clarity about the symptoms I experienced, as my discharge documentation omits much of what transpired in the hospital and the subsequent three days. I greatly value the input I’ve received and hope to gather more perspectives. I fully acknowledge my wrongdoings and find my previous behavior abhorrent. I understand how challenging it is for emergency personnel to fulfill their duties when faced with such a situation. I’ve discussed with family and friends the importance of exercising discretion when contacting emergency services and ensuring it’s truly necessary. I regret taking up valuable resources that could have been reserved for individuals in genuine need of urgent care. My actions were shameful, not just for me but also for my colleagues who work in emergency services; I genuinely believe the clinicians should have distanced themselves from my case entirely. I've canceled my appointment with the neurologist, but I would genuinely appreciate insights from others on this subject. Could excessive doses of sertraline, propranolol, promethazine, and alcohol induce psychological seizures? Is it possible for these seizures to recur? Were my hallucinations indicative of some kind of psychosis? During the episodes, I saw hair-like formations everywhere and everything seemed to emit a blue glow. In the hospital, I consistently perceived doctors passing by. At home, the LED lights appeared to move, and I often caught glimpses of faces in my peripheral vision. There were also auditory experiences, such as hearing things that weren’t present, as confirmed by my friend. Initially at home, I was unaware I was having seizures, although I did hear police officers numbering them and acknowledging them as such. I had three episodes where I was placed in the recovery position. In my medical notes, I mentioned experiencing ten seizures throughout the night, though I can’t verify this. I was seemingly in a continuous cycle of them. I recall at least once drooling uncontrollably and my hands looked peculiar; on one occasion, I screamed when I regained consciousness due to an awkward hand position. I also experienced significant neck pain and discomfort in my feet. I know I fell twice while hospitalized; fortunately, my mother was there to catch me each time, so I avoided serious injury. I was never alone in the facility. Everything seemed to settle down after approximately three days, right around my third visit. I recall a persistent ache at the nape of my neck that left me feeling drowsy, often drifting in and out of consciousness and repeatedly asking for the time. It was a never-ending ordeal, and although I had little appetite, I did not vomit at all. Reflecting on this whole episode leaves me feeling as if it were entirely fabricated. I struggle to articulate it. Conversations about care options unfolded around me, yet I grasped little of what was being discussed. I often replied with “yes” or sought validation from my mother. I remember thinking it was remarkable that my mum had glasses with water in them; I even imagined one of my cats perched on my aunt’s shoulder. Overall, it felt akin to a terrifying drug experience. I do have videos capturing my behavior at home, though I cannot recall anything from the hospital. I often awakened with either my mother, aunt, or medical staff restraining me. Could it all stem from psychological causes? Is it possible that the medications led to a psychotic episode where I convinced myself I was experiencing seizures and on the brink of death? After they subsided, I felt like an automaton for weeks, plagued by involuntary muscle jerks—primarily in my legs and neck. I sincerely hope these symptoms do not return. I intend to avoid emergency care unless it’s absolutely necessary. I seek nothing more than to comprehend what transpired. Thank you for your thoughts.

Multiple SclerosisLupusThyroid Disorders
Male25-34
55 minutes ago

A Mysterious Illness That Resembles Strep Throat

As an 18-year-old college student, standing at 5'4" and weighing 140 pounds, I maintain an active lifestyle. I do not smoke or have any preexisting health issues, aside from the vitamins and supplements I take daily. Approximately five days ago, I began to feel unusually fatigued and achy. Within just a day, my symptoms escalated to include a high fever reaching between 101°F and 102°F that ibuprofen couldn’t seem to alleviate. I experienced extreme tiredness that kept me bedridden all day, along with a persistent headache and intense throat pain, which was compounded by swollen lymph nodes and the familiar white patches often associated with strep throat. Having dealt with strep throat before, I recognized a need for antibiotics. Two days into feeling unwell, I visited an urgent care facility for an assessment and received a rapid strep test, which unfortunately came back negative. I recalled a previous incident where my rapid strep test also indicated a false negative, only for the culture sent for further testing to confirm the presence of strep bacteria. Given my symptoms and the findings from the examination, the healthcare provider prescribed Cefdinir, as I am allergic to amoxicillin, despite the negative rapid test results. The antibiotics proved effective, and I felt nearly back to normal, leading me to believe that my culture results would also come back positive for strep, suggesting a recurrence of my previous infection. However, I received the culture results yesterday, and to my surprise, they came back negative for strep. While I lack medical expertise, I’ve been led to believe that false negatives in cultures are exceedingly rare. Now, I find myself puzzled about what kind of bacterial infection I might have had if it wasn’t strep. Any insights or information regarding my situation would be greatly appreciated. Thank you!

ArthritisCrohn's DiseaseEndocrinology
Male25-34
1 hour ago

Bleeding Concerns with IUD and Yeast Infection Treatment

I’m a 20-year-old female, standing at 5’4” and weighing 155 pounds. Hello everyone! Approximately three weeks ago, I had the Kyleena IUD placed, and everything felt fine afterward—I can still feel the strings. I noticed some mild spotting that was brown for about a week, followed by my menstrual period, then continued with light spotting. Recently, I suspect that I might have developed a yeast infection, which I am currently addressing using Monistat 7. I applied the first dose yesterday. To clarify, I am certain that I am not dealing with a sexually transmitted infection. However, I’ve observed an increase in bleeding, significantly more than what I’ve experienced before. The blood appears to be light red, and I would compare the amount to the lightest day of my period. I could comfortably go an entire day without needing to change my pad, though I still do it for hygiene reasons. Is this a common occurrence? Most of the bleeding took place this morning after I woke up, coinciding with the Monistat cream leaving my body. Under what circumstances should I seek medical advice regarding this issue instead of waiting to see how the treatment progresses?

Crohn's DiseaseInternal MedicineEndocrinology
Male25-34
1 hour ago