[34F] Experiencing temple and rib pressure with sweating

Patient Description

A 34-year-old female reports experiencing sudden onset of pressure in the temples, rated 8 to 9 out of 10 in intensity, persisting for three days. The patient also describes pressure in the rib area and sweating sufficient to dampen clothes, occurring without fever and even while resting. No specific triggers or alleviating factors have been identified. The patient has a medical history of acid reflux and cyclic vomiting syndrome, diagnosed in 2018. No current medications, supplements, or herbal remedies are being taken, and there are no known allergies to medications. The patient denies recent travel, stress, or anxiety contributing to symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—pressure in your temples, pressure in the rib area, and sweating without a fever—here are some possible explanations:

  1. Tension Headache: This is a common type of headache that can cause pressure or tightness around the forehead or temples. It can be triggered by stress, poor posture, or muscle tension.

    • Treatment typically involves over-the-counter pain relievers, relaxation techniques, and ensuring good posture.
  2. Sinusitis: Inflammation of the sinuses can cause pressure in the temples and forehead. It might not always be accompanied by typical symptoms like nasal congestion.

    • Treatment may include decongestants, nasal sprays, or antibiotics if a bacterial infection is suspected.
  3. Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone, which can cause rib area pressure or pain.

    • Treatment often involves pain relievers and rest.
  4. Gastroesophageal Reflux Disease (GERD): Given your history of acid reflux, GERD could cause discomfort in the rib area due to acid irritation.

    • Treatment includes dietary changes, antacids, and medications to reduce stomach acid.
  5. Anxiety or Stress: Even if you don't feel stressed, physical symptoms can manifest as pressure or sweating.

    • Techniques such as deep breathing, meditation, or exercise can help manage these symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis, here are some steps you can take to manage your symptoms:

  1. Hydration and Rest: Ensure you're drinking plenty of water and getting adequate rest.
  2. Over-the-Counter Pain Relief: Consider using over-the-counter pain relievers like ibuprofen or acetaminophen for headache relief.
  3. Relaxation Techniques: Practice relaxation techniques such as deep breathing, meditation, or gentle yoga to help alleviate tension.
  4. Monitor Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.
  5. Dietary Adjustments: For acid reflux, avoid trigger foods such as spicy or fatty foods, and try eating smaller, more frequent meals.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening headache
  • Chest pain or difficulty breathing
  • Persistent or worsening symptoms despite self-care measures
  • New symptoms such as nausea, vomiting, or changes in vision

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a thorough evaluation and appropriate treatment.

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People Also Ask


What are the common causes of pressure in the temples?

Common causes of pressure in the temples include tension headaches, sinusitis, and sometimes migraines. Stress, poor posture, and muscle tension are typical triggers for tension headaches.


Can acid reflux cause pressure in the rib area?

Yes, acid reflux or GERD can cause discomfort or a sensation of pressure in the rib area due to irritation from stomach acid. This is often felt as a burning sensation or pain in the chest or upper abdomen.


What are the symptoms of costochondritis?

Symptoms of costochondritis include sharp pain or tenderness in the chest, particularly where the ribs meet the breastbone. The pain may worsen with movement, deep breathing, or physical activity.


How can I manage tension headaches at home?

To manage tension headaches at home, you can use over-the-counter pain relievers like ibuprofen or acetaminophen, practice relaxation techniques such as deep breathing or meditation, ensure good posture, and apply a warm compress to the affected area.


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