[26F] Experiencing severe headache with additional symptoms

Patient Description

A 26-year-old female presents with a severe headache, described as a squeezing sensation at the back of the head, rated 9 out of 10 in intensity, and exacerbated by light. The headache has been persistent for 2 days and is not alleviated by any measures. The patient also reports associated symptoms of wheezing, general weakness, nose burning, and throat pain. The patient has a history of similar headaches. There is no indication of pregnancy. No further historical details or interventions were provided.

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Arora's Assessment

What might be happening

Based on the symptoms 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 typically includes rest in a dark, quiet room, staying hydrated, and over-the-counter or prescription medications.
  • Tension Headache: This is the most common type of headache, and it can cause a sensation of tightness around your head. It's often associated with stress, anxiety, or muscle strain.

    • Treatment typically includes rest, stress management, and over-the-counter pain relievers.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses, often associated with an infection. It can cause pain and pressure in your face, as well as a headache.

    • Treatment typically includes rest, staying hydrated, and over-the-counter or prescription medications.

Please note that these are just possibilities, and it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Rest in a quiet, dark room.
  2. Stay hydrated.
  3. Try over-the-counter pain relievers, such as ibuprofen or acetaminophen.
  4. Apply a warm or cold compress to your head or neck.
  5. Try to manage stress through relaxation techniques, such as deep breathing, yoga, or meditation.

What you should look out for

You should seek immediate medical attention if:

  • Your headache is severe and sudden.
  • You have a headache accompanied by confusion, fainting, high fever, stiff neck, rash, or trouble seeing, speaking, or walking.
  • You have a headache after a head injury.
  • Your headache is worsening despite rest and medication.

Please remember 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, diagnosis, and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include severe throbbing or pulsing pain, 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 tension headache and a migraine?

A tension headache typically causes a sensation of tightness or pressure around the head, often associated with stress or muscle strain, and is generally less severe than a migraine. Migraines are usually more intense, often accompanied by nausea and sensitivity to light and sound.


What are some effective home remedies for managing severe headaches?

Effective home remedies for managing severe headaches include resting in a quiet, dark room, staying hydrated, using over-the-counter pain relievers like ibuprofen or acetaminophen, and applying a warm or cold compress to the head or neck. Stress management techniques such as deep breathing, yoga, or meditation can also help.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is severe and sudden, accompanied by confusion, fainting, high fever, stiff neck, rash, or trouble seeing, speaking, or walking, or if it occurs after a head injury or worsens despite rest and medication.


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