[20F] Experiencing headache with dizziness and nausea
Patient Description
A 20-year-old female reports waking up with a headache on the right side of her head, which has persisted for approximately 14 hours. The pain, described as sharp when moving the neck and head, is rated a 6 out of 10 in severity. Accompanying symptoms include dizziness, particularly when standing, and some nausea. The patient has a history of occasional headaches but notes this instance as not being frequent. No fever, neck stiffness, sudden severe headache, or changes in speech, vision, or movement were reported. The patient has a medical history of Addison's disease, diagnosed 8 years ago, and allergies to penicillin and omnicef. Current medications include Lexapro (20mg daily), Cortef (5mg daily), Breo (one puff once a day), and Singulair (10mg daily).
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Arora's Assessment
What might be happening
Based on the information you've provided, here are a few possibilities:
- Tension Headache: This is a common type of headache characterized by a dull, aching sensation all over the head. It is often described as a feeling of a tight band or dull ache around the head or behind the eyes. These headaches are often related to stress, depression, or anxiety. Over-the-counter pain relievers such as ibuprofen or aspirin can be effective. Relaxation techniques may also help.
- Migraine: This is a type of headache characterized by severe pain on one side of the head. Associated symptoms can include nausea and dizziness. Treatment typically includes rest, hydration, and over-the-counter or prescription medications.
- Dehydration: Dehydration can cause both headaches and dizziness. It's important to drink plenty of fluids and eat foods high in water such as fruits and vegetables.
- Addison's Disease: This is a disorder that occurs when your body produces insufficient amounts of certain hormones produced by your adrenal glands. In Addison's disease, your adrenal glands produce too little cortisol and, often, too little aldosterone. Dizziness and fatigue are common symptoms of Addison's disease. It's important to manage this condition under the care of a healthcare provider.
What you can do
- Rest and hydrate: Make sure you're getting enough sleep and drinking plenty of fluids. Dehydration can cause both headaches and dizziness.
- Over-the-counter pain relievers: Try taking over-the-counter pain relievers such as ibuprofen or aspirin to help with your headache.
- Monitor your symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your healthcare provider.
- Consult with a healthcare provider: If your symptoms persist or worsen, seek medical attention. Your healthcare provider can perform a physical examination and order tests to determine the cause of your symptoms.
What you should look out for
Seek immediate medical attention if you experience:
- Severe headache or headache that worsens
- Fever
- Stiff neck
- Mental confusion
- Seizures
- Double vision
- Weakness, numbness or difficulty speaking
- Uncontrolled vomiting
Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.
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8 mo ago