[36M] Experiencing chronic throbbing headaches with nausea

Patient Description

A 36-year-old male reports experiencing throbbing headaches located at the back of the head. These headaches occur almost daily and persist for most of the day, with an intensity rated at 5 out of 10. The patient denies any specific activities or situations that exacerbate the headaches and has not found any effective relief measures. In addition to the headaches, the patient also experiences nausea but no vomiting. There are no associated visual disturbances, muscle tension, or significant stress and anxiety reported. The patient does not consume caffeine regularly and has not tried any treatments or medications for the headaches. The patient reports poor sleep quality, feeling unrested upon waking. Medical history includes chronic pelvic floor pain and being overweight. Current medications include Lunesta 2mg as needed, Doxazosin 8mg nightly, and Fluticasone nasal spray. No known allergies.

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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:

  • Tension-Type Headaches: These are common headaches characterized by a dull, aching sensation all over the head, often described as a tight band around the head. They can be triggered by stress, poor posture, or lack of sleep. Given your history of tension headaches and poor sleep quality, this could be a contributing factor.

    • Treatment typically involves over-the-counter pain relievers, stress management techniques, and improving sleep hygiene.
  • Chronic Daily Headache: Since your headaches occur almost daily, they might be classified as chronic daily headaches. These can be a result of an underlying condition, medication overuse, or other factors.

    • Treatment often involves identifying and managing any underlying causes, lifestyle changes, and sometimes prescription medications.
  • Sleep Disorders: Poor sleep quality can contribute to headaches and nausea. Conditions like sleep apnea or insomnia might be affecting your rest and contributing to your symptoms.

    • Treatment may include improving sleep hygiene, using sleep aids as prescribed, or addressing any underlying sleep disorders.
  • Medication Side Effects: Some medications can cause headaches and nausea as side effects. It's important to review any medications you're taking with your healthcare provider to rule this out.

What you can do

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

  1. Improve Sleep Hygiene: Establish a regular sleep schedule, create a restful environment, and avoid screens before bedtime to improve sleep quality.
  2. Manage Stress: Practice relaxation techniques such as deep breathing, meditation, or yoga to help reduce stress and tension.
  3. Stay Hydrated: Ensure you're drinking enough water throughout the day, as dehydration can contribute to headaches.
  4. Monitor Triggers: Keep a journal of your headaches, noting any potential triggers, such as foods, activities, or stressors. You can use MDandMe to track your symptoms and share insights with your healthcare provider.
  5. Consult a Healthcare Provider: Discuss your symptoms with a healthcare professional to explore potential treatments and rule out any underlying conditions.

What you should look out for

Seek medical attention if you experience any of the following:

  • Sudden, severe headaches that are different from your usual pattern
  • Headaches accompanied by neurological symptoms such as vision changes, weakness, or confusion
  • Persistent nausea or vomiting that doesn't improve
  • Any new or worsening symptoms

Remember, it's important to consult with a healthcare professional for a proper diagnosis and treatment plan tailored to your specific needs.

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1 mo ago


People Also Ask


What are tension-type headaches and how can they be managed?

Tension-type headaches are common headaches characterized by a dull, aching sensation all over the head, often described as a tight band around the head. They can be managed with over-the-counter pain relievers, stress management techniques, and improving sleep hygiene.


How can poor sleep quality contribute to headaches and what can be done to improve it?

Poor sleep quality can lead to headaches by causing fatigue and stress, which are common headache triggers. Improving sleep hygiene involves establishing a regular sleep schedule, creating a restful environment, and avoiding screens before bedtime.


What are chronic daily headaches and what might cause them?

Chronic daily headaches occur almost daily and can be caused by an underlying condition, medication overuse, or other factors. Treatment involves identifying and managing any underlying causes, lifestyle changes, and sometimes prescription medications.


Can medications cause headaches and nausea as side effects?

Yes, some medications can cause headaches and nausea as side effects. It's important to review any medications with a healthcare provider to determine if they might be contributing to these symptoms.

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