[39F] Experiencing sinus headache, abdominal and back pain, pelvic pain, and chills

Patient Description

A 39-year-old female presents with a sinus headache described as a continuous pain and pressure on the bridge of the nose between the eyes, rated 8/10 for intensity, and lasting for two days. She also reports upper abdominal pain that fluctuates from dull to sharp, worsening at night, and rated 6/10 for intensity, persisting for four days. Additionally, she experiences upper back pain with a dull, constant ache, worsening at night, and rated 9/10 for severity, also present for four days. Right pelvic pain described as a pulsing sensation in the right ovary area, rated 4/10 for severity, has been present for one day. The patient experiences chills every 10 minutes without fever or sweating but with associated aching. She has a history of gallstones diagnosed in 2017 and is using Azelastine hydrochloride nasal spray. No known allergies or medication reactions are reported. No recent infections or family history of autoimmune or gynecological conditions are noted.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, particularly around the forehead, and yellow nasal discharge. It's usually caused by a viral infection and resolves without treatment, but if symptoms persist for more than a week, you may need antibiotics.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. If symptoms persist, antibiotics may be needed.

  • Gallstones: You mentioned a history of gallstones. The upper abdominal and back pain could be a sign of a gallbladder attack, especially if the pain is worse at night and radiates to your back or right shoulder.

    • Treatment for gallstones may involve medication to dissolve the stones or surgery to remove the gallbladder.

  • Ovarian cyst: The right pelvic pain could be due to an ovarian cyst. These are fluid-filled sacs that form on the ovaries. They're common and usually harmless, but can sometimes cause pain.

    • Treatment for ovarian cysts can range from watchful waiting to surgery, depending on the size and whether they're causing symptoms.

  • Musculoskeletal pain: The upper back pain could be due to a musculoskeletal issue, such as strain from poor posture or lifting heavy objects.

    • Treatment usually involves rest, heat or cold therapy, over-the-counter pain relievers, and physical therapy.

Please note that these are possibilities based on the symptoms you've provided, and not a definitive diagnosis.

What you can do

  1. Rest and stay hydrated. This can help your body fight off any potential infections and recover from any strain or injury.
  2. Try over-the-counter pain relievers for your headache, abdominal pain, and back pain. Follow the instructions on the package for dosage.
  3. Monitor your symptoms. If your abdominal pain, back pain, or pelvic pain worsens, or if you develop new symptoms such as fever, vomiting, or changes in bowel movements, seek medical attention immediately.
  4. Make an appointment with your doctor. They can perform a physical examination and order tests as necessary to determine the cause of your symptoms.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Fever
  • Persistent vomiting
  • Blood in your stool or urine
  • Sudden, severe headache
  • Difficulty breathing

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 recommendations.

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9 mo ago

People Also Ask

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

Common symptoms of sinusitis include headache, facial pain or pressure, nasal congestion, and yellow or green nasal discharge. Treatment typically involves rest, hydration, and over-the-counter pain relievers. If symptoms persist for more than a week, antibiotics may be needed.

How can gallstones cause abdominal and back pain, and what are the treatment options?

Gallstones can block the bile ducts, causing pain in the upper abdomen and back, often worsening at night. Treatment options include medication to dissolve the stones or surgery to remove the gallbladder.

What are ovarian cysts and when should they be a cause for concern?

Ovarian cysts are fluid-filled sacs on the ovaries that are usually harmless and resolve on their own. They can cause pain if they rupture or grow large. Concern arises if they cause severe pain, are persistent, or are accompanied by other symptoms like fever.

What are some common causes of musculoskeletal back pain and how can it be managed?

Musculoskeletal back pain can be caused by poor posture, muscle strain, or lifting heavy objects. Management includes rest, heat or cold therapy, over-the-counter pain relievers, and physical therapy to strengthen the back muscles.

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