[24F] With headache, burning and runny nose, and other symptoms

Patient Description

A 24-year-old female presents with a burning and runny nose, watery eyes, sensitivity to light, and a headache. The headache is described as being in the center of the head, rated 4-5/10 in intensity, and is exacerbated by bending up and down. The headache started suddenly a few hours ago and was accompanied by blurred vision and a sensation of the room spinning. The patient reports feeling tired and often experiences headaches 2-4 times a month, lasting up to 3-4 hours or until vomiting occurs. She takes Sumatriptan for headaches but has experienced side effects, and ibuprofen causes nausea. The current episode of runny nose has been ongoing for three days. No specific triggers or patterns have been identified for the headaches.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Migraine

  • Rationale: Your symptoms of headache, blurred vision, light sensitivity, and nausea are classic signs of a migraine. Migraines can also cause dizziness and a sensation of spinning (vertigo).
  • Typical Treatments: Treatment often includes medications like triptans (e.g., sumatriptan), anti-nausea medications, and over-the-counter pain relievers. Preventive medications may be prescribed if migraines are frequent.

2. Allergic Rhinitis

  • Rationale: Your burning and runny nose, along with watery eyes, suggest allergic rhinitis, commonly known as hay fever. This condition is often triggered by allergens like pollen, dust, or pet dander.
  • Typical Treatments: Treatments include antihistamines, nasal corticosteroids, and decongestants. Avoiding known allergens can also help.

Unifying Diagnosis

  • Rationale: It's possible that your migraine and allergic rhinitis are occurring simultaneously but are not directly related. Stress or environmental factors could be triggering both conditions.

What you can do

For Migraine:

  1. Medications: Since you mentioned that sumatriptan causes side effects and ibuprofen makes you nauseous, consult your doctor for alternative medications. They may suggest other triptans, anti-nausea medications, or preventive treatments.
  2. Rest: Continue to rest in a dark, quiet room to alleviate symptoms.
  3. Hydration: Drink plenty of water to stay hydrated.
  4. Avoid Triggers: Keep a headache diary to identify and avoid potential triggers.

For Allergic Rhinitis:

  1. Medications: Over-the-counter antihistamines like cetirizine (Zyrtec) or loratadine (Claritin) can help relieve symptoms. Nasal sprays like fluticasone (Flonase) may also be effective.
  2. Avoid Allergens: Try to identify and avoid allergens that may be causing your symptoms. Use air purifiers and keep windows closed during high pollen seasons.
  3. Nasal Irrigation: Using a saline nasal spray or a neti pot can help clear nasal passages.

General Tips:

  • Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and get insights. This can help you and your healthcare provider identify patterns and triggers.
  • Consult a Doctor: Given the frequency and severity of your migraines, and the side effects from your current medications, it's important to consult a healthcare provider for a tailored treatment plan.

What you should look out for

  • Severe Symptoms: If you experience severe headache, vision changes, or dizziness that doesn't improve, seek medical attention immediately.
  • New Symptoms: If you notice new or worsening symptoms, such as shortness of breath, chest pain, or severe allergic reactions, seek medical care promptly.
  • Medication Side Effects: Monitor for any side effects from new medications and report them to your healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.

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5 mo ago

People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include a throbbing headache, often on one side of the head, sensitivity to light and sound, nausea, vomiting, and sometimes visual disturbances like blurred vision or aura.


How can allergic rhinitis be managed effectively?

Allergic rhinitis can be managed by using antihistamines, nasal corticosteroids, and decongestants. Avoiding known allergens, using air purifiers, and keeping windows closed during high pollen seasons can also help.


What are some alternative treatments for migraines if current medications cause side effects?

If current medications like sumatriptan cause side effects, consult your doctor for alternatives. They may suggest other triptans, anti-nausea medications, or preventive treatments such as beta-blockers or anticonvulsants.


How can I identify and avoid potential migraine triggers?

To identify and avoid potential migraine triggers, keep a headache diary to track when headaches occur and any associated factors such as diet, stress, sleep patterns, or environmental changes. This can help in recognizing patterns and avoiding triggers.


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