[23M] With fever, headache, and dizziness

Patient Description

A 23-year-old male reports a throbbing headache located at the front of the head above the left eye, accompanied by dizziness and a fever of 101°F. The fever began today, starting at 100.6°F and gradually increasing throughout the day. The patient has attempted to manage the fever by staying hydrated, resting, and using air conditioning. Ibuprofen was taken approximately ten minutes ago. The effectiveness of the medication in reducing the fever or providing relief is not yet known.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Sinus Infection (Sinusitis): This can cause a throbbing headache, especially around the eyes and forehead, along with fever and dizziness. Sinus infections often follow a cold or allergies.

    • Treatment typically involves decongestants, nasal sprays, and sometimes antibiotics if a bacterial infection is suspected.
  • Migraine: Migraines can cause severe headaches, often on one side of the head, and may be accompanied by dizziness and fever-like symptoms.

    • Treatment includes rest, hydration, and over-the-counter pain relievers. Prescription medications may be needed for severe cases.
  • Tension Headache: Stress or tension can lead to headaches and sometimes mild fever.

    • Treatment involves stress management, rest, and pain relief medications.

What you can do

  • Rest and Hydration: Continue to rest and drink plenty of fluids to stay hydrated.
  • Medication: Since you've taken ibuprofen, monitor if it helps reduce your fever and headache.
  • Cool Compress: Apply a cool, damp cloth to your forehead to help reduce fever and relieve headache pain.
  • Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • A persistent or worsening headache
  • Fever that doesn't improve with medication
  • New symptoms like neck stiffness, confusion, or a rash
  • Severe dizziness or difficulty breathing

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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5 mo ago

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People Also Ask


What are the common symptoms of a sinus infection?

Common symptoms of a sinus infection include a throbbing headache around the eyes and forehead, nasal congestion, facial pain or pressure, fever, and sometimes dizziness. It often follows a cold or allergies.


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

Migraines typically cause severe, throbbing pain on one side of the head and may be accompanied by nausea, vomiting, and sensitivity to light or sound. Tension headaches usually cause a dull, aching pain on both sides of the head and are often related to stress or muscle tension.


What are some effective home remedies for reducing fever?

Effective home remedies for reducing fever include staying hydrated, resting, using a fan or air conditioning, taking over-the-counter medications like ibuprofen or acetaminophen, and applying a cool compress to the forehead.


When should I seek medical attention for a headache with fever?

You should seek medical attention if your headache persists or worsens, if the fever does not improve with medication, or if you experience new symptoms such as neck stiffness, confusion, a rash, severe dizziness, or difficulty breathing.


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