[30F] Experiencing chronic sharp pain behind left eye

Patient Description

A 30-year-old female reports experiencing a sharp, throbbing, and aching pain behind her left eye for the past six months. The pain is triggered by light exposure and occurs approximately once a week, although the current episode has lasted all day. Relief is noted when closing the left eye. There is no history of similar headaches, eye or head injuries, or additional symptoms such as changes in vision, tearing, or redness. The patient has a history of asthma diagnosed at age 2 and is allergic to cats. She reports frequent tobacco use and daily marijuana smoking, approximately 2 grams per day. Additionally, she takes oxycodone in doses ranging from 10mg to 30mg frequently. No other medications or allergies to medications are reported.

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Arora's Assessment

What might be happening

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

  • Cluster Headaches: These are severe headaches that occur on one side of the head, often around the eye. They can be accompanied by symptoms like tearing, redness, or nasal congestion on the affected side. Cluster headaches are known for their intense pain and can be triggered by factors such as alcohol or strong smells.

    • Treatment typically involves medications to relieve pain and prevent future attacks. Oxygen therapy and certain prescription medications can be effective.

  • Migraine: Migraines can cause severe, throbbing pain, often on one side of the head, and can be triggered by light. They may also cause nausea, vomiting, and sensitivity to light and sound.

    • Treatment includes over-the-counter pain relievers, prescription medications, and lifestyle changes to avoid triggers.

  • Sinus Issues: Although less likely given your description, sinus problems can cause pain around the eyes and forehead, especially if there's an infection or inflammation.

    • Treatment involves decongestants, nasal sprays, or antibiotics if an infection is present.

Given your use of tobacco and marijuana, these substances could also be contributing to your symptoms. Smoking can exacerbate headaches and other health issues.

What you can do

  1. Consult a Healthcare Provider: It's important to see a doctor for a proper diagnosis and treatment plan. They may recommend imaging tests or refer you to a specialist.

  2. Track Your Symptoms: Use MDandMe to journal your symptoms, noting when they occur, their intensity, and any potential triggers. This information can be valuable for your healthcare provider.

  3. Lifestyle Adjustments: Consider reducing or quitting smoking and marijuana use, as these can contribute to headaches. Your doctor can provide resources to help with this.

  4. Manage Light Sensitivity: Wear sunglasses or use dim lighting to reduce light-triggered pain.

What you should look out for

Seek medical attention if you experience:

  • Sudden, severe headaches that are different from your usual pattern
  • Changes in vision or other neurological symptoms
  • Headaches that worsen or do not improve with treatment

Remember, while I can provide information, it's crucial 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 triggers for cluster headaches?

Common triggers for cluster headaches include alcohol, strong smells, stress, and changes in sleep patterns. It's important to identify and avoid these triggers to help manage the condition.

How can lifestyle changes help in managing migraines?

Lifestyle changes such as maintaining a regular sleep schedule, staying hydrated, managing stress, and avoiding known triggers like certain foods or bright lights can help reduce the frequency and severity of migraines.

Can smoking and marijuana use contribute to headaches?

Yes, smoking and marijuana use can contribute to headaches. Tobacco smoke can cause blood vessels to constrict, leading to headaches, while marijuana can affect the brain's pain pathways and potentially trigger headaches.

What are the warning signs that a headache might require immediate medical attention?

Warning signs that a headache might require immediate medical attention include sudden, severe headaches that are different from your usual pattern, changes in vision, confusion, difficulty speaking, or headaches that worsen or do not improve with treatment.

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