[22F] Experiencing severe migraines with light sensitivity and numbness

Patient Description

A 22-year-old female has been suffering from severe, nonstop headaches for 3 days, described as a throbbing, pulsating pain behind the eyes, at the back of the head, and across the forehead. The headaches are exacerbated by light, screen exposure, and movement. The patient rates the pain as 7 out of 10 in severity. She also reports severe sensitivity to light, numbness behind the eyebrows, and a heavy feeling in the head and eyes. Additionally, she has experienced hot sensations around the ears and possible fever, as well as blurry and spotty vision. The patient is currently on Lamictal (150mg), Zoloft (200mg), and Wellbutrin (450mg) once daily and has been taking Excedrin Migraine for relief, with no new medications started recently. There is no history of allergies or adverse reactions to medications, and no other symptoms such as nausea, vomiting, neck stiffness, rash, or head injury were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Migraine: This is a type of headache characterized by severe, throbbing pain, usually on one side of the head. It is often accompanied by sensitivity to light and sound, nausea, and vomiting. The numbness you described could be part of what is known as an 'aura', which some people experience before a migraine attack.

    • Treatment typically involves medications to stop symptoms and prevent future attacks. These could include pain-relieving medications, triptans, ergots, anti-nausea drugs, and preventive medications.
  • Medication Overuse Headache: Overuse of pain relief medication, such as Excedrin Migraine, can lead to a dull, constant headache that's often worse in the morning.

    • Treatment involves reducing or stopping the medication that's causing these headaches. Your doctor can provide guidance on how to safely do this.
  • Cluster Headache: These are severe headaches that occur in clusters or cyclical patterns. They are characterized by sudden, burning, and piercing pain on one side of the head, often around the eye.

    • Treatment typically involves medications to decrease the severity of the cluster headache, as well as preventive medications.
  • Tension Headache: This is the most common type of headache, and it causes a constant ache or pressure around the head, temples, or back of the head and neck.

    • Treatment typically involves pain-relieving medications.
  • Sinusitis: This is an inflammation of the sinuses that can cause headaches, facial pain, and pressure. Your mention of pain behind the eyebrows could be related to this.

    • Treatment typically involves antibiotics, nasal decongestants, and pain relievers.

Please note that these are possibilities based on the symptoms you've described, and a healthcare professional would need to evaluate you to make a definitive diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to adjust your current medications or prescribe new ones to help manage your headaches.
  2. Try to identify any triggers for your headaches, such as stress, certain foods, or lack of sleep, and avoid them if possible.
  3. Practice good sleep hygiene, as poor sleep can contribute to headaches.
  4. Stay hydrated and maintain a healthy diet.
  5. Try relaxation techniques, such as deep breathing, yoga, or meditation, to help manage stress and reduce the frequency of headaches.
  6. Limit the use of over-the-counter pain relief medications to avoid medication overuse headaches.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • A sudden, severe headache like a thunderclap
  • Headache with a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties
  • Headache after a head injury, especially if the headache gets worse
  • A chronic headache that is worse in the morning
  • An abrupt, severe headache
  • Headache with shortness of breath

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

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11 mo ago

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People Also Ask


What are the common symptoms of a migraine and how can they be managed?

Common symptoms of a migraine include severe, throbbing pain on one side of the head, sensitivity to light and sound, nausea, and sometimes an aura. Management typically involves medications to relieve pain and prevent future attacks, such as triptans, anti-nausea drugs, and preventive medications.


Can overuse of medications like Excedrin Migraine cause headaches?

Yes, overuse of pain relief medications like Excedrin Migraine can lead to medication overuse headaches, which are often dull and constant. Treatment involves reducing or stopping the medication under a doctor's guidance.


What is the difference between a cluster headache and a tension headache?

Cluster headaches are characterized by sudden, severe pain on one side of the head, often around the eye, and occur in cyclical patterns. Tension headaches cause a constant ache or pressure around the head, temples, or neck. Treatment for cluster headaches often involves medications to reduce severity, while tension headaches are typically managed with pain relievers.


How can sinusitis lead to headaches and what are the treatment options?

Sinusitis is an inflammation of the sinuses that can cause headaches, facial pain, and pressure, especially around the forehead and eyes. Treatment usually involves antibiotics, nasal decongestants, and pain relievers to reduce inflammation and relieve symptoms.


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