[27F] Experiencing mild nausea and severe headache

Patient Description

A 27-year-old female is experiencing mild nausea, particularly before meals and when looking at bright screens, and a severe, dull headache in the frontal lobe that has been present for a few months and is exacerbated by lack of sleep. The patient also reports occasional lightheadedness associated with sleep deprivation. There is no reported visual disturbance, neck stiffness, fever, confusion, weakness, chronic illness, allergies, or medication use. No family history of migraines or similar headaches is noted.

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Arora's Assessment

What might be happening

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

  • Tension Headache: This is the most common type of headache and can be triggered by stress, lack of sleep, or skipping meals. It's typically described as a dull ache or pressure around the forehead or back of the head and neck.

    • Treatment usually involves over-the-counter pain relievers, rest, and stress management.
  • Migraine: This is a type of headache characterized by severe, throbbing pain, usually on one side of the head. It can be accompanied by nausea and sensitivity to light and sound. Lack of sleep can be a trigger for migraines.

    • Treatment can involve a combination of medications and lifestyle changes to manage symptoms and prevent future attacks.
  • Pre-Menstrual Syndrome (PMS): Hormonal changes during your menstrual cycle can cause a variety of symptoms, including headaches and nausea.

    • Treatment can involve lifestyle changes, such as regular exercise and a balanced diet, and over-the-counter medications to manage symptoms.
  • Dehydration: Lack of adequate fluid intake can lead to dehydration, which can cause headaches, nausea, and lightheadedness.

    • Treatment involves rehydrating by drinking fluids and avoiding dehydration in the future.

Please note that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

  1. Try to get regular, adequate sleep. Lack of sleep can trigger headaches and other symptoms.
  2. Stay hydrated. Drink plenty of fluids throughout the day, especially water.
  3. Eat regular, balanced meals. Skipping meals can trigger headaches.
  4. Limit screen time, especially in brightly lit conditions, as this seems to worsen your nausea.
  5. Over-the-counter pain relievers can help manage your headache. However, they should be used sparingly and only as directed.
  6. Regular exercise and stress management techniques, such as deep breathing or yoga, can help manage tension headaches and PMS symptoms.

What you should look out for

Please seek immediate medical attention if:

  • Your headache is severe and sudden, like a "thunderclap".
  • You have a headache along with a fever, stiff neck, confusion, seizure, double vision, weakness, numbness, or difficulty speaking.
  • Your headache gets worse over time or is not relieved with rest or over-the-counter medications.
  • You have a headache after a head injury.

Remember, 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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10 mo ago

People Also Ask


What are the common triggers for tension headaches?

Common triggers for tension headaches include stress, lack of sleep, poor posture, eye strain, and skipping meals. Managing these factors can help reduce the frequency and severity of tension headaches.


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

Tension headaches are typically characterized by a dull, aching sensation around the forehead or back of the head and neck, while migraines often involve severe, throbbing pain on one side of the head, accompanied by nausea and sensitivity to light and sound. Migraines may also have an aura phase with visual disturbances.


What lifestyle changes can help manage pre-menstrual syndrome (PMS) symptoms?

Lifestyle changes that can help manage PMS symptoms include regular exercise, a balanced diet rich in whole grains, fruits, and vegetables, adequate sleep, and stress management techniques such as yoga or meditation. Over-the-counter pain relievers can also help alleviate symptoms.


How does dehydration contribute to headaches and nausea?

Dehydration can lead to headaches and nausea because it causes the brain to temporarily contract from fluid loss, leading to pain. It can also affect the balance of electrolytes, leading to nausea and lightheadedness. Staying hydrated by drinking plenty of fluids can help prevent these symptoms.


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