[29F] With severe headaches, vomiting, and facial swelling

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Migraine: Migraines can cause severe headaches that feel like your head is going to explode. They can also be associated with nausea, vomiting, and sensitivity to light. However, the swelling in your face and eyes is not typical for migraines.

  • Treatment often includes medications to relieve pain and prevent future attacks. Lifestyle changes, such as stress management and avoiding known triggers, can also help.

• Cluster Headaches: These are extremely painful headaches that occur in clusters, often around the same time each day. They can cause severe pain on one side of the head, around the eye, and may be accompanied by redness and swelling.

  • Treatment may include medications to relieve pain and prevent future headaches. Oxygen therapy and lifestyle changes can also be beneficial.

• Sinusitis: Inflammation or infection of the sinuses can cause severe headaches, facial pain, and swelling around the eyes and cheeks. It can also cause fever and confusion if the infection is severe.

  • Treatment typically involves antibiotics if a bacterial infection is suspected, nasal decongestants, and pain relievers.

• Hypertensive Crisis: Extremely high blood pressure can cause severe headaches, nausea, vomiting, and confusion. It can also lead to swelling in the face and eyes.

  • This is a medical emergency that requires immediate treatment to lower blood pressure and prevent complications.

• Medication Overuse Headache: Taking pain relief medication too frequently can lead to rebound headaches. Given your use of Methadone, this could be a contributing factor.

  • Treatment involves stopping the overused medication under medical supervision and finding alternative pain management strategies.

What you can do

1. Seek Immediate Medical Attention: Given the severity and duration of your symptoms, it is crucial to seek immediate medical attention. Your symptoms could indicate a serious underlying condition that requires prompt treatment.
2. Keep a Symptom Diary: Track your symptoms, including when they occur, their intensity, and any potential triggers. This information can be helpful for your healthcare provider.
3. Stay Hydrated: Ensure you are drinking enough water, as dehydration can worsen headaches and nausea.
4. Avoid Known Triggers: If you have identified any triggers that worsen your symptoms, try to avoid them.

What you should look out for

• Worsening Symptoms: If your symptoms worsen or new symptoms develop, seek medical attention immediately.
• Changes in Vision: If you experience sudden changes in vision, such as blurred vision or loss of vision, seek immediate medical care.
• Severe Confusion or Loss of Consciousness: If you become severely confused or lose consciousness, seek emergency medical care.
• Persistent Fever: If you continue to have a fever, it could indicate an infection or other serious condition that needs treatment.

Please remember that while this information can be helpful, it is not a substitute for professional medical advice. Consult with a healthcare provider for a formal diagnosis and appropriate treatment.