[29M] Experiencing a persistent unilateral headache

Patient Description

A 29-year-old male reports a headache that has persisted for two days, described as mild to strong in intensity, located above the right eye and sometimes pulsating above the head. The headache is exacerbated by strong light and is relieved by ice compress, pressure applied with fingers, and medication (Ketorolac). The patient has not experienced a headache of this nature before. Accompanying symptoms include a slightly stiff neck and occasional dizziness. The headache has been continuous rather than episodic. No associated symptoms of severe headache onset, fever, changes in vision or consciousness, nausea, vomiting, or double vision were reported. The patient notes increased sensitivity to bright lights.

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Arora's Assessment

What might be happening

Based on the information provided, possible causes of your symptoms include:

  • Migraine: This is a type of headache characterized by severe, throbbing pain usually on one side of the head. It can be accompanied by sensitivity to light and sound, and sometimes nausea and vomiting. The exact cause is unknown, but it's thought to be due to abnormal brain activity temporarily affecting nerve signals, chemicals and blood vessels in the brain.

    • Treatment typically involves pain-relieving medications and lifestyle changes to manage triggers.
  • Tension Headache: This is the most common type of headache and is often described as a constant pressure or ache around the head, particularly at the temples or back of the head and neck. It can be caused by stress, lack of sleep, poor posture, or depression.

    • Treatment usually involves over-the-counter pain relievers, stress management, and physical therapy.
  • Cluster Headache: These are severe headaches that occur in clusters or cycles. The pain is usually around one eye, and can be accompanied by a watery eye and nasal congestion on the same side of the face. They are relatively rare and the cause is unknown.

    • Treatment involves medications to decrease the severity of the headache, as well as preventive medications.

Please note that these are possible causes and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Over-the-counter pain relievers: Non-prescription medications such as ibuprofen can help relieve the pain. However, they should be used sparingly as overuse can lead to rebound headaches.
  2. Rest and relaxation: Try to rest in a dark, quiet room. Stress management techniques such as deep breathing, yoga, and meditation may also help.
  3. Ice pack: Applying a cold compress to the area of pain can help reduce inflammation and numb the area, providing temporary relief.
  4. Avoid triggers: If certain activities or situations seem to trigger your headaches, try to avoid them.

What you should look out for

Seek immediate medical attention if you experience:

  • A sudden, severe headache like a thunderclap
  • Headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
  • Headache after a head injury
  • Chronic, progressive headache that's accompanied by other symptoms, such as loss of sensation or vision problems.

Remember, I'm an AI and this advice is based on the information you provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of a migraine headache?

Common symptoms of a migraine headache include severe, throbbing pain usually on one side of the head, sensitivity to light and sound, and sometimes nausea and vomiting. The pain can be exacerbated by physical activity.


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

A migraine is typically characterized by severe, throbbing pain on one side of the head, often accompanied by nausea and sensitivity to light and sound. A tension headache, on the other hand, usually presents as a constant pressure or ache around the head, particularly at the temples or back of the head and neck, and is often related to stress or poor posture.


What are some effective home remedies for managing headaches?

Effective home remedies for managing headaches include resting in a dark, quiet room, applying a cold compress to the area of pain, practicing stress management techniques like deep breathing or meditation, and avoiding known headache triggers.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if you experience a sudden, severe headache like a thunderclap, a headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties, a headache after a head injury, or a chronic, progressive headache accompanied by other symptoms such as loss of sensation or vision problems.


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