[20M] Experiencing constant dull headache

Question

Should I keep taking tylenol?

Patient Description

A 20-year-old male has been experiencing a constant, dull headache located at the front of his head for the past 3 days. The pain intensity is rated as a 5 out of 10. The headache worsens with running but does not improve with any specific activities or treatments. This is the first occurrence of such a headache for the patient, and there are no other accompanying symptoms. The headache is constant throughout the day, and there have been no changes in vision, sensitivity to light, or experiences of nausea or vomiting.

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Arora's Assessment

What might be happening

Based on the information you've provided, you might be experiencing:

  • Tension headache: This is the most common type of headache and is often described as a constant, dull ache on both sides of the head or at the front of the head. It can last for several days and is often related to stress or tension.

    • Treatment usually involves over-the-counter pain relievers, rest, and stress management techniques.
  • Migraine: This is a type of headache characterized by severe, throbbing pain usually on one side of the head. However, in your case, you did not report any associated symptoms like sensitivity to light or sound, nausea, or vomiting, which are common in migraines.

    • Treatment for migraines often involves medications to relieve symptoms and prevent future attacks.
  • Dehydration: Lack of sufficient water in the body can cause headaches. If you haven't been drinking enough fluids, this could be a possibility.

    • Treatment involves rehydrating the body by drinking fluids and avoiding dehydration in the future.

Please note that this is not an exhaustive list and other conditions could also be responsible for your symptoms.

What you can do

  1. Try over-the-counter pain relievers: Non-prescription medications like ibuprofen or acetaminophen can often help relieve headache pain.
  2. Rest and relax: If you can, try to rest in a quiet, dark room. This can often help with headache symptoms.
  3. Stay hydrated: Make sure you're drinking enough fluids, especially if you've been physically active or if it's hot outside.
  4. Avoid headache triggers: If you notice that certain activities or situations make your headache worse, try to avoid them if possible.

What you should look out for

You should seek immediate medical attention if:

  • Your headache is severe or sudden
  • You have a headache along with a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties
  • You have a headache after a head injury
  • Your headache gets worse over time or is different from your usual headaches

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, diagnosis, and treatment.

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10 mo ago

People Also Ask


What are the common causes of a dull headache at the front of the head?

Common causes of a dull headache at the front of the head include tension headaches, which are often related to stress or muscle tension, and dehydration, which can occur if you haven't been drinking enough fluids.


How can I differentiate between a tension headache and a migraine?

Tension headaches are usually characterized by a constant, dull ache on both sides or the front of the head, while migraines often involve severe, throbbing pain on one side of the head and may include symptoms like sensitivity to light, sound, nausea, or vomiting.


Can dehydration cause headaches, and how can I prevent it?

Yes, dehydration can cause headaches. To prevent dehydration, ensure you drink enough fluids throughout the day, especially if you are physically active or in a hot environment.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is severe or sudden, if you experience it with symptoms like fever, stiff neck, confusion, seizures, or vision changes, if it follows a head injury, or if it worsens over time or differs from your usual headaches.


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2 Comments


Madelyn#4031

10 mo ago

Tylenol probably won't cause issues unless you exceed the maximum dose. Currently your headache sounds like a tension headache, and will probably resolve soon. In addition to what it says on your assessment, some red flags to watch out for include headache that worsens when you lie down or wake up from sleep, and headache that worsens when you cough or poop.

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Leo#3962

10 mo ago

it's generally safe to Tylenol as long as you need just don't exceed the limit it says on the bottle (3000 mg per day)

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