[31F] Experiencing sharp pain above the ear and sensitivity on scalp

Patient Description

A 31-year-old female presents with symptoms that started today, including sharp, intermittent pain localized slightly above the ear on one side, pain when swallowing radiating from the throat to the ear, and sensitivity on the scalp when hair is moved or gently bumped. The patient also reports a history of illness starting on February 24, without proper rest due to work stressors. Medical history includes a bicuspid aortic valve diagnosed at age 9, polycystic ovary syndrome (PCOS) diagnosed at age 28, and irritable bowel syndrome (IBS) diagnosed around age 27. The patient is allergic to sulfa and is currently taking Lexapro 30 mg and pantoprazole 40 mg daily, with no recent changes to medication or side effects. There is no reported fever, chills, weakness, numbness in the face, changes in hearing, vision, severe headache, facial droop, or altered mental status.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Otitis Media: This is an infection or inflammation of the middle ear, which can cause sharp or dull pain, and can sometimes radiate to the head or neck. It's often caused by a viral or bacterial infection, especially after a cold or flu.

    • Treatment typically involves pain management and sometimes antibiotics if the cause is bacterial.
  • Temporal Arteritis: This is an inflammation of the arteries in the temples. It can cause headaches, scalp tenderness, and jaw pain. However, it's less likely given your age and lack of vision changes.

    • Treatment involves high-dose corticosteroids.
  • Trigeminal Neuralgia: This condition causes severe facial pain that might feel like an electric shock to one side of your face. The pain can be triggered by normal daily activities, such as brushing your teeth or touching your face. However, it's less likely given that your pain is not triggered by these activities.

    • Treatment includes medications, injections, and in severe cases, surgery.
  • Tension Headache: This is a common type of headache that can cause a constant ache and pressure around your head, especially at your temples or back of your head and neck. Not typically associated with sharp, intermittent pain.

    • Treatment typically involves pain relievers, stress management, and sometimes preventive medications.

What you can do

  1. Over-the-counter pain relievers such as acetaminophen or ibuprofen can help with the pain. Please follow the instructions on the package for dosing.
  2. Rest and hydrate well. This can help your body recover from any potential infection.
  3. Warm compresses might help alleviate ear pain.
  4. Avoid any activities that seem to trigger the pain.

What you should look out for

Please seek immediate medical attention if you experience:

  • A very severe headache or the "worst headache" of your life
  • Sudden or rapidly worsening headache
  • Headache accompanied by fever, stiff neck, confusion, seizure, double vision, weakness, numbness, or speaking difficulties
  • Headache after a head injury

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional who can evaluate your condition and medical history.

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9 mo ago


People Also Ask


What are the common symptoms of otitis media?

Common symptoms of otitis media include ear pain, a feeling of fullness in the ear, hearing loss, and sometimes fever. In some cases, there may be fluid drainage from the ear.


How can stress and lack of rest affect my health?

Stress and lack of rest can weaken the immune system, making you more susceptible to infections. They can also exacerbate existing conditions like IBS and contribute to mental health issues such as anxiety and depression.


What are the potential side effects of Lexapro and pantoprazole?

Lexapro can cause side effects such as nausea, sleep disturbances, fatigue, and sexual dysfunction. Pantoprazole may cause headache, diarrhea, stomach pain, or nausea. It's important to discuss any side effects with your doctor.


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

A tension headache typically causes a dull, aching pain and a feeling of pressure around the forehead or back of the head and neck. It is usually not associated with sharp, intermittent pain, which might suggest other types of headaches like migraines or cluster headaches.


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