[19F] With headache, tingling sensation on head, and dizziness

Patient Description

A 19-year-old female has been experiencing a headache on the right side of her head for the past two days. The headache is described as a dull throbbing and sharp pain, with an intensity of 5 out of 10. It came on suddenly and has been persistent. The patient reports possible light sensitivity but has not identified any specific triggers or relief methods. This is the first occurrence of such a headache, and it has not been accompanied by nausea or vomiting. Additionally, the patient has been feeling a tingling sensation on her head since the headache started. This tingling is not described as pins and needles or numbness but rather something else. There is no weakness or numbness in the face, arms, or legs, nor any visual disturbances, hearing changes, or ringing in the ears. The patient has not consumed any alcohol, caffeine, or recreational drugs recently, nor has she taken any new medications or made significant changes to her diet or environment. Her past medical history does not include any pre-existing conditions or chronic illnesses. The only medications she is currently taking are birth control (0.15 mg desogestrel and 0.03 mg ethinyl estradiol) and Vitamin D (5,000 IU), both of which she takes daily.

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Arora's Assessment

What might be happening

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

  • Migraine: Migraines are a common type of headache that can cause a throbbing pain, often on one side of the head. They can also be associated with light sensitivity, dizziness, and tingling sensations. Migraines can be triggered by various factors, including stress, hormonal changes, certain foods, and lack of sleep.

    • Treatment: Over-the-counter pain relievers like ibuprofen or acetaminophen can help. Prescription medications specifically for migraines may also be necessary. Lifestyle changes, such as regular sleep patterns and avoiding known triggers, can be beneficial.
  • Tension Headache: These are the most common type of headache and can cause a dull, aching pain on one or both sides of the head. They can also be associated with a feeling of tightness or pressure around the head.

    • Treatment: Over-the-counter pain relievers, stress management techniques, and regular physical activity can help alleviate symptoms.
  • Vestibular Migraine: This type of migraine can cause dizziness and vertigo along with headache. It can also be associated with light sensitivity and tingling sensations.

    • Treatment: Similar to other migraines, treatment may include medications and lifestyle changes. Vestibular rehabilitation therapy may also be recommended.
  • Sinus Headache: Although less likely given your symptoms, sinus headaches can cause pain and pressure in the forehead, cheeks, and around the eyes. They are often associated with sinus congestion and can cause dizziness.

    • Treatment: Decongestants, antihistamines, and nasal corticosteroids can help relieve sinus congestion and associated headaches.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

  1. Stay Hydrated: Drink plenty of water throughout the day to stay hydrated, as dehydration can worsen headaches and dizziness.
  2. Rest in a Dark, Quiet Room: If you suspect a migraine, resting in a dark, quiet room can help alleviate symptoms.
  3. Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can help reduce headache pain.
  4. Avoid Triggers: If you notice certain foods, activities, or environmental factors that seem to trigger your symptoms, try to avoid them.
  5. Maintain a Regular Sleep Schedule: Ensure you get enough sleep and maintain a consistent sleep schedule.
  6. Use MDandMe: You can 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

Seek medical attention if you experience any of the following:

  • Severe or Sudden Headache: If your headache becomes extremely severe or comes on very suddenly, seek immediate medical attention.
  • Neurological Symptoms: If you experience weakness, numbness, difficulty speaking, or vision changes, seek medical care promptly.
  • Persistent or Worsening Symptoms: If your symptoms persist or worsen despite trying the above measures, consult a healthcare professional.
  • New or Unusual Symptoms: If you develop new or unusual symptoms, such as fever, neck stiffness, or confusion, seek medical attention.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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5 mo ago

People Also Ask


What are common triggers for migraines?

Common triggers for migraines include stress, hormonal changes, certain foods (like aged cheese and processed meats), caffeine, alcohol, lack of sleep, and changes in weather or environment.


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

Migraines often present with throbbing pain on one side of the head, light sensitivity, and sometimes nausea, while tension headaches typically cause a dull, aching pain on both sides of the head with a feeling of tightness or pressure.


What are some effective over-the-counter treatments for headaches?

Effective over-the-counter treatments for headaches include ibuprofen, acetaminophen, and aspirin. It's important to follow the dosage instructions and consult a healthcare provider if headaches persist.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it becomes extremely severe or sudden, if you experience neurological symptoms like weakness or vision changes, if symptoms persist or worsen despite treatment, or if you develop new symptoms like fever or neck stiffness.


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