[41F] Experiencing headache, dizziness, and sore throat

Patient Description

A 41-year-old female presents with a sudden onset of an aching headache located in the forehead, jaw, and sinuses, rated 7/10 in severity, worsening with standing or movement. The headache has persisted for 5 days. Accompanying symptoms include lightheadedness, rated 3/10 in severity, occurring after physical activity. The patient also reports fatigue and a sore throat, with a history of mild fever in the previous days, now resolved. There is no neck stiffness, vision changes, or light sensitivity. Nasal congestion is reported as mild. The patient has a history of asthma and uses an albuterol inhaler approximately once a week. She is currently taking a multivitamin, Tylenol, and ibuprofen for symptom relief. The patient reports an allergy to sulfur and was on Lexapro (10mg) until a month ago, with no side effects noted. There is no family history of migraines or chronic headaches, and no other pre-existing conditions or chronic illnesses were reported.

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Arora's Assessment

What might be happening

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

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, particularly in the forehead and face, as well as fatigue and a sore throat. The fact that your headache is located in your forehead and extends to your jaw and sinuses, and is associated with some nasal congestion, suggests this possibility.

    • Treatment typically involves managing symptoms with over-the-counter medications, staying hydrated, and rest. If symptoms persist for more than a week or worsen, antibiotics may be prescribed by a healthcare provider.
  • Viral Infection: Given your symptoms of fatigue, sore throat, headache, and a past fever, it's possible that you're experiencing a viral infection such as the common cold or flu.

    • Treatment for viral infections usually involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Migraine: Migraines are a type of headache characterized by moderate to severe pain that is throbbing or pulsing. The pain is often on one side of your head. You also might have other symptoms, such as nausea and weakness. You may be sensitive to light and sound. However, your description of an aching headache that is worse with movement is more suggestive of a tension-type headache or sinusitis.

Please note that this is not an exhaustive list and other diagnoses are also possible. You should consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and stay hydrated: These are general measures that can help your body recover from many illnesses.
  2. Over-the-counter pain relievers: Continue to use these as needed for your headache.
  3. Warm compress: Applying a warm compress to your forehead and sinuses may help relieve your headache.
  4. Monitor your symptoms: Keep track of your symptoms and seek medical attention if they worsen or persist for more than a week.

What you should look out for

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

  • Severe headache or headache that worsens
  • High fever (>101.5°F)
  • Stiff neck or difficulty moving your neck
  • Severe weakness or numbness
  • Difficulty breathing
  • Any other severe or worsening symptoms

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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10 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, fatigue, and a sore throat. Treatment often involves over-the-counter medications, hydration, rest, and sometimes antibiotics if symptoms persist or worsen.


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

A sinus headache is usually associated with facial pain, pressure, and nasal congestion, and it often worsens with movement. A migraine typically involves throbbing pain on one side of the head, sensitivity to light and sound, and may include nausea.


What are the typical symptoms of a viral infection like the common cold or flu?

Typical symptoms of a viral infection like the common cold or flu include fatigue, sore throat, headache, fever, body aches, and sometimes a cough. Treatment focuses on rest, hydration, and symptom management.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is severe, worsens, is accompanied by a high fever, stiff neck, severe weakness, numbness, difficulty breathing, or any other severe or worsening symptoms.


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