[40F] Experiencing severe headache, earache, and other flu-like symptoms

Patient Description

A 40-year-old female presents with a severe headache described as sharp, aching, throbbing, and tight around the temples and back of the skull, exacerbated by light and sound, and somewhat alleviated by rest in a dark, quiet environment with a heat pack. The headache has been persistent for a couple of days and is rated 8/10 in intensity. The patient also reports a constant runny nose with occasional blood when wiping, an earache that causes nausea, and a burning sensation in the eyes that makes it hard to keep them open. Body pain is described as an overall aching and squeezing sensation with joint pain, rated 8/10 in severity. The patient has a history of cervical subluxations and fibromyalgia diagnosed seven years ago and is currently taking antioxidants and immune boosters. No known allergies have been reported, and no other medications are being taken.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Migraine: This is a type of headache characterized by severe, throbbing pain, usually on one side of the head. It can be accompanied by symptoms such as sensitivity to light and sound, nausea, and vomiting. Your description of a severe headache that worsens with light and sound is consistent with a migraine.

    • Treatment typically involves medications to relieve the symptoms and prevent future attacks.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause symptoms such as a runny or stuffy nose, facial pain or pressure, and reduced sense of smell. If the sinusitis is severe or chronic, it may cause headaches and pain in the ears and throat.

    • Treatment usually involves medications to reduce the inflammation and relieve the symptoms. In some cases, surgery may be necessary.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. Your description of overall body aching and joint pain is consistent with fibromyalgia.

    • Treatment typically involves a combination of medications, exercise, stress management techniques, and healthy lifestyle habits.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Rest and hydrate: Make sure you're getting enough sleep and drinking plenty of fluids. This can help your body recover and manage your symptoms.
  2. Avoid triggers: If you notice that certain activities, foods, or situations worsen your symptoms, try to avoid them.
  3. Over-the-counter medications: For temporary relief of symptoms like headache and body pain, you can consider over-the-counter pain relievers. However, it's important to use these medications as directed and not exceed the recommended dosage.
  4. Seek medical attention: If your symptoms persist or worsen, it's important to seek medical attention. A healthcare professional can provide a more accurate diagnosis and appropriate treatment.

What you should look out for

  • If your headache becomes severe or is the worst you've ever had
  • If you develop a high fever (temperature over 100.4°F) or chills
  • If you experience sudden or severe abdominal pain
  • If you have difficulty breathing or shortness of breath
  • If you have a sudden change in mental status, such as confusion or difficulty staying awake

These could be signs of a more serious condition and you should seek medical attention immediately.

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11 mo ago

People Also Ask


What are the common symptoms of a migraine and how can they be managed?

Common symptoms of a migraine include severe, throbbing pain on one side of the head, sensitivity to light and sound, nausea, and sometimes vomiting. Management typically involves medications to relieve symptoms and prevent future attacks, as well as lifestyle changes to avoid known triggers.


How can sinusitis contribute to headaches and what are the treatment options?

Sinusitis can cause headaches due to the inflammation and swelling of the sinus tissues, leading to pressure and pain in the face and head. Treatment options include medications to reduce inflammation, relieve symptoms, and in some cases, surgery if the condition is severe or chronic.


What is fibromyalgia and how does it affect the body?

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain, fatigue, and issues with sleep, memory, and mood. It affects the body by causing persistent pain and tenderness in muscles and joints, often accompanied by other symptoms like fatigue and cognitive difficulties.


When should someone with severe headaches seek immediate medical attention?

Immediate medical attention should be sought if a headache becomes the worst you've ever had, is accompanied by a high fever, sudden severe abdominal pain, difficulty breathing, or a sudden change in mental status, as these could indicate a more serious condition.


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