[29F] Experiencing severe headache with blurred vision and sensitivity to light

Patient Description

A 29-year-old female presents with a severe headache persisting for three days, unrelieved by hot and cold compresses, resting in a dark room, or ibuprofen. The headache is constant, located at the back of the neck, back of the head, and extending into the temples. Accompanying symptoms include blurred vision, nausea without vomiting, and sensitivity to light and sound. The patient denies any recent head injuries or trauma and reports this is the first occurrence of such a severe headache. There are no known pre-existing conditions or allergies, and the patient is currently only taking ibuprofen. No specific triggers have been identified for the headache.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Migraine: Migraines are a common type of headache that can cause severe pain, often on one side of the head, and may be accompanied by nausea, blurred vision, and sensitivity to light and sound. The pain can be intense and persistent, as you've described. Treatment typically involves medications to relieve symptoms and prevent future attacks.

  • Tension Headache: These headaches are characterized by a dull, aching pain and a sensation of tightness or pressure around the forehead or the back of the head and neck. They can be triggered by stress, poor posture, or muscle tension. Treatment often includes over-the-counter pain relievers, stress management, and relaxation techniques.

  • Cervicogenic Headache: This type of headache originates from issues in the neck, such as muscle tension or joint problems, and can cause pain that radiates to the head. It may be associated with neck pain and stiffness. Treatment may involve physical therapy, pain relief medications, and addressing any underlying neck issues.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Continue Resting: Rest in a quiet, dark room to minimize exposure to light and sound, which can worsen headaches.

  2. Stay Hydrated: Ensure you're drinking enough water, as dehydration can contribute to headaches.

  3. Apply Heat or Cold: Continue using hot or cold compresses on your neck and head to see if it provides any relief.

  4. Practice Relaxation Techniques: Try deep breathing exercises, meditation, or gentle yoga to help reduce stress and muscle tension.

  5. Track Your Symptoms: Use MDandMe to journal your symptoms, track any changes, and identify potential triggers. This information can be valuable for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • A sudden, severe headache that feels like a "thunderclap"
  • Headache accompanied by fever, stiff neck, confusion, or difficulty speaking
  • Persistent or worsening symptoms despite self-care measures
  • Any new or unusual symptoms that concern you

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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28 d ago

People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include severe, throbbing pain usually on one side of the head, nausea, vomiting, and sensitivity to light and sound. Some people also experience visual disturbances known as auras.


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

A tension headache typically presents as a dull, aching pain with a sensation of tightness or pressure around the forehead or back of the head and neck. In contrast, a migraine often involves more intense, throbbing pain, usually on one side of the head, and is accompanied by nausea and sensitivity to light and sound.


What are some effective home remedies for managing severe headaches?

Effective home remedies for managing severe headaches include resting in a quiet, dark room, staying hydrated, applying hot or cold compresses to the head or neck, and practicing relaxation techniques such as deep breathing, meditation, or gentle yoga.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is sudden and severe, feels like a 'thunderclap,' is accompanied by fever, stiff neck, confusion, or difficulty speaking, or if symptoms persist or worsen despite self-care measures.


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