[19F] Experiencing headache, dizziness, and congestion

Patient Description

A 19-year-old female presents with a constellation of symptoms including a constant headache with pressure behind the eyes and top of the head, dizziness described as a sensation of floating and world shaking, and nasal congestion. These symptoms have persisted for over a week. The patient rates the headache and dizziness severities as 6 and 5 out of 10, respectively. Nausea with a loss of appetite has been present for 3-4 days, rated at a severity of 3 out of 10. The patient also reports extreme fatigue. There is no reported stiffness in the neck, changes in vision, or rashes. The patient has a medical history of fibromyalgia, PCOS, and pain amplification syndrome, and is currently taking Lyrica, Fluoxetine, Flexarill, Lamotrigine, Poly Iron, Hydroxyzine, and supplements including Vitamin C, D, Zinc, and Magnesium. The patient has noted allergies to Azithromycin and Morphine, which cause an elevated heart rate and a burning pain with nausea and syncope, respectively.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you might be experiencing one of the following conditions:

  • Influenza (Flu): This is a common viral infection that can cause fever, headache, body aches, and congestion. It can also cause fatigue and sometimes nausea.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms. Antiviral medication may be prescribed by a doctor if the flu is diagnosed within the first 48 hours of symptom onset.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses, often caused by a viral or bacterial infection. Symptoms can include headache, congestion, and sometimes dizziness and nausea.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms. Antibiotics may be prescribed by a doctor if a bacterial infection is suspected.
  • Migraine: This is a type of headache characterized by severe, throbbing pain, often on one side of the head. It can be accompanied by nausea, dizziness, and sensitivity to light and sound.

    • Treatment usually involves medication to relieve symptoms and prevent future attacks.

Please note that these are just possibilities based on your symptoms and it's important to consult with a healthcare professional for a formal diagnosis.

What you can do

Here are some general suggestions that might help you feel better:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking enough fluids. This can help your body recover and alleviate some of your symptoms.

  2. Over-the-counter medication: Over-the-counter pain relievers may help with your headache and body aches. Over-the-counter decongestants may help with your congestion.

  3. Monitor your symptoms: Keep track of your symptoms and any changes. This can be helpful information for your doctor.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe headache or headache that gets progressively worse
  • High fever (temperature over 100.4°F)
  • Difficulty breathing or shortness of breath
  • Severe dizziness or fainting
  • Persistent vomiting or inability to keep down fluids

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of sinusitis and how is it treated?

Common symptoms of sinusitis include headache, facial pain or pressure, nasal congestion, and sometimes dizziness and nausea. Treatment typically involves rest, hydration, and over-the-counter medications to relieve symptoms. If a bacterial infection is suspected, a doctor may prescribe antibiotics.


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

A migraine is often characterized by severe, throbbing pain, usually on one side of the head, and can be accompanied by nausea, dizziness, and sensitivity to light and sound. A regular headache may not have these additional symptoms and is usually less severe.


What are the potential side effects of the medications I am currently taking?

The medications you are taking, such as Lyrica, Fluoxetine, Flexarill, Lamotrigine, and Hydroxyzine, can have side effects including dizziness, drowsiness, nausea, and changes in appetite. It's important to discuss any concerns with your healthcare provider.


When should I seek medical attention for my symptoms?

You should seek medical attention if you experience a severe headache or one that worsens, a high fever, difficulty breathing, severe dizziness or fainting, or persistent vomiting. These could be signs of a more serious condition.


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