[35F] Experiencing sudden onset of headache, dizziness, and tiredness

Patient Description

A 35-year-old female presents with a sudden onset of a throbbing and aching headache that started yesterday and radiates from the front to behind the eyes. The headache severity is rated 7/10. Accompanying symptoms include nausea and a stiff neck, as well as sleepiness and dizziness. The patient denies any recent head injury, changes in vision, or fever. She has no known allergies and no family history of migraines. Her medical history includes asthma, ADHD, and PCOS. Current medications include Vyvanse (2 months), Bupropion (over a year), Buspirone (over a year), and Norethindrone (a few years), with no reported side effects. There have been no recent changes in medication or dosage.

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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:

  • Migraine: Migraines are a type of headache characterized by severe, throbbing pain, often on one side of the head. They can be accompanied by other symptoms such as nausea, vomiting, and sensitivity to light and sound. The sudden onset and the throbbing nature of your headache, along with the accompanying nausea, could suggest a migraine.

    • Treatment often involves rest, hydration, and over-the-counter pain relievers. Prescription medications are also available.
  • Tension-type headache: This is the most common type of headache and can cause a feeling of pressure or a band-like sensation around the head. It can be associated with stress, lack of sleep, poor posture, or eye strain.

    • Treatment often involves over-the-counter pain relievers, stress management, and lifestyle changes.
  • Medication-overuse headache: This type of headache can occur when pain medications are used too frequently. It's worth noting that you're currently taking several medications, although none of them are typically associated with medication-overuse headaches.

  • Sinusitis: Inflammation of the sinuses can cause headaches, particularly around the forehead and behind the eyes. However, this is usually accompanied by other symptoms such as a runny or stuffy nose, which you haven't reported.

Please note that this is not an exhaustive list and other causes may be possible. It's also worth noting that headaches can sometimes be a symptom of more serious conditions, such as meningitis or a brain tumor, although these are less likely based on the symptoms you've reported.

What you can do

Given the severity and sudden onset of your headache, it would be best to seek medical attention as soon as possible. In the meantime, here are a few things you can do to help manage your symptoms:

  1. Rest in a quiet, dark room. This can often help with migraines and other types of headaches.
  2. Stay hydrated. Dehydration can sometimes trigger headaches.
  3. Try over-the-counter pain relievers, such as ibuprofen or acetaminophen. However, be sure to follow the instructions on the label and avoid taking more than the recommended dose.

What you should look out for

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

  • A sudden, severe headache that's different from any headache you've had before
  • A headache accompanied by a high fever, stiff neck, confusion, seizures, double vision, weakness, numbness, or difficulty speaking
  • A headache after a head injury
  • A headache that gets worse over 24 hours or doesn't improve with rest or pain medication

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can evaluate your symptoms and condition in person.

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11 mo ago

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People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include severe, throbbing pain often on one side of the head, nausea, vomiting, and sensitivity to light and sound. Some people also experience visual disturbances known as auras.


Can my current medications cause headaches?

While the medications you are taking are not typically associated with causing headaches, medication-overuse headaches can occur if pain medications are used too frequently. It's important to discuss any concerns with your healthcare provider.


How can I differentiate between a migraine and a tension-type headache?

Migraines are usually characterized by severe, throbbing pain and may be accompanied by nausea and sensitivity to light and sound. Tension-type headaches often feel like a band of pressure around the head and are associated with stress or poor posture. Consulting a healthcare provider can help in distinguishing between the two.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is sudden and severe, different from any previous headaches, accompanied by a high fever, stiff neck, confusion, seizures, or other neurological symptoms, or if it occurs after a head injury. Additionally, if a headache worsens over 24 hours or doesn't improve with rest or medication, medical evaluation is advised.


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