[21F] Experiencing sudden sharp eye pain and headache

Patient Description

A 21-year-old female reports a sudden, sharp pain in the left eye, described as a volt-like sensation, followed by a mild, sharp headache that spreads from the forehead to the back of the head. The symptoms started approximately an hour ago and are a first-time occurrence. The eye pain is intermittent, with episodes lasting a second, and the headache is rated 6/10 in severity. Additionally, the patient experiences eye twitching every 30 minutes, rated 5/10 in severity, and has been dealing with left back pain for a day, described as a muscle strain and rated 8/10 in severity. The patient has no known pre-existing conditions, allergies, or current medications, and has not experienced any recent injuries, vision changes, redness, discharge, weakness, numbness, or difficulty speaking.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Eye Strain: Eye strain can occur when your eyes get tired from intense use, such as while driving long distances or staring at computer screens and other digital devices. Eye twitching can be a symptom of eye strain. The discomfort can usually be eased by rest, change in habits, or correcting underlying vision problems.
  • Tension Headache: This is a common type of headache characterized by a dull, aching sensation all around your head. It's often described as a feeling of a tight band or dull ache around the forehead or back of the head and neck. They are often related to stress, depression, or anxiety. Overuse of alcohol, skipping meals, lack of sleep, and poor posture can also contribute to having tension headaches.
  • Muscle Strain: Muscle strain, muscle pull, or even a muscle tear refers to damage to a muscle or its attaching tendons. This can occur as a result of fatigue, overuse, or improper use of a muscle. Strains can happen in any muscle but they're most common in your lower back, neck, shoulder, and hamstring.

What you can do

  • Eye Strain: Rest your eyes. Every 20 minutes, look away about 20 feet in front of you for 20 seconds. This can help reduce eyestrain. Also, make sure your glasses or contact lens prescription is up to date and adequate for computer use.
  • Tension Headache: Over-the-counter pain relievers such as aspirin, ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others) may help. However, be careful. Overuse of such drugs can cause medication-overuse headaches. If you're taking these medications regularly, talk to your doctor.
  • Muscle Strain: Rest the strained muscle and apply ice. Pain relievers like ibuprofen can also help. See a doctor if pain is severe or doesn't improve.

What you should look out for

If any of the following occur, you should seek immediate medical attention:

  • Sudden, severe headache or sudden headache associated with a stiff neck
  • Headaches associated with fever, convulsions, or accompanied by confusion or loss of consciousness
  • Headaches following a blow to the head, or associated with pain in the eye or ear
  • Persistent headache in a person who was previously headache free
  • Recurring headache in children
  • Headache with signs of systemic illness, such as rash, stiff neck or fever

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.

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11 mo ago

People Also Ask


What could cause a sudden, sharp pain in the eye followed by a headache?

A sudden, sharp pain in the eye followed by a headache could be due to eye strain, tension headaches, or other factors such as stress or fatigue. It's important to monitor the symptoms and consult a healthcare provider if they persist or worsen.


How can I relieve eye twitching and eye strain?

To relieve eye twitching and eye strain, take regular breaks from screens, ensure proper lighting, and practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds. Keeping your prescription glasses or contacts up to date can also help.


What are the common causes of tension headaches and how can they be managed?

Tension headaches are often caused by stress, poor posture, lack of sleep, or skipping meals. They can be managed with over-the-counter pain relievers, relaxation techniques, and lifestyle changes such as regular exercise and adequate hydration.


What should I do if I suspect a muscle strain in my back?

For a suspected muscle strain in the back, rest the affected area, apply ice to reduce swelling, and consider taking over-the-counter pain relievers like ibuprofen. If the pain is severe or doesn't improve, seek medical attention.


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