[20F] Experiencing headache, nausea, and facial tingling

Patient Description

A 20-year-old female reports having a persistent headache, nausea rated at a severity of 5/10, and tingling in the face. The nausea has been persistent for three days and worsens at night. There are no identified factors that provide relief from the nausea. No additional information regarding the headache or facial tingling has been provided.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Migraine: This is a type of headache that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment: Over-the-counter pain relievers and prescription medications can help manage migraines. Lifestyle changes, such as managing stress and avoiding certain foods, can also help.
  • Anxiety: Stress and anxiety can cause a variety of physical symptoms, including headache, nausea, and tingling in the face. These symptoms can be intermittent or constant.

    • Treatment: Cognitive behavioral therapy, medication, and lifestyle changes can help manage anxiety.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches and facial pain or pressure, and can sometimes lead to nausea, especially if the sinusitis is severe.

    • Treatment: Over-the-counter medications, prescription medications, and home remedies can help alleviate symptoms of sinusitis.

Please note that this is not an exhaustive list of possible conditions, and other causes may be possible.

What you can do

You should seek medical attention to get a proper diagnosis. In the meantime, you can try the following to help manage your symptoms:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking enough fluids.
  2. Over-the-counter medication: Non-prescription pain relievers can help manage your headache. There are also over-the-counter medications specifically designed to help with nausea.
  3. Avoid triggers: If you notice that certain foods or activities make your symptoms worse, try to avoid them.

What you should look out for

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

  • Severe headache or headache that worsens over time
  • High fever
  • Difficulty seeing or speaking
  • Severe abdominal pain
  • Vomiting that prevents you from keeping down fluids

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider for an accurate diagnosis.

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10 mo ago

People Also Ask


What are common symptoms of a migraine?

Common symptoms of a migraine include severe throbbing or pulsing pain, usually on one side of the head, nausea, vomiting, and sensitivity to light and sound. Migraine attacks can last from hours to days.


How can anxiety cause physical symptoms like headaches and nausea?

Anxiety can lead to physical symptoms due to the body's stress response, which can cause muscle tension, changes in blood flow, and the release of stress hormones. This can result in headaches, nausea, and tingling sensations.


What are the typical signs of sinusitis?

Typical signs of sinusitis include facial pain or pressure, nasal congestion, thick nasal discharge, reduced sense of smell, and sometimes fever. Severe sinusitis can also lead to headaches and nausea.


When should I seek immediate medical attention for a headache?

You should seek immediate medical attention for a headache if it is severe or worsens over time, is accompanied by a high fever, causes difficulty seeing or speaking, or if you experience severe abdominal pain or vomiting that prevents you from keeping down fluids.


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