[28M] With headache and abdominal pain

Patient Description

A 28-year-old male presents with a throbbing headache located in the center of the forehead, lasting for the past two hours with a pain severity of 7/10. The headache is relieved by Advil and worsened by watching TV. This is the first occurrence of such a headache. Additionally, the patient reports cramping pain in the lower abdomen for the past hour, with a pain severity of 6/10. The abdominal pain is alleviated by lying down. The patient denies any changes in stool, fever, or chills.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  1. Tension Headache:

    • Your throbbing headache in the center of your forehead could be a tension headache, especially since it worsens with activities like watching TV. These headaches are often caused by stress, eye strain, or poor posture.
    • Typical treatments include over-the-counter pain relievers like Advil, which you mentioned helps.
  2. Gastrointestinal Cramps:

    • The cramping pain in your lower abdomen could be due to gastrointestinal issues such as gas or mild digestive upset. Since lying down relieves the pain and your stool is normal, it might not be a severe issue.
    • Staying hydrated and resting can help alleviate these symptoms.

What you can do

For the Headache:

  • Continue using Advil as needed, but follow the recommended dosage.
  • Try to rest your eyes and take breaks from screens.
  • Practice relaxation techniques like deep breathing or gentle neck stretches.

For the Abdominal Pain:

  • Rest and stay hydrated.
  • Consider a warm compress on your abdomen to ease the cramps.
  • Monitor your diet to see if any foods might be triggering the pain.

You can use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

  • If your headache becomes more severe or frequent, or if you experience any new symptoms like vision changes or nausea, seek medical attention.
  • If your abdominal pain worsens, or if you develop symptoms like fever, vomiting, or changes in bowel movements, consult a healthcare professional.

Remember, it's always best to seek advice from a healthcare provider for a formal diagnosis and treatment plan.

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3 mo ago

People Also Ask


What are common causes of tension headaches?

Tension headaches are often caused by stress, eye strain, poor posture, or fatigue. They can also be triggered by lack of sleep or dehydration.


How can I relieve gastrointestinal cramps at home?

To relieve gastrointestinal cramps, try resting, staying hydrated, and using a warm compress on your abdomen. Over-the-counter antacids or pain relievers may also help.


When should I seek medical attention for a headache?

Seek medical attention for a headache if it becomes more severe or frequent, or if you experience new symptoms like vision changes, nausea, or if it doesn't improve with over-the-counter medication.


What dietary changes might help with abdominal pain?

Avoiding foods that are high in fat, caffeine, or artificial sweeteners can help. Eating smaller, more frequent meals and staying hydrated may also alleviate symptoms.


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