[20M] Experiencing severe frontal headache for a week

Patient Description

A 20-year-old male has been experiencing a severe, sharp, and aching headache located at the front of the head for the past week. The pain is described as constant and has been rated as a 10 on a pain scale, indicating extreme discomfort. There are no identified activities or triggers that worsen the headache, and no relief measures have been mentioned. The patient has not reported any other symptoms or relevant medical history during this encounter.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Tension Headache: This is the most common type of headache and it often feels like a constant ache or pressure around the head, especially at the temples or back of the head and neck. It can last for several days and is often related to stress or anxiety.

    • Treatment typically involves over-the-counter pain relievers and stress management techniques.
  • Migraine: Migraines are severe headaches that can cause intense throbbing or a pulsing sensation in one area of the head. They are often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. However, you did not mention these symptoms.

    • Treatment for migraines often involves medications to help reduce the frequency and severity of attacks.
  • Cluster Headache: These are extremely painful headaches that occur in clusters or cyclical patterns. They are usually felt on one side of the head and can last for weeks or months, followed by periods of remission.

    • Treatment for cluster headaches can involve oxygen therapy, local anesthetics, and specific medications.
  • Sinus Headache: If your headache is accompanied by facial pressure, runny nose, or fever, it could be a sinus headache.

    • Treatment typically involves addressing the underlying cause, such as a sinus infection.

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

What you can do

While waiting for a consultation with a healthcare professional, you can try the following to help manage your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medications such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help reduce headache pain.
  2. Rest and relaxation: Try to rest in a quiet, dark room and practice relaxation techniques such as deep breathing or meditation.
  3. Stay hydrated: Dehydration can exacerbate headaches, so make sure to drink plenty of fluids.
  4. Avoid headache triggers: If you notice that certain foods or activities worsen your headache, try to avoid them.

What you should look out for

Please seek immediate medical attention if:

  • Your headache is severe and unlike any you've had before.
  • Your headache is accompanied by a high fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or difficulty speaking.
  • Your headache gets worse over 24 hours.
  • Your headache follows a head injury.

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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7 mo ago


People Also Ask


What are the common causes of severe headaches in young adults?

Common causes of severe headaches in young adults include tension headaches, migraines, cluster headaches, and sinus headaches. Stress, dehydration, and lack of sleep can also contribute to headache severity.


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

Tension headaches typically feel like a constant ache or pressure around the head, often without other symptoms. Migraines, on the other hand, are usually characterized by intense throbbing or pulsing pain on one side of the head and may be accompanied by nausea, vomiting, and sensitivity to light and sound.


What are some effective over-the-counter treatments for severe headaches?

Effective over-the-counter treatments for severe headaches include pain relievers such as acetaminophen (Tylenol) and ibuprofen (Advil, Motrin). It's important to follow the dosage instructions and consult a healthcare provider if the headache persists.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is severe and unlike any you've had before, if it is accompanied by symptoms like high fever, stiff neck, confusion, seizures, or if it follows a head injury. Additionally, if the headache worsens over 24 hours, medical evaluation is advised.


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