instruction: hello doctor I am a 19 year old female almost every time I stand up or sit up I get extremely dizzy and lose all eyesight and everything looks like a to that lost signal I also lose most of my hearing and there is also ringing noises in my ear after a few minutes I can see again but I get about 20 seconds of an excruciating migraine I usually have to hold on to something because I almost always lose balance there have also been a few episodes while just sitting down I get blackouts it is just the same as described in the ones when I get while I stand up but about 20 times longer and I constantly fall and cannot stand or see absolutely anything in those cases that episode lasts for about half an hour I have had the constant spells when I stand up a few times daily at least for the past couple of years and thought they would decrease by now but the bad spells that I get have become more frequent in the past few months once every two weeks or so I have not had any injuries in the past few years so I have no clue what could be going on it is starting to really concern me also when I am exposed to the color white or yellow my color in my vision changes and I start to see different colors I have no idea if that is related but I have had those for years
output: hello frequent chronic headaches are most commonly due to migraine headache chronic tension headache migraine headaches are usually unilateral associated with throbbing vomiting sensations photophobia and phonophobia chronic tension headaches usually present with heaviness in head band like sensation over the head with sleeping difficulties important here is to differentiate between the two a clinical examination especially neurological examination funds examination are must to rule out any other neurological problem which might also require neuroimaging you should see your doctor he will classify the headache and if it is migrainous treatment would be with drugs like flunarizine propanolol amitryptyline tension headaches are treated with amitryptilline escitalopram with behavioral modification treatment I hope this helps