[20F] Experiencing severe headache with photophobia and nausea

What might be happening

Based on the information you've provided, the most likely causes of your symptoms include:

• Migraine: This is a type of headache characterized by severe, throbbing pain, usually on one side of the head. However, it can sometimes affect both sides. Migraines are often accompanied by nausea, vomiting, and sensitivity to light. The blurring of vision you mentioned could be an aura, which is a visual disturbance that some people experience before a migraine attack.

  • Treatment typically involves pain relievers, anti-nausea medications, and preventive medications to reduce the frequency and severity of future attacks.

• Tension Headache: This type of headache is often described as a tight band around the head or a feeling of pressure at the temples or back of the head. It can be triggered by stress, anxiety, or eye strain, such as from excessive screen time.

  • Treatment usually involves over-the-counter pain relievers and lifestyle modifications, such as reducing screen time, improving posture, and managing stress.

• Caffeine Withdrawal: If you regularly consume caffeine and suddenly stop, you may experience withdrawal symptoms, including a severe headache, nausea, and vomiting.

  • Treatment involves gradually reducing your caffeine intake rather than stopping abruptly.

Please remember that while these are common causes of your symptoms, there are other less common conditions that could also be responsible. It's important to consult with a healthcare professional for a definitive diagnosis.

What you can do

1. Rest in a quiet, dark room.
2. Stay hydrated and avoid caffeine.
3. Apply a warm or cold compress to your forehead or the back of your neck.
4. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help. However, they should be used sparingly, as overuse can sometimes cause medication-overuse headaches.
5. Try to reduce screen time, especially if it seems to worsen your headaches.

What you should look out for

Seek immediate medical attention if you experience:

• A sudden, severe headache like a thunderclap.
• Headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties.
• Headache after a head injury, especially if it worsens.
• A chronic headache that is worse after coughing, exertion, straining, or a sudden movement.
• New headache pain if you're over 50.

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.