[24F] Experiencing headache with nasal burning, blurry vision, and body stiffness

Patient Description

A 24-year-old female presents with a severe headache rated 7 out of 10 in intensity, described as a pressure sensation felt throughout the head. The headache has been present for approximately one hour. Accompanying symptoms include nasal burning, blurry vision, and body stiffness. There are no identified triggers that worsen the headache, and the patient has not mentioned any relief strategies. The patient denies any current pregnancy.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Tension Headache: This is the most common type of headache and it can cause a constant pressure or aching around the head, especially at the temples or back of the head and neck. It can be associated with muscle stiffness.

    • Treatment typically involves over-the-counter pain relievers, stress management, and regular physical activity.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause pain, pressure, and nasal burning. Vision changes are less common but can occur if the sinuses near the eyes are affected.

    • Treatment typically involves managing symptoms with over-the-counter medications, using a humidifier, and drinking plenty of fluids.
  • Migraine: This is a type of headache characterized by severe, throbbing pain, usually on one side of the head. It can be associated with other symptoms like blurry vision. However, the absence of nausea or sensitivity to light and sound makes this less likely.

    • Treatment typically involves over-the-counter or prescription medications to relieve symptoms and prevent future attacks.

What you can do

  1. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help with headache pain.
  2. Rest and relaxation can help, especially if the headache is due to tension or stress.
  3. Stay hydrated and avoid alcohol, caffeine, and foods that you know trigger your headaches.
  4. If your symptoms persist or worsen, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • A sudden, severe headache like a thunderclap
  • Headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
  • Headache after a head injury
  • Chronic, progressive headache that's accompanied by other unexplained symptoms

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common symptoms of a tension headache?

Common symptoms of a tension headache include a dull, aching head pain, a sensation of tightness or pressure across the forehead or on the sides and back of the head, and tenderness in the scalp, neck, and shoulder muscles.


How can sinusitis affect vision?

Sinusitis can affect vision if the sinuses near the eyes are inflamed, leading to pressure that can cause blurry vision or a feeling of pressure around the eyes. However, significant vision changes are less common and should be evaluated by a healthcare professional.


What are some effective home remedies for managing sinusitis symptoms?

Effective home remedies for managing sinusitis symptoms include using a humidifier to keep the air moist, staying hydrated by drinking plenty of fluids, using saline nasal sprays to rinse the nasal passages, and applying warm compresses to the face to relieve sinus pressure.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is sudden and severe, like a thunderclap, if it is accompanied by fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties, if it occurs after a head injury, or if it is chronic and progressive with other unexplained symptoms.

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