[18M] Experiencing frequent headaches and eye heaviness

Patient Description

An 18-year-old male has been experiencing frequent headaches and heaviness in the eyes for the past 2 months and 5 days, respectively. The headaches, described as feeling like the head is splitting, occur 3 to 4 times a day with a severity of 4 out of 10, primarily located in the front of the head. No relief has been found for these headaches. The patient also reports a sensation of heavy eyes leading to tiredness and sluggishness, with vision occasionally blurring 2 to 3 times a day before returning to normal. Additionally, there is a reported weakness in the arms and legs, with the legs feeling sore 90% of the time. The patient is currently taking D-amphetamine, guanfacine, aripiprazole, and sertraline. There are no known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible explanations for your symptoms include:

  • Migraines: These are severe headaches that can cause throbbing pain, usually on one side of the head. They can last for hours or even days and can be accompanied by sensitivity to light and sound, nausea, and vomiting. Migraines can sometimes cause visual disturbances known as "aura" before the headache begins.

    • Treatment typically involves pain-relieving medications and preventive medications. Lifestyle changes, such as stress management and regular sleep, can also help.
  • Tension headaches: These are the most common type of headache and can cause a constant ache and pressure around the head, especially at the temples or back of the head and neck. They are often related to stress, depression, or anxiety.

    • Over-the-counter pain relievers such as ibuprofen or aspirin can be effective. Lifestyle modifications, such as regular physical activity and relaxation techniques, can also be beneficial.
  • Side effects of medication: D-amphetamine, guanfacine, aripiprazole, and sertraline can all potentially cause headaches and other side effects. It's important to discuss these symptoms with your healthcare provider.

    • Management of side effects typically involves adjusting the dose or switching to a different medication under the supervision of a healthcare provider.
  • Dehydration: Even mild dehydration can cause headaches and fatigue. It's important to drink enough fluids throughout the day, especially if you're active or it's hot outside.

    • Treatment involves rehydrating by drinking fluids and avoiding dehydration in the future.

What you can do

  1. Keep a headache diary: This can help identify triggers for your headaches. Note when your headaches start, what you were doing at the time, how long they last, and what, if anything, provides relief.

  2. Stay hydrated: Make sure you're drinking enough fluids throughout the day.

  3. Regular sleep: Try to get a regular sleep schedule, going to bed and waking up at the same times every day.

  4. Regular meals: Skipping meals can trigger migraines in some people, so try to eat at about the same times daily.

  5. Relaxation techniques: Techniques such as yoga, meditation, and progressive muscle relaxation may help reduce the frequency of headaches.

  6. Consult with your healthcare provider: It's important to discuss these symptoms with your healthcare provider, especially since they could be related to your medications.

What you should look out for

  • If your headaches become more severe or frequent
  • If your headaches are accompanied by other symptoms such as fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties
  • If your headaches are different than they've been in the past
  • If your headaches are triggered by coughing, bending, sexual activity, or hard physical activity
  • If your headaches are accompanied by shortness of breath, chest pain, or other signs of serious illness

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

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10 mo ago

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People Also Ask


What are the common causes of frequent headaches in young adults?

Common causes of frequent headaches in young adults include migraines, tension headaches, stress, dehydration, and side effects from medications. It's important to identify the specific cause to manage the symptoms effectively.


Can medications like D-amphetamine and sertraline cause headaches or other side effects?

Yes, medications such as D-amphetamine and sertraline can cause headaches as a side effect. It's important to discuss any side effects with a healthcare provider, who may adjust the dosage or suggest alternative treatments.


How can dehydration contribute to headaches and fatigue?

Dehydration can lead to headaches and fatigue because it affects the body's ability to function properly. Ensuring adequate fluid intake throughout the day can help prevent these symptoms.


What lifestyle changes can help manage or prevent headaches?

Lifestyle changes that can help manage or prevent headaches include maintaining a regular sleep schedule, staying hydrated, eating regular meals, managing stress through relaxation techniques, and engaging in regular physical activity.


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