[31F] Experiencing persistent headaches post-abdominoplasty

Patient Description

A 31-year-old female reports a persistent, throbbing headache that began two days after undergoing an abdominoplasty. The pain, which has lasted for a week, is primarily located in the temples and occasionally behind the nose and eyes. The intensity varies, with a baseline pain level of 4 and peaks at 8, and is relieved by hot showers. The headache worsens with standing, sitting, or exertion. The patient has a slight, prickly rash on the inner forearm and tops of thighs, feels tired from surgery recovery, and has a history of sinus headaches. Current medications include a recently completed course of Bactrim, Zoloft (100mg for one year), Phenergan (25mg as needed), and Tylenol for post-surgical pain. No known drug allergies or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Postoperative Headache: This is a common occurrence after surgery. It can be due to a variety of factors such as the after-effects of anesthesia, stress, or the body's response to the surgical procedure. The fact that your headache started a couple of days after your abdominoplasty surgery suggests this might be the case.

    • Treatment typically involves pain management with over-the-counter pain relievers like Tylenol, which you're already taking. Rest and hydration are also important.
  • Sinusitis: Given your history of sinus issues, it's possible that your current headache is related to a sinus infection, especially since you're experiencing pain behind your nose and eyes. However, sinus headaches are typically accompanied by other symptoms such as nasal congestion, facial pressure, or a runny nose.

    • Treatment often involves antibiotics, nasal decongestants, and pain relievers.
  • Medication Overuse Headache: This type of headache can occur from overuse of pain medications, including over-the-counter drugs like Tylenol. However, this is less likely if you've been using the medication as directed.

  • Tension Headache: This is a common type of headache characterized by a dull, aching sensation all over the head. It's often described as a feeling of a tight band around the forehead or at the back of the head and neck. Your description of a throbbing headache and neck stiffness could suggest a tension headache.

    • Treatment typically involves stress management, physical therapy, and pain relievers.

What you can do

  1. Continue to take your prescribed medications as directed by your doctor.
  2. Rest and stay hydrated.
  3. Apply a warm compress to your forehead or the back of your neck.
  4. Try relaxation techniques such as deep breathing, yoga, or meditation to help reduce stress and tension.
  5. Keep a headache diary to track your symptoms, triggers, and the effectiveness of treatments.

What you should look out for

Please seek immediate medical attention if:

  • Your headache suddenly becomes severe or is the worst headache you've ever had.
  • You have a headache along with a high fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties.
  • You have a headache after a head injury, especially if the headache gets worse.
  • Your headache is accompanied by shortness of breath, chest pain, or other worrying symptoms.

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

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1 yr ago

People Also Ask


What are common causes of headaches after surgery?

Common causes of headaches after surgery include the after-effects of anesthesia, stress, dehydration, and the body's response to the surgical procedure. These headaches are often managed with pain relievers, rest, and hydration.


How can I differentiate between a sinus headache and other types of headaches?

Sinus headaches are typically accompanied by symptoms such as nasal congestion, facial pressure, or a runny nose. They often cause pain behind the nose and eyes. Other types of headaches, like tension headaches, may not have these sinus-related symptoms.


What are the signs of a medication overuse headache?

Medication overuse headaches can occur when pain relief medications are used too frequently. Signs include headaches that occur daily or almost daily, worsening of headache symptoms, and headaches that improve temporarily with medication but return as the medication wears off.


What are effective ways to manage tension headaches?

Effective ways to manage tension headaches include stress management techniques, such as deep breathing, yoga, or meditation, physical therapy, applying warm compresses, and using over-the-counter pain relievers as needed.


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