[22F] Experiencing nausea and slight headache

Patient Description

A 22-year-old female reports feeling nauseous for approximately 30 minutes, which worsens with standing, talking, moving, and thinking, but improves with sitting and sleeping. The nausea was rated a 3 out of 10 in severity and was accompanied by a slight headache located behind the eyes. The headache is not described as sharp, throbbing, or aching, and there is a history of previous headaches. The patient also feels gradually increasing sleepiness and slight sensitivity to light and sound, but no visual disturbances, fever, or stiff neck.

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Arora's Assessment

What might be happening

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

  • Migraine: A type of headache that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment of migraines often involves over-the-counter pain relievers or prescription medications. Some people find that resting in a dark, quiet room helps to alleviate symptoms.
  • Tension Headache: This is the most common type of headache and it can cause a constant ache and pressure around the head, temples, and back of the head. It might also cause nausea and a lack of appetite.

    • Treatment typically involves over-the-counter pain relievers. Relaxation techniques and stress management can also help.
  • Viral Gastroenteritis (Stomach Flu): This is an inflammation of the stomach and intestines caused by a viral infection. Symptoms can include nausea, vomiting, headache, and low energy.

    • Treatment involves rest and rehydration. Over-the-counter medication may help with symptoms.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking enough fluids. Dehydration can make headaches and nausea worse.
  2. Over-the-counter medication: Over-the-counter pain relievers may help with your headache. There are also over-the-counter medications specifically for nausea.
  3. Avoid triggers: If you notice that certain foods, activities, or situations make your symptoms worse, try to avoid them.
  4. Consult a healthcare professional: If your symptoms persist or worsen, it's important to seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe headache or a headache that comes on suddenly
  • Fever and stiff neck
  • Persistent vomiting or inability to keep fluids down
  • Blurred vision or difficulty speaking
  • Weakness or numbness on one side of your body
  • Any other severe or worsening symptoms

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are common symptoms of a migraine?

Common symptoms of a migraine include severe throbbing pain or a pulsing sensation, usually on one side of the head, nausea, vomiting, and extreme sensitivity to light and sound.


How can tension headaches be managed at home?

Tension headaches can often be managed at home with over-the-counter pain relievers, relaxation techniques, and stress management. Ensuring adequate hydration and rest can also help.


What should I do if I suspect I have viral gastroenteritis?

If you suspect you have viral gastroenteritis, it's important to rest and stay hydrated. Over-the-counter medications may help alleviate symptoms. If symptoms persist or worsen, consult a healthcare professional.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is severe, comes on suddenly, is accompanied by a fever and stiff neck, or if you experience persistent vomiting, blurred vision, difficulty speaking, or weakness on one side of your body.


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