[20F] Experiencing headaches and blurry vision

Patient Description

A 20-year-old female has been experiencing throbbing and tension headaches for a little over two weeks. The headaches, which rate a 5 or 6 in severity, are mostly located on the right side but can spread to other areas. They are relieved by Excedrin Migraine. Additionally, the patient has noticed blurry vision, particularly when trying to see objects at a distance, which also seems to worsen the headache. There is no history of similar symptoms, and the patient does not report any other associated symptoms such as nausea, vomiting, sensitivity to light or sound, fever, stiff neck, rash, confusion, seizure, double vision, weakness, or trouble speaking. The patient has no known drug allergies, is not on any medications, and has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possibilities:

  • Migraines: These are severe headaches that can cause throbbing pain, often on one side of the head. They can sometimes be accompanied by visual disturbances, such as blurry vision. Migraines can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment typically involves pain-relieving medications and preventive medications.
  • Tension headaches: These are the most common type of headache, and they can cause a sensation of tightness around your forehead or at the back of your head. They can be triggered by stress, anxiety, or straining your eyes.

    • Treatment typically involves pain relievers, stress management techniques, and lifestyle changes.
  • Refractive errors: These are vision problems that occur when the shape of your eye prevents light from focusing directly on your retina. The most common types of refractive errors are myopia (nearsightedness), hyperopia (farsightedness), and astigmatism.

    • Treatment typically involves corrective glasses or contact lenses.

Please note that these are just possibilities based on the symptoms you've described. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Keep a headache diary: This can help you identify any patterns or triggers for your headaches. Note down when your headaches occur, what you were doing at the time, what you ate that day, and so on.

  2. Maintain a healthy lifestyle: Regular physical activity, a healthy diet, staying hydrated, and getting enough sleep can help prevent headaches.

  3. Manage stress: Techniques such as relaxation exercises, meditation, and yoga can help reduce stress, which can in turn help prevent tension headaches.

  4. Get your eyes checked: If you're straining to see, this could be contributing to your headaches. An optometrist can check your vision and prescribe corrective lenses if necessary.

What you should look out for

If your headaches become more severe or frequent, or if they're accompanied by other symptoms such as fever, stiff neck, confusion, seizures, weakness, numbness, or difficulty speaking, seek medical attention immediately. These could be signs of a more serious condition, such as a brain aneurysm or meningitis.

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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11 mo ago

People Also Ask


What are the common symptoms of migraines?

Common symptoms of migraines include severe throbbing pain, usually on one side of the head, visual disturbances such as blurry vision or seeing flashes of light, nausea, vomiting, and sensitivity to light and sound.


How can tension headaches be managed or prevented?

Tension headaches can be managed or prevented by using pain relievers, practicing stress management techniques like relaxation exercises, meditation, and yoga, and making lifestyle changes such as maintaining a healthy diet, staying hydrated, and getting enough sleep.


What are refractive errors and how do they affect vision?

Refractive errors are vision problems that occur when the shape of the eye prevents light from focusing directly on the retina. This can lead to blurry vision. Common types include myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. They are typically corrected with glasses or contact lenses.


When should I seek medical attention for headaches?

You should seek medical attention for headaches if they become more severe or frequent, or if they are accompanied by symptoms such as fever, stiff neck, confusion, seizures, weakness, numbness, or difficulty speaking, as these could indicate a more serious condition.


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