[26F] Experiencing severe headache with pressure and lightheadedness

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

• Migraine: This is a type of headache characterized by severe, throbbing pain usually on one side of the head, often accompanied by other symptoms such as sensitivity to light, which you mentioned. Migraines can last for hours to days, and the pain can be so severe that it interferes with your daily activities. Your family history of migraines and the nature of your symptoms suggest this could be a possibility.

  • Treatment typically involves medications to relieve the symptoms of a migraine attack when it happens, and other medications to prevent attacks from occurring.

• Tension headache: This is the most common type of headache, and it can cause a sensation of tightness or pressure across your forehead or on the sides and back of your head. These headaches can be triggered by stress, anxiety, lack of sleep, or skipping meals.

  • Treatment typically involves over-the-counter pain relievers, and lifestyle modifications to manage stress and prevent these headaches.

• Side effects of medication: Some medications, including certain types of birth control, can cause headaches and lightheadedness as side effects. Given that you mentioned your doctor has been changing your birth control recently, this could be a possibility.

  • Treatment would involve discussing these side effects with your doctor, who may adjust your medication regimen.

What you can do

1. Rest in a quiet, dark room. This can often help with migraines and tension headaches.
2. Apply a warm compress or heating pad to your forehead or the back of your neck.
3. Stay hydrated and avoid skipping meals.
4. Try to manage your stress levels through relaxation techniques such as deep breathing, yoga, or meditation.
5. Keep a headache diary, noting when your headaches occur, how long they last, and anything that seems to trigger them. This can help identify patterns and potential triggers.

What you should look out for

You should seek immediate medical attention if:

• Your headache is sudden and severe
• You have a headache accompanied by a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties
• Your headache gets worse over days and changes with position or during coughing or sneezing
• You have a headache following a head injury, especially if the headache gets worse

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms in person.