[33M] Experiencing severe headache and nocturnal itching

Patient Description

A 33-year-old male reports a constant, throbbing headache located in the forehead that has been persistent for two weeks. The headache is described as pulsating and does not worsen with physical activity. The patient also experiences severe itching all over the body, including the palms, soles, and genital area, which started one week after feeling feverish. The itching is severe enough to disrupt sleep. The patient has felt feverish but currently has a normal temperature. There is no reported rash, skin discoloration, or texture change where the itching occurs. No recent weight loss, night sweats, or changes in vision have been noted. The patient has not been around anyone with similar symptoms and has not experienced this type of itching before.

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Arora's Assessment

What might be happening

Based on the information you provided, the following conditions might be considered:

  • Migraine: This is a type of headache that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment typically involves pain relieving medications and preventive medications.
  • Scabies: This is a skin infestation caused by a mite known as the Sarcoptes scabiei. It causes itching, often severe and usually worse at night. The itching is often worse in areas such as the soles of the feet, the palms of the hands, and the genital area.

    • Treatment typically involves medications that kill scabies mites and their eggs.
  • Anemia: This is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. It can cause fatigue and loss of stamina.

    • Treatment depends on the cause of the anemia, but may include dietary changes, supplements, or medical treatments.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult a healthcare professional for an accurate diagnosis.

What you can do

  1. Try over-the-counter pain relievers for your headache. However, they should not be used for a long time without consulting a doctor.
  2. Keep a headache diary. This can help you identify triggers for your migraines, such as certain foods, stress, or changes in sleep.
  3. For itching, try to avoid scratching as much as possible to prevent worsening of the condition or potential skin infections. Over-the-counter creams and antihistamines may help relieve itching.
  4. Stay hydrated and eat a balanced diet to help with your fatigue and loss of stamina.

What you should look out for

Please seek immediate medical attention if:

  • Your headache suddenly becomes severe and different from previous headaches.
  • You have a fever with a severe headache.
  • Your headache is accompanied by confusion, seizures, double vision, weakness, numbness, or difficulty speaking.
  • Your itching becomes unbearable, spreads rapidly, or is accompanied by other symptoms such as weight loss, night sweats, or changes in your vision.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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9 mo ago


People Also Ask


What are the common symptoms of a migraine and how can it be treated?

Common symptoms of a migraine include severe throbbing or pulsing pain, usually on one side of the head, nausea, vomiting, and sensitivity to light and sound. Treatment often involves pain-relieving medications and preventive medications to reduce the frequency and severity of attacks.


What causes scabies and how is it treated?

Scabies is caused by an infestation of the skin by the mite Sarcoptes scabiei. It leads to intense itching, especially at night, and a pimple-like rash. Treatment typically involves prescription creams or lotions that kill the mites and their eggs.


What are the signs of anemia and how can it be managed?

Anemia is characterized by fatigue, weakness, pale or yellowish skin, irregular heartbeats, shortness of breath, dizziness, or lightheadedness. Management depends on the cause but may include dietary changes, iron supplements, or other medical treatments.


How can I relieve severe itching that disrupts sleep?

To relieve severe itching, avoid scratching to prevent skin damage. Over-the-counter creams, antihistamines, and cool baths may help. If itching persists, consult a healthcare provider for further evaluation and treatment.


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