[20M] Experiencing a range of symptoms including severe headache and shakiness

Patient Description

A 20-year-old male has been experiencing a constellation of symptoms for approximately 36 hours. These symptoms include severe, throbbing headaches that have not responded to hydration or rest, shakiness in the hands and neck that is exacerbated by movement, moderate stomach pain described as a punch to the gut located above the belly button, severe throbbing neck pain radiating to the upper back, and sharp lower back pain. Additionally, the patient reports cold sweats with chills and heat flashes, despite attempts to warm up. The patient has a history of a similar headache following a concussion. There is no known history of chronic illnesses, allergies, or adverse reactions to medications, and the patient is not on any medications except for a multivitamin. There is no recent history of stopping any medications or not adhering to prescribed treatments.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Viral Infection: This is a common cause of multiple symptoms like headache, stomach pain, neck pain, back pain, cold sweats, and shakiness. Viral infections can cause a wide variety of symptoms and usually resolve on their own within a week or two.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Migraine: This is a type of headache that can cause severe throbbing pain, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can cause significant pain for hours to days and can be so severe that the pain is disabling.

    • Treatment of migraines involves medications to help reduce the frequency and severity of migraines.
  • Anxiety or Stress: These can cause a variety of physical symptoms, including headache, stomach pain, neck pain, back pain, cold sweats, and shakiness. Anxiety and stress can also make you feel dizzy and cause difficulty sleeping.

    • Treatment typically involves lifestyle changes, therapy, and sometimes medications.

What you can do

  1. Rest and hydrate: If it's a viral infection, rest and hydration are the best treatments. Over-the-counter pain relievers can help with the headache, neck pain, and back pain.
  2. Monitor your symptoms: If your symptoms persist for more than a week, or if they get worse, you should seek medical attention.
  3. Manage stress: If you think stress or anxiety might be contributing to your symptoms, consider stress management techniques such as deep breathing, meditation, and yoga.

What you should look out for

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

  • Severe headache or headache that gets progressively worse
  • Fever and stiff neck
  • Severe abdominal pain
  • Shortness of breath or chest pain
  • Confusion or difficulty speaking

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What are the common symptoms of a viral infection?

Common symptoms of a viral infection include headache, fever, fatigue, muscle aches, sore throat, and sometimes gastrointestinal symptoms like stomach pain or diarrhea. These symptoms can vary depending on the specific virus.


How can migraines be distinguished from other types of headaches?

Migraines are often characterized by severe, throbbing pain on one side of the head, accompanied by nausea, vomiting, and sensitivity to light and sound. They can last from a few hours to several days and are more intense than typical tension headaches.


What are some effective ways to manage stress and anxiety?

Effective ways to manage stress and anxiety include practicing relaxation techniques such as deep breathing, meditation, and yoga. Regular physical activity, maintaining a healthy diet, and ensuring adequate sleep can also help. In some cases, therapy or medication may be recommended.


When should I seek medical attention for severe headaches?

You should seek medical attention for severe headaches if they are accompanied by symptoms such as a stiff neck, fever, confusion, difficulty speaking, or if the headache is sudden and severe, often described as the 'worst headache of your life.'


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