instruction: hello doctor a few months before I developed a gastric issue that required treatment with pips soon into using the drugs I developed headaches dizziness and nausea I changed the type of pi three times but the symptoms persisted the symptoms included a feeling of pressure above my right ear and behind my right eye later I came off the pips and after using over the counter headache painkillers for three days the severity of the headaches eased but the feeling of pressure remains to this day on the right side of the face I often feel heavy head or even light headed with a slight dizziness often as if I am hung over the symptoms come and go but are there every day for differing periods of time and the constant is this feeling of slight pressure on the right side of my head above the ear and extending sometimes down to the cheek and behind the right eye
output: hello I read carefully your question and would explain that the dizziness does not seem to be related to pi adverse effects as it would have disappeared now for this reason I would recommend consulting first with an ent specialist in order to exclude a possible inner ear disorder which could trigger this clinical situation it is also necessary to perform a sinus ray study inflammation tests complete blood count per ear and thyearoid hormone levels in order to exclude a possible thyearoid gland dysfunction if all the above tests result are normal I would recommend consulting a neurologist for a physical exam a brain mri may be necessary I hope this helps