[31F] Experiencing persistent headaches and throat tightness

Patient Description

A 31-year-old female reports experiencing dull headaches behind her right eye and throbbing headaches on the left side of her head, persisting for about a week. The headaches occur approximately twice a week, lasting around 12 hours each time. The patient notes that the headaches are exacerbated by looking down and physical strain, such as moving furniture, and are somewhat relieved by ibuprofen. Additionally, the patient experiences tightness on the right side of her throat and tenderness in certain areas of her head. She reports nausea and sensitivity to light and sound accompanying the headaches, with occasional dimming of vision. The patient has a family history of migraines, as her mother suffered from them and later had a brain aneurysm. There is no history of recent head injuries or trauma. The patient has not been evaluated by a neurologist for these symptoms before, and this is the first time the headaches have lasted this long.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—dull headaches behind your right eye, throbbing headaches on the left side, tenderness, tightness in your throat, nausea, and occasional dimming of vision—here are some possible explanations:

  • Migraine Headaches: Migraines are a common type of headache that can cause intense throbbing or pulsing pain, often on one side of the head. They can be accompanied by nausea, sensitivity to light and sound, and visual disturbances like dimming. Your family history of migraines supports this possibility. Treatment typically involves medications to relieve symptoms and prevent future attacks.

  • Tension-Type Headaches: These headaches are characterized by a dull, aching pain and tenderness in the head, neck, and shoulders. They can be triggered by stress, poor posture, or muscle tension. Treatment often includes over-the-counter pain relievers and stress management techniques.

  • Cluster Headaches: These are severe headaches that occur in cyclical patterns or clusters. They can cause intense pain around one eye and may be accompanied by redness, tearing, or nasal congestion. Treatment usually involves medications to relieve pain and prevent future episodes.

Given your family history of a brain aneurysm, it's important to rule out any serious conditions. Consulting a healthcare professional for a proper diagnosis and treatment plan is recommended.

What you can do

While you wait to see a healthcare professional, here are some steps you can take to manage your symptoms:

  1. Keep a Headache Diary: Use MDandMe to journal your symptoms, track headache frequency, duration, and intensity, and note any potential triggers. This information can be helpful for your healthcare provider.

  2. Manage Stress: Practice relaxation techniques such as deep breathing, meditation, or yoga to help reduce stress and tension.

  3. Stay Hydrated: Drink plenty of water throughout the day to stay hydrated, as dehydration can contribute to headaches.

  4. Maintain a Regular Sleep Schedule: Aim for consistent sleep patterns by going to bed and waking up at the same time each day.

  5. Limit Caffeine and Alcohol: These substances can trigger or worsen headaches for some people, so consider reducing your intake.

  6. Use Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen may help alleviate headache pain, but be cautious of overuse, which can lead to rebound headaches.

What you should look out for

Seek medical attention if you experience any of the following:

  • Sudden, severe headache that feels like the worst headache of your life
  • Neurological symptoms such as weakness, numbness, or difficulty speaking
  • Sudden changes in vision, such as double vision or loss of vision
  • Loss of consciousness or confusion
  • Neck stiffness and fever

These symptoms could indicate a more serious condition that requires immediate medical evaluation. If you have any concerns or your symptoms worsen, please consult a healthcare professional promptly.

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18 d ago

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People Also Ask


What are the common symptoms of migraine headaches?

Common symptoms of migraine headaches include intense throbbing or pulsing pain on one side of the head, nausea, sensitivity to light and sound, and visual disturbances such as dimming or flashing lights.


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

Migraines often involve throbbing pain, nausea, and sensitivity to light and sound, while tension-type headaches typically cause a dull, aching pain and tenderness in the head, neck, and shoulders without the additional symptoms of nausea or visual disturbances.


What lifestyle changes can help manage headache symptoms?

Lifestyle changes that can help manage headache symptoms include keeping a headache diary, managing stress through relaxation techniques, staying hydrated, maintaining a regular sleep schedule, and limiting caffeine and alcohol intake.


When should I seek immediate medical attention for a headache?

You should seek immediate medical attention for a headache if you experience a sudden, severe headache, neurological symptoms like weakness or numbness, sudden changes in vision, loss of consciousness, confusion, or neck stiffness and fever.


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2 Comments


Anonymous#4896

15 d ago

What's the most likely diagnosis?

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Anonymous#25337

15 d ago

Hi Anonymous#4896! Given the symptoms described, migraines seem to be a likely diagnosis, especially given the family history. However, it's important to consult with a healthcare professional for an accurate diagnosis and tailored treatment plan. They can consider all possibilities and conduct any necessary evaluations to ensure the best care. 😊

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