[22M] With sudden onset headache, ear ache, and upper respiratory symptoms

Patient Description

A 22-year-old male presents with a sudden onset of pressure-like headache above the left eye, rated 7/10 in intensity, which is exacerbated by light and movement and alleviated by rest in a dark room. The headache started upon waking, approximately 13 minutes prior to reporting. The patient also reports a 3-day history of ear ache that worsens when lying down, without any known injury or exposure to loud noises. Additionally, he experiences a runny nose and congestion but denies recent illnesses such as a cold or flu. No fever, chills, neck stiffness, nausea, vomiting, visual changes, rash, or changes in consciousness are reported. No recent use of tobacco, alcohol, or recreational drugs has been mentioned. No other symptoms have been noted.

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Arora's Assessment

What might be happening

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

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, particularly around the forehead, and can also cause a runny nose and earache.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. Antibiotics may be necessary if the sinusitis is caused by a bacterial infection.
  • Migraine: This is a type of headache characterized by severe pain on one side of the head, sensitivity to light, and sometimes nausea.

    • Treatment usually involves rest, avoiding triggers, and medication to relieve pain and prevent future attacks.
  • Tension headache: This is the most common type of headache, and it can cause a feeling of pressure or aching on both sides of your head, in your neck, or behind your eyes.

    • Treatment typically involves over-the-counter pain relievers, stress management techniques, and regular physical activity.

What you can do

  1. Rest and stay hydrated.
  2. Avoid bright lights and loud noises, as they can worsen headaches.
  3. Over-the-counter pain relievers, such as ibuprofen, can help with the headache and body aches.
  4. If your symptoms persist or worsen, seek medical attention.

What you should look out for

  • If your headache becomes severe or is the worst you've ever had, seek immediate medical attention.
  • If you develop a high fever, stiff neck, or confusion, seek immediate medical attention as these could be signs of a serious condition such as meningitis.
  • If your symptoms persist for more than a week, or if they worsen, consult a healthcare professional.

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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10 mo ago

People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include facial pain or pressure, nasal congestion, runny nose, reduced sense of smell, and sometimes a cough or sore throat. Earache and headache, particularly around the forehead, are also common.


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

Migraines typically present with severe, throbbing pain on one side of the head, often accompanied by nausea, vomiting, and sensitivity to light and sound. Tension headaches usually cause a dull, aching sensation all over the head, with a feeling of tightness or pressure across the forehead or on the sides and back of the head.


What are some effective home remedies for relieving sinus headaches?

Effective home remedies for sinus headaches include staying hydrated, using a humidifier, applying warm compresses to the face, inhaling steam, and using saline nasal sprays. Over-the-counter pain relievers can also help alleviate symptoms.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is sudden and severe, if it is the worst headache you've ever had, if it is accompanied by a high fever, stiff neck, confusion, or if it persists for more than a week or worsens over time.


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