[35F] Experiencing headache, stuffy nose, and tender area under armpit

Patient Description

A 35-year-old female presents with a constellation of symptoms including a constant dull throbbing headache localized around the temples and base of the head, rated as 7 out of 10 in severity, which started early in the morning. This is the first occurrence of such a headache for the patient. Additionally, the patient reports a stuffy nose that worsens when lying down, and a tender, painful area under the left armpit without visible redness, marks, or lumps. The underarm pain is described as very painful to the touch and exacerbates when moving the arm. These symptoms have been present for 4 days. The patient denies any recent illnesses, injuries, or trauma, as well as any fever, chills, vision changes, or skin changes. There is no family history of migraines or other types of headaches. The patient has no known allergies, adverse reactions to medications, or pre-existing conditions, and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Muscle Strain or Overuse: The muscles in and around your armpit can become strained or overused due to heavy lifting or repetitive arm movements. This can cause pain and tenderness in the area, which may worsen when you move your arm or touch the area.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also be helpful.
  • Lymphadenitis: This is an infection of the lymph nodes, which are small, bean-shaped glands that produce and store cells that fight infection and disease. The lymph nodes in your armpits can become inflamed and painful if you have an infection in the arm or breast, or if you have a systemic infection.

    • Treatment usually involves antibiotics to clear the infection.
  • Tension Headache: This is the most common type of headache, and it can cause a constant dull, aching, or pressure-like pain on both sides of your head or at the back of your head or neck. These headaches can be triggered by stress, anxiety, poor posture, or not getting enough sleep.

    • Treatment usually involves over-the-counter pain relievers, rest, and stress management techniques.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause a stuffy nose, as well as pain and pressure in your face.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. If the sinusitis is caused by a bacterial infection, antibiotics may be necessary.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Rest and avoid heavy lifting or repetitive arm movements to allow any strained muscles to heal.
  2. Apply a cold pack to the tender area under your armpit for 15 minutes at a time to help reduce inflammation and pain.
  3. Over-the-counter pain relievers, such as ibuprofen, can help with the pain under your armpit and your headache.
  4. Stay hydrated and use a humidifier to help with your stuffy nose. Over-the-counter decongestants may also be helpful.
  5. If your symptoms persist or worsen, please seek medical attention.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain or swelling under your armpit
  • A lump or growth under your armpit
  • Fever, chills, or signs of infection (such as redness, pus, or increased pain)
  • Severe or worsening headache
  • Vision changes, difficulty speaking, or difficulty moving your arms or legs

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

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9 mo ago

People Also Ask


What could be causing the dull throbbing headache around the temples and base of the head?

The dull throbbing headache could be a tension headache, which is common and can be triggered by stress, anxiety, poor posture, or lack of sleep. It typically causes a constant dull, aching, or pressure-like pain.


Why might there be pain and tenderness under the armpit without visible redness or lumps?

Pain and tenderness under the armpit without visible redness or lumps could be due to muscle strain or overuse, or it might be lymphadenitis, which is an infection of the lymph nodes. Both conditions can cause pain and tenderness in the area.


How can a stuffy nose that worsens when lying down be managed?

A stuffy nose that worsens when lying down can be managed by staying hydrated, using a humidifier, and taking over-the-counter decongestants. These measures can help reduce nasal congestion and improve breathing.


When should I seek medical attention for these symptoms?

You should seek medical attention if you experience severe pain or swelling under your armpit, a lump or growth, fever, chills, signs of infection, severe or worsening headache, or any vision changes, difficulty speaking, or difficulty moving your arms or legs.


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1 Comments


Jasmine#4037

9 mo ago

I dont think the headache is related to the armpit pain. its a little weird that you don't have a history of headaches, but currently it sounds like a normal tension headache. i get them once in a while. If it doesn't go away though or it gets worse when you lie down, might be worth seeing your primary doc

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