[19F] Experiencing severe, unilateral headache with vomiting

Patient Description

A 19-year-old female presents with a severe, sharp, throbbing headache localized to one side of the head, extending to the neck, rated 9 out of 10 in intensity. The headache has been persistent for approximately 2 weeks and is exacerbated by loud noises. The patient reports associated symptoms of vomiting. There is no relief from the headache with any measures taken so far, and this is the first occurrence of such a headache. The patient denies any history of similar headaches in the past. The patient is not currently pregnant and has not mentioned any other medical conditions or medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possible causes for your symptoms:

  • Migraine: This is a type of headache characterized by severe, throbbing pain usually on one side of the head. It can be accompanied by nausea, vomiting, and sensitivity to light and sound. The exact cause of migraines is unknown, but they can be triggered by stress, certain foods, or changes in your sleep pattern.

    • Treatment typically involves medications to relieve the symptoms and prevent future attacks. Lifestyle changes such as regular sleep, exercise, and stress management can also help.
  • Cluster Headache: These are extremely painful headaches that occur in clusters or cycles. They are usually felt on one side of the head and can cause severe pain around the eye. They are often accompanied by other symptoms such as a runny or blocked nose, and a droopy eyelid.

    • Treatment can involve acute treatments to relieve symptoms, and preventive treatments to reduce the frequency and severity of the headaches.
  • Tension Headache: This is the most common type of headache and is often caused by muscle contractions in the head and neck. It can cause mild to moderate pain on both sides of the head.

    • Treatment usually involves over-the-counter pain relievers, stress management, and physical therapy.

Please note that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Try over-the-counter pain relievers like ibuprofen or acetaminophen.
  2. Rest in a quiet, dark room.
  3. Apply a warm compress to the area where you're feeling pain.
  4. Stay hydrated and avoid caffeine and alcohol.
  5. Try to identify and avoid potential headache triggers, such as certain foods, lack of sleep, and stress.

What you should look out for

Seek immediate medical attention if:

  • Your headache is sudden and severe
  • You have a headache after a head injury
  • Your headache is accompanied by fever, stiff neck, confusion, seizure, double vision, weakness, numbness, or difficulty speaking
  • Your headache gets worse over time.

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

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10 mo ago

People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include severe, throbbing pain usually on one side of the head, nausea, vomiting, and sensitivity to light and sound.


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

Migraines typically involve severe, throbbing pain on one side of the head and are often accompanied by nausea and sensitivity to light and sound. Tension headaches usually cause mild to moderate pain on both sides of the head and are often associated with muscle tension in the neck and shoulders.


What lifestyle changes can help prevent migraines?

Lifestyle changes that can help prevent migraines include maintaining a regular sleep schedule, managing stress, staying hydrated, avoiding known triggers such as certain foods or caffeine, and engaging in regular physical exercise.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is sudden and severe, occurs after a head injury, is accompanied by symptoms like fever, stiff neck, confusion, or if it worsens over time.


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