[26F] Experiencing persistent headache and blurry vision

Patient Description

A 26-year-old female presents with a constant mild headache localized at the temples, rated 4 out of 10 in severity, occurring suddenly and persisting for 2 days. The headaches have been a weekly occurrence. Additionally, the patient reports blurry vision described as an inability to focus, which started today and has been experienced before. The patient also mentions symptoms of dissociation, numbness in hands, and anxiety. No specific aggravating factors or relieving factors for the headache were identified. There is no history of fever, stiff neck, rash, or any sudden changes in headache pattern. No sensitivity to light or sound has been reported during headaches.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Migraine: This is a common type of headache that can cause severe pain, often on one side of the head. It's usually accompanied by other symptoms like sensitivity to light, sound, or smells, nausea, and sometimes visual disturbances. However, you mentioned that you don't have sensitivity to light or sound.

    • Treatment typically involves over-the-counter or prescription medications to relieve pain and prevent future migraines.
  • Tension-type headache: This is the most common type of headache and can cause mild to moderate pain often described as a tight band around the head or pressure at the temples or back of the head.

    • Treatment typically involves over-the-counter pain relievers. Stress management and lifestyle changes may also help.
  • Anxiety: Anxiety can cause a variety of physical symptoms, including headaches, blurry vision, and numbness in the hands. Dissociation, a feeling of being detached from reality, is also a common symptom of anxiety.

    • Treatment typically involves a combination of therapy, lifestyle changes, and medication if necessary.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help relieve headache pain.
  2. Relaxation techniques: Techniques like deep breathing, yoga, and progressive muscle relaxation may help reduce symptoms of anxiety and tension headaches.
  3. Regular exercise: Regular physical activity can help reduce anxiety and improve mood, which may in turn help manage your headaches.
  4. Adequate sleep: Make sure you're getting enough sleep each night. Lack of sleep can contribute to headaches.
  5. Healthy diet: Eating a balanced diet can help maintain overall health and may help manage headaches.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • 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, especially if the headache gets worse
  • A chronic headache that is worse after coughing, exertion, straining or a sudden movement
  • New headache pain if you're over 50

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common causes of headaches localized at the temples?

Headaches localized at the temples can be caused by tension-type headaches, migraines, or stress-related issues. It's important to consider other symptoms and consult a healthcare provider for an accurate diagnosis.


Can anxiety cause physical symptoms like headaches and numbness?

Yes, anxiety can manifest physically and cause symptoms such as headaches, numbness in the hands, blurry vision, and feelings of dissociation. Managing anxiety through therapy, lifestyle changes, and medication can help alleviate these symptoms.


What are some effective treatments for tension-type headaches?

Effective treatments for tension-type headaches include over-the-counter pain relievers like acetaminophen or ibuprofen, stress management techniques, regular exercise, adequate sleep, and maintaining a healthy diet.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is sudden and severe, accompanied by fever, stiff neck, confusion, seizures, or other neurological symptoms, occurs after a head injury, or if you experience a new headache after age 50.


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