[18M] Experiencing proximity-induced headaches post-injury

Patient Description

An 18-year-old male reports dull headaches that are triggered when potentially harmful objects, such as walls, get close to his forehead. The intensity of the headache increases with the proximity of the object but subsides when the object is moved away. This condition began a few days after the patient accidentally ran into a barbed wire fence, which resulted in a minor cut on his head. The wound was treated at home with hydrogen peroxide and a bandaid, and no tetanus shot was administered. The patient has no other accompanying symptoms, no known allergies, is not on any medications, and has no history of chronic illnesses or pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you are experiencing a type of headache known as a tension-type headache. These headaches are often described as a dull, aching sensation all over the head. They are often triggered by stress, anxiety, or fatigue. In your case, it seems that the trigger is the proximity of potentially harmful objects to your head. This could be a psychological response to the recent trauma you experienced when you ran into the barbed wire fence.

Another possibility is that you are experiencing a form of post-traumatic headache. These headaches can occur after a head injury and can present in various forms, including tension-type headaches.

It's also important to note that the cut you sustained from the barbed wire fence, even if it seemed minor, could potentially lead to an infection if not properly treated. This could potentially cause symptoms such as headaches, although it would typically be accompanied by other symptoms such as fever or swelling at the site of the wound.

What you can do

  1. Try to manage your stress levels. This might involve practicing relaxation techniques such as deep breathing, meditation, or yoga. Regular physical activity and a healthy diet can also help to reduce stress levels.
  2. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help to alleviate the pain of a headache. However, these should be used sparingly, as overuse can lead to rebound headaches.
  3. It's important to monitor the cut on your head for signs of infection, such as redness, swelling, or pus. If you notice any of these signs, seek medical attention immediately.
  4. If your headaches persist or worsen, or if you develop any new symptoms, you should seek medical attention. A healthcare provider can provide a more thorough evaluation and determine the appropriate treatment for your condition.

What you should look out for

You should seek medical attention immediately if you experience any of the following:

  • Severe headache or headache that suddenly begins
  • Headache accompanied by confusion, fainting, high fever, stiff neck, rash, or trouble speaking
  • Headache after a head injury, especially if the headache gets worse
  • Chronic, progressive headache that is worse in the morning
  • Headache that worsens with coughing or movement

Remember, I'm an AI and can't replace a real doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What are tension-type headaches and how are they triggered?

Tension-type headaches are characterized by a dull, aching sensation all over the head. They are often triggered by stress, anxiety, or fatigue. In some cases, they can be triggered by psychological responses to trauma, such as the proximity of potentially harmful objects.


What is a post-traumatic headache and how does it differ from other types of headaches?

A post-traumatic headache occurs after a head injury and can present in various forms, including tension-type headaches. They may be similar to other headaches but are specifically linked to a recent head trauma.


How can I tell if a cut on my head is infected?

Signs of an infected cut include redness, swelling, pus, and increased pain at the site of the wound. If you notice any of these symptoms, it's important to seek medical attention.


When should I seek medical attention for a headache after a head injury?

You should seek medical attention if you experience a severe headache, a headache that suddenly begins, or if it's accompanied by symptoms like confusion, fainting, high fever, stiff neck, rash, or trouble speaking. Also, if the headache worsens after a head injury, it's important to consult a healthcare provider.


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