[23F] Experiencing severe headache with eye pain and blurriness
Patient Description
A 23-year-old female reports a severe, aching headache localized to the forehead and temples, rated 8 out of 10 in intensity, lasting all day. The pain is exacerbated by opening or closing the eyes, and no relief has been found. Additionally, the patient experiences eye pain described as a sensation of the eyes being pushed in, accompanied by blurriness in vision. These symptoms have no specific pattern or timing and have occurred without any recent head or eye injuries. The patient has been taking iron and prenatal vitamins for the past three months, with no known medication allergies and no use of over-the-counter medications, supplements, or herbal products. There is no reported history of migraines or headaches in the family, and the patient does not have any pre-existing conditions or chronic illnesses.
Show More
Arora's Assessment
What might be happening
Based on the information you've provided, here are a few possible conditions that could be causing your symptoms:
- Tension Headache: This is a common type of headache characterized by a dull, aching sensation all over the head. It is often described as a feeling of a tight band or dull ache around the head or behind the eyes. These headaches are often related to stress, depression, or anxiety. Over-the-counter pain relievers such as ibuprofen can help with tension headaches.
- Migraine: Migraines are a type of headache characterized by severe pain on one side of the head. Symptoms can include nausea, vomiting, sensitivity to light and sound, and visual disturbances known as "auras". Migraines require specific treatment strategies which can include over-the-counter or prescription medications.
- Sinusitis: This is an infection or inflammation of the sinuses, which can cause a headache and pressure around the eyes. Other symptoms can include a runny nose, cough, and fever. Treatment for sinusitis can include antibiotics, nasal decongestants, and pain relievers.
- Eye strain: This can occur when the eyes are overused, such as when reading, working on a computer, or driving for extended periods. Symptoms can include headache, blurred vision, and pain around the eyes. Resting the eyes can often relieve symptoms of eye strain.
Please note that this is not an exhaustive list and other conditions may also be possible.
What you can do
- Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help to relieve headache pain.
- Rest in a quiet, dark room. This can be especially helpful if you're experiencing a migraine.
- Apply a warm compress to your forehead or on the back of your neck.
- Stay hydrated and avoid alcohol, caffeine, and high-sugar drinks, which can exacerbate headaches.
- Practice good posture if you sit at a computer for long periods. Take regular breaks to rest your eyes if you're doing close work.
What you should look out for
Please seek immediate medical attention if you experience any of the following:
- Sudden, severe headache or a headache that comes with a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties
- Headache after a head injury
- Chronic, progressive headache that is worse in the morning
- Headaches that increase in frequency or severity
- New headache pain if you're over 50
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.
Show More
1
Hugs
0
Comments
Save
8 mo ago