[20M] Experiencing proximity-induced headaches post-incident

Patient Description

A 20-year-old male reports the onset of headaches triggered by objects approaching close to his head, such as walls or barbed wire. The headaches do not require physical contact to be initiated and persist until the head is moved away from the object. This condition began after the patient had an incident involving running into a barbed wire fence a few days ago. The patient did not specify if there were any injuries or other symptoms following the incident.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Post-Concussion Syndrome: This is a complex disorder in which various symptoms, such as headaches and dizziness, last for weeks and sometimes months after the injury that caused the concussion. In your case, the injury could be the incident with the barbed wire fence.

    • Treatment typically involves medications to relieve the specific symptoms you're experiencing. For example, if you're having persistent headaches, your doctor might recommend certain types of medication to control these headaches.
  • Phobia or Anxiety: Sometimes, a traumatic event can lead to the development of specific phobias or anxiety. In your case, the incident with the barbed wire fence might have led to a fear of objects coming close to your head.

    • Treatment for phobias and anxiety disorders can include therapy, medications, or a combination of both.
  • Somatoform Disorder: This is a group of psychological disorders in which a patient experiences physical symptoms that are inconsistent with or cannot be fully explained by any underlying general medical or neurological condition.

    • Treatment usually involves therapy and, in some cases, medications.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Avoid situations that trigger your headaches, if possible.
  2. Over-the-counter pain relievers such as ibuprofen or acetaminophen may help with the headaches.
  3. Try relaxation techniques such as deep breathing, yoga, or meditation. These can sometimes help with anxiety and stress-related symptoms.
  4. Seek medical attention. It's important to get a proper diagnosis and treatment plan from a healthcare professional.

What you should look out for

You should seek immediate medical attention if:

  • Your headaches become more severe or frequent.
  • You develop new symptoms, such as confusion, dizziness, or difficulty speaking.
  • Your symptoms are affecting your daily life or causing you significant distress.

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 is post-concussion syndrome and how is it treated?

Post-concussion syndrome is a complex disorder where symptoms like headaches and dizziness persist for weeks or months after a concussion. Treatment typically involves medications to relieve specific symptoms, such as headache medications.


Can a traumatic event lead to phobias or anxiety, and what are the treatment options?

Yes, a traumatic event can lead to the development of specific phobias or anxiety. Treatment options include therapy, medications, or a combination of both to help manage the symptoms.


What are somatoform disorders and how are they managed?

Somatoform disorders are psychological disorders where a person experiences physical symptoms that cannot be fully explained by any medical condition. Management usually involves therapy and sometimes medications to address the psychological aspects.


When should someone seek medical attention for persistent headaches?

Medical attention should be sought if headaches become more severe or frequent, if new symptoms like confusion or dizziness develop, or if the symptoms significantly affect daily life or cause distress.


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