[42F] Experiencing severe headache with gastrointestinal and flu-like symptoms

Patient Description

A 42-year-old female presents with a sudden onset of severe, stabbing headache located above the right temple, rated 7 out of 10 in severity, which worsens with walking and has persisted for 2 days without relief. Accompanying symptoms include diarrhea (loose stools, once daily), vomiting, body aches throughout the body also rated 7 out of 10 in severity, chills, and high-pitched tinnitus in both ears rated 10 out of 10 in severity, all of which have been present for 2 days. There is no recent travel history, no known food triggers for the diarrhea, no recent injuries, and no changes in vision, speech, or level of consciousness. The patient denies any sensitivity to light or sound, fever, or neck stiffness.

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Arora's Assessment

What might be happening

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

  • Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. Symptoms include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue.

    • Treatment typically involves rest and fluid to let the body recover. Over-the-counter medicine can help with symptoms.
  • Migraine: Migraines are severe, recurring, and painful headaches. They can be preceded or accompanied by sensory warning signs and other symptoms. The extreme pain that migraines cause can last for hours or even days.

    • Treatment typically involves medications to help reduce the frequency and severity of migraines.
  • Tinnitus: Tinnitus is the perception of noise or ringing in the ears. It's a common problem that affects about 1 in 5 people. Tinnitus isn't a condition itself — it's a symptom of an underlying condition, such as age-related hearing loss, ear injury or a circulatory system disorder.

    • Treatment typically involves identifying and managing the underlying cause of tinnitus.

What you can do

  1. Rest and hydrate: These are key steps in recovering from many illnesses, including the flu.
  2. Over-the-counter medication: Over-the-counter pain relievers, decongestants and antihistamines can help with symptoms.
  3. Avoid triggers: If you notice certain foods or activities worsen your symptoms, try to avoid them.
  4. Consult a healthcare professional: It's important to consult a healthcare professional who can provide a formal diagnosis and appropriate treatment options.

What you should look out for

If your symptoms worsen or you develop new symptoms, you should seek medical attention. Specifically, look out for:

  • Severe headache or headache that worsens
  • Fever over 100.4°F
  • Shortness of breath or difficulty breathing
  • Persistent or worsening symptoms

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


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

Common symptoms of the flu include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue. Management typically involves rest, hydration, and over-the-counter medications to alleviate symptoms.


How can migraines be distinguished from other types of headaches?

Migraines are often characterized by severe, throbbing pain on one side of the head, sensitivity to light and sound, nausea, and sometimes visual disturbances. They differ from other headaches in their intensity and accompanying symptoms.


What are some common causes of tinnitus and how is it treated?

Tinnitus can be caused by age-related hearing loss, ear injury, or circulatory system disorders. Treatment involves identifying and managing the underlying cause, and may include sound therapy or hearing aids.


When should someone seek medical attention for a severe headache?

Medical attention should be sought for a severe headache if it worsens, is accompanied by fever, shortness of breath, or if new symptoms develop, as these could indicate a more serious condition.


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