[20F] Experiencing persistent headache and recent mild chest pain

What might be happening

Based on your symptoms, 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 can be effective. Relaxation techniques may also be helpful.

• Migraine: This is a type of headache characterized by throbbing or pulsating pain, often on one side of the head. It can last for hours to days, and can be so severe that the pain is disabling. Warning symptoms known as aura may occur before or with the headache. These can include flashes of light, blind spots, or tingling on one side of the face or in your arm or leg.

• Anemia: Although you mentioned that your iron levels are currently good, it's worth noting that anemia can sometimes cause headaches. If your iron levels fluctuate, this could potentially be contributing to your symptoms.

• Caffeine Withdrawal: If you regularly consume caffeine and then suddenly stop, this can lead to a withdrawal headache. You mentioned that your headache started after consuming a large amount of chocolate, which does contain caffeine, although it's unclear if this is related.

What you can do

1. Over-the-counter pain relievers: Nonprescription medications such as acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others) often help relieve occasional headaches.

2. Rest and relaxation: A good sleep pattern and relaxation exercises may help reduce the frequency of headaches.

3. Regular exercise and meals: Regular physical activity and regular meals may reduce the frequency and severity of migraines and other types of headaches.

4. Avoid headache triggers: If you notice that certain foods or situations cause your headaches, try to avoid them.

What you should look out for

If your headache is associated with:

• A sudden, severe headache, often described as the "worst headache of your life"
• Headache with a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
• Headache after a head injury, especially if the headache worsens
• A chronic headache that is worse after coughing, exertion, straining or a sudden movement
• New headache pain if you're older than 50

In these cases, seek medical care immediately.

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.