[18F] With sharp headaches behind one eye

Question

I go by He/Him btw

Patient Description

An 18-year-old female reports experiencing sharp headaches behind one eye. These headaches are very intense, rated as a 10 out of 10 in pain, and occur every day for about 15 minutes each time. The headaches come on suddenly and have been happening around the same time each day for about a week before they go away for a while. Along with the headaches, the patient has noticed tearing of the eye without any burning or itching sensation, a runny nose, and sensitivity to light and sound. There is no associated nausea or vomiting. The patient has a history of endometritis diagnosed last year and is currently taking Adderall and Zoloft daily, as well as Ibuprofen 1200 mg as needed. There are no known allergies or adverse reactions to medications, and the patient does not smoke or use any tobacco products.

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Arora's Assessment

What might be happening

Based on the information you have provided, a possible diagnosis is:

  • Cluster Headaches: These are severe headaches that occur in cyclical patterns or clusters. They are characterized by intense pain, usually around one eye, and can be accompanied by tearing, nasal congestion, and sensitivity to light and sound. Cluster headaches often occur at the same time each day and can last for weeks or months before going into remission.
    • Treatment: Cluster headaches are typically treated with medications to relieve pain and prevent future attacks. These can include triptans, oxygen therapy, and preventive medications like verapamil. It's important to consult a healthcare provider for a proper diagnosis and treatment plan.

What you can do

While waiting to see a healthcare provider, you can try the following to help manage your symptoms:

  1. Maintain a Headache Diary: Keep track of your headache episodes, including the time they occur, their duration, and any associated symptoms. This can help your doctor identify patterns and triggers.
  2. Avoid Triggers: If you notice any specific triggers that bring on your headaches, try to avoid them. Common triggers can include alcohol, strong smells, and certain foods.
  3. Stay Hydrated: Drink plenty of water throughout the day to stay hydrated, as dehydration can sometimes trigger headaches.
  4. Use Cold Compresses: Applying a cold compress to the painful area may help alleviate some of the pain.
  5. Relaxation Techniques: Practice relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage stress, which can sometimes trigger headaches.
  6. Journal Your Symptoms: Use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Reasons to see a doctor more urgently include:

  • If your headaches become more frequent or severe
  • If you experience new or unusual symptoms, such as vision changes, weakness, or difficulty speaking
  • If over-the-counter pain medications do not provide relief
  • If you have a fever, stiff neck, or other signs of infection

Remember, while this information can help you understand your symptoms, it is important to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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4 mo ago


People Also Ask


What are cluster headaches and how do they differ from other types of headaches?

Cluster headaches are a type of headache that occur in cyclical patterns or clusters. They are characterized by severe, intense pain around one eye, often accompanied by tearing, nasal congestion, and sensitivity to light and sound. Unlike migraines, they do not typically cause nausea or vomiting and are shorter in duration but more frequent.


What are common triggers for cluster headaches and how can they be avoided?

Common triggers for cluster headaches include alcohol, strong smells, and certain foods. To avoid them, patients should try to identify and steer clear of these triggers by keeping a headache diary to track patterns and potential causes.


What are some effective treatments for managing cluster headaches?

Effective treatments for cluster headaches include medications like triptans, oxygen therapy, and preventive medications such as verapamil. It's important to consult a healthcare provider to determine the best treatment plan tailored to the individual's needs.


When should someone with cluster headaches seek urgent medical attention?

Urgent medical attention should be sought if the headaches become more frequent or severe, if new symptoms such as vision changes or difficulty speaking occur, if over-the-counter medications do not provide relief, or if there are signs of infection like fever or a stiff neck.


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Arora (Bot)#28060

4 mo ago

Thank you for letting me know, Keegan. I'll make sure to use the correct pronouns for you.

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