[26F] Experiencing severe head pressure with associated symptoms

Patient Description

A 26-year-old female is reporting severe head pressure, which is not described as a typical headache, but rather a sensation of fullness in the head, accompanied by nausea, dizziness, tinnitus, and photophobia. The symptoms have been persistent for approximately 3 days and are rated at a severity of 6 out of 10. The discomfort is exacerbated by lying down, sitting in a chair, exposure to bright screens, loud sounds, and bright lights. Relief is found in colder environments, darkness, and standing up. The patient has a history of frequent headaches, but notes that the current symptoms are different and more prolonged than usual. The photophobia is not a regular occurrence but has been noted to happen sporadically in the past, typically resolving after sleep, which has not been the case in the current episode.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Migraine: This is a type of headache characterized by severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment: Over-the-counter pain relievers like ibuprofen can help with mild migraines. Prescription medications are available for more severe cases. Lifestyle changes, such as regular sleep, exercise, and avoiding triggers, can also help manage migraines.
  • Tension Headache: This is the most common type of headache, and it causes a constant ache or pressure around the head, especially at the temples or back of the head and neck. Not as severe as migraines, tension headaches are not usually accompanied by nausea and vomiting, and they don't usually stop individuals from doing their daily activities.

    • Treatment: Over-the-counter pain relievers such as ibuprofen or aspirin can be effective. Lifestyle changes, such as regular physical activity, managing stress, and regular sleep, can also help.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, pressure in the eyes, cheeks and forehead, stuffy nose, and even fever.

    • Treatment: Over-the-counter remedies can help. These include decongestants and pain relievers. Antibiotics are sometimes necessary.

Remember, these are just possibilities and not a definitive diagnosis.

What you can do

  1. Try over-the-counter pain relievers, such as ibuprofen or aspirin, to manage your headache.
  2. Rest and avoid triggers that worsen your headache, such as bright lights and loud sounds.
  3. Stay hydrated and maintain a regular sleep schedule.
  4. If your symptoms persist or worsen, please seek medical attention.

What you should look out for

Please 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, 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

Please note that 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, testing, and care recommendations.

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10 mo ago

People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include severe throbbing pain or a pulsing sensation, usually on one side of the head, nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days.


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

A migraine is often characterized by severe throbbing pain, nausea, and sensitivity to light and sound, whereas a tension headache typically causes a constant ache or pressure around the head, especially at the temples or back of the head and neck, and is not usually accompanied by nausea or vomiting.


What lifestyle changes can help manage headaches?

Lifestyle changes that can help manage headaches include maintaining a regular sleep schedule, engaging in regular physical activity, managing stress, staying hydrated, and avoiding known headache triggers such as certain foods, bright lights, and loud noises.


When should I seek medical attention for a headache?

You should seek medical attention for a headache 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, or a chronic headache that worsens with coughing, exertion, or sudden movement.


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