[18F] Experiencing facial pressure and headache with upper respiratory symptoms

Patient Description

An 18-year-old female presents with symptoms of throbbing headache localized behind one eye, facial pressure, runny nose, nasal congestion, fatigue, and sore throat. The headache, which began the previous night, is rated 8/10 in severity and is exacerbated by loud sounds and light, though partially relieved by Tylenol. The patient has a history of asthma diagnosed in infancy. No fever, neck stiffness, vision changes, nausea, or vomiting are reported. No known drug allergies or adverse medication reactions were mentioned.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. This can cause pressure or pain in the face, a runny nose, and congestion. Fatigue and a sore throat can also be associated symptoms.

    • Treatment typically involves rest, hydration, over-the-counter pain relievers, and decongestants. If symptoms persist for more than a week or worsen, a healthcare provider may prescribe antibiotics.
  • Migraine: This is a type of headache characterized by throbbing pain, usually on one side of the head. Sensitivity to light and sound are common symptoms.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. If migraines are frequent or severe, a healthcare provider may prescribe specific migraine medications.

Please note that these are potential explanations for your symptoms, but only a healthcare provider can provide a definitive diagnosis.

What you can do

  1. Rest and hydrate: This can help your body recover and can alleviate symptoms of both sinusitis and migraines.
  2. Over-the-counter medication: Pain relievers can help with the headache and facial pressure, while decongestants can help with the runny nose and congestion.
  3. Avoid triggers: If you notice certain things make your headache worse, try to avoid them. This could include bright lights or loud sounds.

What you should look out for

If any of the following occur, seek medical attention immediately:

  • Severe headache or headache that worsens
  • Fever or stiff neck
  • Difficulty breathing or severe chest pain (as you have a history of asthma)
  • Symptoms that persist for more than a week or worsen

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include facial pressure or pain, runny nose, nasal congestion, fatigue, and sometimes a sore throat. These symptoms are due to inflammation or swelling of the tissue lining the sinuses.


How can I differentiate between a migraine and a sinus headache?

A migraine is typically characterized by a throbbing headache on one side of the head, often accompanied by sensitivity to light and sound, and sometimes nausea. A sinus headache is usually associated with facial pressure, nasal congestion, and a runny nose. If unsure, consult a healthcare provider for an accurate diagnosis.


What over-the-counter medications can help with sinusitis symptoms?

Over-the-counter medications that can help with sinusitis symptoms include pain relievers like acetaminophen or ibuprofen for headache and facial pain, and decongestants like pseudoephedrine or phenylephrine to relieve nasal congestion.


When should I see a doctor for a headache?

You should see a doctor for a headache if it is severe or worsening, if you experience a fever or stiff neck, if you have difficulty breathing or severe chest pain, or if the symptoms persist for more than a week or worsen. These could be signs of a more serious condition that requires medical attention.


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