[27F] Experiencing unilateral throbbing headache and ear pain

Patient Description

A 27-year-old female presents with a unilateral throbbing headache located at the back of the head, rated as 5/10 in intensity, which began 3 days ago and is exacerbated by movement. The patient finds relief from the headache when not moving, applying ice, and massaging the area. Additionally, the patient reports sharp ear pain on the right side that started today. There is no history of trauma, fever, chills, neck stiffness, vision changes, weakness, numbness, nausea, or vomiting. The patient has no known pre-existing conditions or chronic illnesses and is not currently on any medications. The patient has a known allergy to penicillin.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Tension Headache: This is a common type of headache characterized by a dull, aching sensation all over the head. It is often described as a feeling of a tight band or dull ache around the head or behind the eyes. These headaches are often related to stress, depression, or anxiety. Over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) might be helpful.
  • Migraine: This is a type of headache characterized by throbbing or pulsating pain that is often on one side of the head. Migraines can last from a few hours to a few days. Treatment typically includes rest, hydration, and over-the-counter or prescription medications.
  • Ear Infection: This can cause sharp or throbbing pain in the ear, and can also cause headaches. Treatment typically involves antibiotics.

What you can do

  1. Over-the-counter pain relievers: Over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) might be helpful. Always follow the instructions on the packaging, and do not exceed the recommended dose.
  2. Rest and hydration: Make sure you are getting plenty of rest and are staying hydrated.
  3. Cold Compress: Applying a cold compress to the area can sometimes help alleviate pain.
  4. Avoid triggers: If you notice that certain things trigger your headaches (such as certain foods, smells, or stress), try to avoid these triggers.

What you should look out for

You should seek immediate medical attention if:

  • Your headache is severe and sudden, and unlike any you've had before
  • You have a fever, stiff neck, or rash
  • You have sudden, severe pain in your head or face
  • You have difficulty speaking or moving, or have changes in your vision
  • You have a history of cancer and develop a new headache

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of a tension headache?

Common symptoms of a tension headache include a dull, aching sensation all over the head, a feeling of tightness or pressure across the forehead or on the sides and back of the head, and tenderness on the scalp, neck, and shoulder muscles.


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

Migraines are typically characterized by throbbing or pulsating pain on one side of the head, often accompanied by nausea, vomiting, and sensitivity to light and sound. Tension headaches, on the other hand, usually involve a dull, aching sensation and a feeling of tightness or pressure, without the additional symptoms associated with migraines.


What are the signs of an ear infection?

Signs of an ear infection can include sharp or throbbing pain in the ear, a feeling of fullness in the ear, hearing loss, and sometimes fever or drainage from the ear. If you suspect an ear infection, it's important to consult a healthcare professional for proper diagnosis and treatment.


What should I do if over-the-counter pain relievers do not alleviate my headache?

If over-the-counter pain relievers do not alleviate your headache, you should consult a healthcare professional for further evaluation. They may recommend alternative treatments or investigate other potential causes of your headache.


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