[28F] With severe headache and neurological symptoms

Patient Description

A 28-year-old female reports a sharp headache behind the eyes and soreness in both temples for the past two days. The headache is rated at a 7 out of 10 in intensity. She has vomited twice today and experienced vision problems, excessive sleepiness, sound sensitivity, and twitching during sleep. The headache developed gradually and is possibly related to lack of sleep. No previous history of similar headaches. No relief from rest or medication. No recent stress or significant changes in routine reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Migraine: Migraines can cause severe headaches, often with sharp pain, sensitivity to light and sound, nausea, and vision changes. They can also make you feel very tired.

    • Treatment typically involves rest, hydration, and over-the-counter pain relief. Prescription medications may be needed for severe cases.

  • Tension Headache: These can cause pain around the temples and behind the eyes, often due to stress or lack of sleep.

    • Treatment includes rest, hydration, and over-the-counter pain relievers.

  • Cluster Headache: These are less common but can cause severe pain around one eye or temple, often with nausea and sensitivity to light.

    • Treatment may involve specific medications prescribed by a doctor.

What you can do

  1. Rest in a Dark, Quiet Room: This can help reduce sensitivity to light and sound.
  2. Stay Hydrated: Drink plenty of water to stay hydrated.
  3. Over-the-Counter Pain Relief: Consider taking ibuprofen or acetaminophen as directed.
  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if:

  • Your headache is the worst you've ever experienced.
  • You have a fever, stiff neck, or confusion.
  • Your symptoms worsen or do not improve with rest and medication.

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask

What are the common symptoms of a migraine?

Common symptoms of a migraine include severe headache, often on one side of the head, sensitivity to light and sound, nausea, vomiting, and sometimes visual disturbances known as auras.

How can lack of sleep contribute to headaches?

Lack of sleep can lead to headaches by causing stress and tension in the body, disrupting normal brain function, and affecting the balance of neurotransmitters, which can trigger headaches.

What are the differences between a migraine and a tension headache?

A migraine typically involves severe, throbbing pain, often with nausea and sensitivity to light and sound, while a tension headache usually causes a dull, aching pain around the temples and forehead, often related to stress or muscle tension.

When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is the worst you've ever experienced, if you have additional symptoms like a fever, stiff neck, or confusion, or if your symptoms worsen or do not improve with rest and medication.

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