[35F] Experiencing severe headache and other flu-like symptoms

Patient Description

A 35-year-old female presents with a sudden onset of severe, throbbing, and aching headache that is worsened by movement. The headache is rated 8 out of 10 in intensity and is accompanied by sensitivity to light. Additionally, the patient reports a deep cough with mucus and pressure, moderate in severity, which started on Monday. She also has a runny nose and has been experiencing chills, but no fever. Ear pain described as throbbing began last night. The patient has a history of seizures diagnosed at the age of 18 but is not currently on any medications and has no known drug allergies. She mentioned a recent exposure to someone diagnosed with influenza B over a week ago and is experiencing confusion and difficulty concentrating, but no rash or neck stiffness is reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you might be experiencing:

  • Influenza (Flu): This is a common viral infection that can be deadly, especially in high-risk groups. The flu is different from a cold. Flu symptoms usually come on suddenly and may include fever, body ache, tiredness, cough, and headache. Given your recent exposure to your son who was diagnosed with influenza B, this is a possibility.

    • Treatment typically involves rest, hydration, and over-the-counter remedies for comfort. Antiviral medications may be prescribed in some cases.
  • Sinusitis: This is inflammation or swelling of the tissue lining the sinuses. This can cause headaches, a runny nose, and facial pain. Your symptoms of a throbbing headache in the front of your head, runny nose, and ear pain could be indicative of this condition.

    • Treatment often involves the use of decongestants and pain relievers. In some cases, antibiotics may be necessary.
  • Migraine: This is a type of headache characterized by 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. Your description of a throbbing and aching headache, sensitivity to light, and confusion could be indicative of a migraine.

    • Treatment typically involves medications to help reduce the severity and frequency of migraines.

Please note that these are possibilities based on the symptoms you've described, and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and hydrate: Regardless of the cause, getting plenty of rest and staying well-hydrated can help your body recover.

  2. Over-the-counter remedies: Over-the-counter pain relievers can help with the headache and body aches. Decongestants may help if your symptoms are due to sinusitis.

  3. Seek medical attention: Given the severity of your headache and your exposure to influenza B, it's important to seek medical attention. Your healthcare provider can provide an accurate diagnosis and appropriate treatment.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or do not improve with rest and over-the-counter remedies.
  • You experience severe headache, stiff neck, and fever together. These could be signs of a more serious condition like meningitis.
  • You have difficulty breathing or chest pain. These could be signs of a serious condition like pneumonia.

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.

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10 mo ago

People Also Ask


What are the common symptoms of influenza B and how is it treated?

Common symptoms of influenza B include sudden onset of fever, chills, body aches, fatigue, cough, sore throat, and headache. Treatment typically involves rest, hydration, and over-the-counter medications to relieve symptoms. In some cases, antiviral medications may be prescribed by a healthcare provider.


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

A migraine is usually characterized by severe throbbing pain on one side of the head, often accompanied by nausea, vomiting, and sensitivity to light and sound. A sinus headache, on the other hand, is typically associated with a deep, constant pain in the cheekbones, forehead, or bridge of the nose, and is often accompanied by nasal congestion and facial pressure. Consulting a healthcare provider can help in accurately diagnosing the type of headache.


What are the signs that a headache might be a symptom of a more serious condition?

Signs that a headache might be a symptom of a more serious condition include a sudden, severe headache, headache accompanied by a stiff neck and fever, confusion, difficulty speaking, or changes in vision. If you experience any of these symptoms, seek immediate medical attention.


What should I do if I have been exposed to someone with influenza B?

If you have been exposed to someone with influenza B, monitor yourself for symptoms such as fever, cough, and body aches. Practice good hygiene, such as frequent handwashing, and consider getting a flu vaccine if you haven't already. If symptoms develop, consult a healthcare provider for advice on treatment and whether antiviral medications are appropriate.


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