[32F] Experiencing unilateral headache, facial, and neck pain

Patient Description

A 32-year-old female presents with a 2-day history of a severe headache, rated 7/10, localized to the right side of her face, head, and neck. The headache is exacerbated by light and sound. The patient has a history of similar headaches. She has taken Excedrin for relief, but the pain returns after the medication wears off. Additionally, she reports an aching pain in the back of her neck, rated 6/10, which comes and goes. There is also pain from the eyebrow bone to 2 inches down the nose on the same side as the headache. No fever, chills, or known recent exposure to others with similar symptoms. No recent neck injuries or trauma reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • 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 pain in the face and neck.

    • Treatment typically involves medications to relieve the symptoms and prevent future attacks. Lifestyle changes such as stress management, regular exercise, and avoiding triggers can also help.
  • Cluster Headache: These are severe headaches that occur in clusters or cycles. The pain is usually located on one side of the head and can extend to the face, including the nose.

    • Treatment often involves medications to reduce the severity of the headache, as well as preventive medications to reduce the frequency and duration of the cluster periods.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses, which can cause pain in the face and nose. It can sometimes be accompanied by headaches.

    • Treatment typically involves managing the symptoms with over-the-counter medications, using a humidifier, and drinking plenty of fluids. If caused by a bacterial infection, antibiotics may be prescribed.

Remember, this is not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Over-the-counter pain relievers: Nonprescription pain relievers such as ibuprofen or acetaminophen can help relieve the headache and neck pain.
  2. Rest and hydration: Ensure you get plenty of rest and stay hydrated. Dehydration can often exacerbate headaches.
  3. Avoid triggers: If you notice certain factors trigger your headaches (such as certain foods, lack of sleep, stress), try to avoid them.
  4. Cold or hot compress: Applying a cold or hot compress to your forehead or the back of your neck might help.

What you should look out for

Seek immediate medical attention if:

  • Your headache or neck pain becomes severe or is the worst you've ever had.
  • You have difficulty speaking, seeing, walking, or balancing.
  • You have a high fever, stiff neck, or confusion.
  • You have sudden, severe headache with no known cause.
  • You have a headache after a head injury.

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include severe, throbbing pain usually on one side of the head, sensitivity to light and sound, nausea, and sometimes visual disturbances known as auras.


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

Migraines typically involve throbbing pain and sensitivity to light and sound, while cluster headaches are characterized by severe, piercing pain around one eye or one side of the head, often occurring in cycles or clusters. Cluster headaches may also cause eye redness and nasal congestion.


What are some effective treatments for sinusitis-related headaches?

Effective treatments for sinusitis-related headaches include using over-the-counter pain relievers, nasal decongestants, saline nasal sprays, and humidifiers. Staying hydrated and using warm compresses can also help. If a bacterial infection is suspected, antibiotics may be necessary.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is the worst you've ever had, if you experience difficulty speaking, seeing, walking, or balancing, if you have a high fever, stiff neck, or confusion, or if you have a sudden, severe headache with no known cause.


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