[27F] Experiencing headache, arm weakness, body aches, and nausea

Patient Description

A 27-year-old female presents with a headache described as a pressure in the back of the head, rated 7 out of 10 in intensity, starting suddenly on February 13th. Accompanying symptoms include weakness in the arm, rated 5 out of 10, beginning two days ago, and body aches with no specific exacerbating factors. The patient also reports nausea with a feeling of potential vomiting since February 14th. Past medical history includes recurring headaches since January 2, 2023, with all tests returning negative and periods of remission lasting months. No known allergies or adverse reactions to medications are reported. Currently, the patient is managing symptoms with over-the-counter medications, Excedrin and Theraflu, which provide temporary relief. No prescription medications are being taken, and no significant relief measures have been identified. No history of recent injuries, accidents, or pre-existing conditions have been mentioned.

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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: Migraines are a type of headache characterized by severe pain that can be preceded or accompanied by sensory warning signs such as flashes of light, blind spots, tingling in the arms and legs, nausea, vomiting, and increased sensitivity to light and sound. The excruciating pain that migraines bring can last for hours or even days.

    • Treatment typically involves pain relieving medications and preventative medications.
  • Tension headache: These are the most common type of headache and they can cause a constant ache and tightness around your forehead or at the back of your head and neck. Other symptoms can include discomfort or a squeezing sensation like a tight band around your head, a dull ache or pressure, sensitivity to light or sound, and nausea.

    • Treatment typically involves pain relieving medications.
  • Viral illness: Symptoms such as headache, body aches, and nausea can be due to a viral illness, such as the flu.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.

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. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids.
  2. Over-the-counter pain relievers: Continue to use over-the-counter pain relievers as directed on the package.
  3. Avoid triggers: If you notice certain foods or activities make your symptoms worse, try to avoid them.
  4. Consult a healthcare provider: If your symptoms persist or worsen, make sure to consult with a healthcare provider. They can provide a more accurate diagnosis and appropriate treatment.

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, 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, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of a migraine and how can they be managed?

Common symptoms of a migraine include severe headache pain, nausea, vomiting, and sensitivity to light and sound. Management typically involves pain-relieving medications, lifestyle changes, and sometimes preventative medications prescribed by a healthcare provider.


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

Tension headaches often present as a constant ache or tightness around the forehead or back of the head and neck, while migraines are usually more severe and can be accompanied by nausea and sensory disturbances. Consulting a healthcare provider can help in distinguishing between the two.


What are some potential causes of sudden onset headaches with accompanying arm weakness?

Sudden onset headaches with arm weakness could be due to various causes, including migraines, tension headaches, or more serious conditions like a stroke. It's important to consult a healthcare provider for an accurate diagnosis.


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 symptoms like fever, stiff neck, confusion, seizures, or if it occurs after a head injury. Also, if you experience new headache pain after the age of 50, it's advisable to consult a healthcare provider.


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