[18F] Experiencing severe and persistent headache

Patient Description

An 18-year-old female is reporting a severe, persistent headache described as both aching and throbbing in nature. The pain is significant enough to feel like the brain is moving and is exacerbated by even slight movements. The headache has been present for a few days and is unrelenting, occurring all day and night. It only subsides with the administration of ibuprofen. There are no other accompanying symptoms, and this is the first occurrence of such a headache for the patient. No other health changes or symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

  • Tension Headache: This is the most common type of headache and can be caused by stress, anxiety, lack of sleep, or skipping meals. The pain is often described as a constant ache or pressure around the front, top, and sides of the head.

    • Treatment typically involves over-the-counter pain relievers like ibuprofen, which you mentioned helps alleviate your pain. Lifestyle changes such as regular exercise, proper posture, and relaxation techniques can also help.
  • Migraine: This is a type of headache characterized by throbbing pain, usually on one side of the head. However, it can also affect the whole head and neck area. Migraines can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment for migraines often involves medications to relieve symptoms and prevent future attacks. Lifestyle modifications such as avoiding known triggers, regular exercise, and adequate sleep can also help manage migraines.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause pain and pressure in your forehead and behind your eyes. It's often accompanied by other symptoms like a runny or stuffy nose, fatigue, and fever.

    • Treatment usually involves managing symptoms with over-the-counter medications, nasal irrigation, and rest. If symptoms persist, a doctor may prescribe antibiotics or other treatments.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

  1. Continue taking over-the-counter pain relievers as needed, but be sure not to exceed the recommended dosage.
  2. Try to identify any potential triggers for your headache, such as lack of sleep, certain foods or drinks, or stress.
  3. Practice good sleep hygiene, eat regular, balanced meals, and stay hydrated.
  4. Try relaxation techniques, such as deep breathing, yoga, or meditation, which may help reduce headache pain.
  5. If your headache persists or worsens, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • A sudden, severe headache like a thunderclap
  • Headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
  • Headache after a head injury, especially if the headache gets worse
  • A chronic headache that is worse after coughing, exertion, straining or a sudden movement
  • New headache pain if you're over 50

Remember, I'm an AI and this advice is based on the information you provided. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of severe, persistent headaches in young adults?

Common causes of severe, persistent headaches in young adults include tension headaches, migraines, and sinusitis. Stress, lack of sleep, dehydration, and dietary factors can also contribute to headaches.


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

Tension headaches are often described as a constant ache or pressure around the head, while migraines are characterized by throbbing pain, usually on one side of the head, and may be accompanied by nausea or sensitivity to light and sound.


What lifestyle changes can help prevent headaches?

Lifestyle changes that can help prevent headaches include maintaining a regular sleep schedule, staying hydrated, eating balanced meals, managing stress through relaxation techniques, and avoiding known headache triggers.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is sudden and severe, accompanied by symptoms like fever, stiff neck, confusion, or if it occurs after a head injury. Also, if the headache is chronic and worsens with certain activities or if you are over 50 and experiencing new headache pain.


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