[18F] Experiencing severe headaches, dizziness, and other symptoms

Patient Description

An 18-year-old female has been experiencing severe, constant, dull, throbbing headaches daily for the past two years. The pain starts at the front of the head and progresses to both sides and the back, rated at an intensity of 8 out of 10. These headaches are accompanied by nausea, sweating, fatigue, and at times, jaw pain near the ears. The patient also reports that her ankles are swollen every evening, a condition that has persisted for two weeks. Night sweats are significant enough to wet clothing. The patient's medical history includes juvenile arthritis and premature ventricular contractions, diagnosed three years ago. Current medications include Ajovy and Ubrelvy for headache management. The patient denies any known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Migraines: These are severe headaches often accompanied by other symptoms such as nausea, vomiting, and sensitivity to light and sound. Migraines can also cause sweating and can be triggered or worsened by physical activity. Your description of a throbbing headache that starts at the front of your head and wraps around to both sides and the back is characteristic of migraines. The fact that you find relief from your headache by resting and going to sleep also supports this diagnosis.

    • Treatment typically involves medications to relieve symptoms and prevent future attacks. Lifestyle modifications, such as stress management and regular sleep, can also help.
  • Temporomandibular Joint Disorder (TMJ): This condition affects the joint that connects your jaw to the side of your head, causing pain and discomfort. Your description of a dull, constant pain in your jaw, particularly at the joint by your ears, is characteristic of TMJ.

    • Treatment typically involves medications, physical therapy, and lifestyle modifications. In severe cases, surgical intervention may be necessary.
  • Edema: This is a condition characterized by an excess of watery fluid collecting in the cavities or tissues of the body. It could explain your swollen ankles. However, it's important to note that edema is usually a symptom of an underlying condition, such as heart disease or kidney disease.

    • Treatment typically involves managing the underlying condition. Elevating the affected limbs, exercising, and reducing salt intake can also help.

Please note that these are only possible explanations for your symptoms. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Try over-the-counter pain relievers for your headaches and jaw pain. However, be sure to follow the instructions on the package and avoid overuse, as this can lead to medication-overuse headaches.
  2. Try to identify and avoid potential migraine triggers. These can include certain foods, stress, changes in sleep patterns, and physical exertion.
  3. Apply a warm compress to your jaw to help relieve pain.
  4. Elevate your feet when you're sitting or lying down to help reduce swelling in your ankles.

What you should look out for

Here are some signs that you should seek immediate medical attention:

  • Severe headache or migraine that doesn't improve with medication
  • Sudden, severe swelling in your ankles
  • Difficulty breathing or chest pain, which could indicate a serious heart condition
  • Severe or worsening jaw pain

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, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of migraines and how can they be managed?

Migraines are often characterized by severe, throbbing headaches, usually on one side of the head, and can be accompanied by nausea, vomiting, and sensitivity to light and sound. Management includes medications to relieve symptoms and prevent future attacks, as well as lifestyle changes like stress management and regular sleep patterns.


What is Temporomandibular Joint Disorder (TMJ) and what are its treatment options?

Temporomandibular Joint Disorder (TMJ) affects the joint connecting the jaw to the skull, causing pain and discomfort, especially near the ears. Treatment options include medications, physical therapy, lifestyle modifications, and in severe cases, surgery.


What causes edema and how can it be treated?

Edema is caused by excess fluid in the body's tissues and can be a symptom of underlying conditions like heart or kidney disease. Treatment involves managing the underlying condition, elevating the affected limbs, exercising, and reducing salt intake.


What are the potential side effects of Ajovy and Ubrelvy for headache management?

Ajovy and Ubrelvy are medications used for migraine management. Common side effects of Ajovy include injection site reactions, while Ubrelvy may cause nausea and drowsiness. It's important to discuss potential side effects with a healthcare provider.


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