[43F] With chronic throbbing headaches and tingling sensations postpartum

Patient Description

A 43-year-old female has been experiencing throbbing headaches on the left side, back, and top of her head for the past six months. The headaches occur once every couple of weeks and typically last a few hours, with an intensity reaching 10 out of 10. Napping helps to relieve the pain, and magnesium provides some relief. The patient also reports visual disturbances, such as seeing flashes of light or blind spots, before or during the headaches. In addition to the headaches, she has been experiencing tingling in her nose and lips for the past two months. She experiences nausea but no sensitivity to light or sound during the headaches. There is no history of migraines or other types of headaches, and she consumes about 70 mg of caffeine daily. There is no family history of migraines or other types of headaches. The patient is currently 8 weeks postpartum following a C-section and is not taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Migraines: Migraines are a common type of headache that can cause severe throbbing pain, often on one side of the head. They can be accompanied by visual disturbances (like flashes of light or blind spots), nausea, and sometimes tingling sensations. Migraines can be triggered by various factors, including hormonal changes, stress, certain foods, and lack of sleep.

    • Treatment: Migraines are often managed with medications to relieve pain and prevent future attacks. These can include over-the-counter pain relievers, prescription medications, and sometimes lifestyle changes to avoid known triggers.
  • Postpartum Headaches: Hormonal changes after childbirth can lead to headaches. The stress and physical changes associated with a C-section and caring for a newborn can also contribute to headaches.

    • Treatment: Managing postpartum headaches often involves rest, hydration, and sometimes medications. It's important to discuss these symptoms with your healthcare provider to rule out any serious conditions.
  • Tension Headaches: These are common and can cause a dull, aching pain on both sides of the head. They can be triggered by stress, poor posture, or muscle tension.

    • Treatment: Tension headaches are often treated with over-the-counter pain relievers, relaxation techniques, and lifestyle changes to reduce stress.
  • Cluster Headaches: These are less common but can cause severe pain on one side of the head, often around the eye. They can be accompanied by other symptoms like nasal congestion or a runny nose.

    • Treatment: Cluster headaches are typically treated with medications to relieve pain and prevent future attacks. Oxygen therapy and other treatments may also be recommended.

What you can do

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

  1. Keep a Headache Diary: Track your headaches, including their frequency, duration, intensity, and any potential triggers. This can help you and your healthcare provider identify patterns and develop a treatment plan. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

  2. Stay Hydrated: Dehydration can contribute to headaches, so make sure you're drinking enough water throughout the day.

  3. Rest and Relaxation: Since napping helps relieve your headaches, try to get adequate rest and practice relaxation techniques like deep breathing, meditation, or gentle yoga.

  4. Limit Caffeine: While caffeine can sometimes help relieve headaches, it can also be a trigger for some people. Try to monitor your caffeine intake and see if reducing it helps.

  5. Consider Magnesium Supplements: Since magnesium has provided some relief, you might want to discuss with your healthcare provider whether a magnesium supplement could be beneficial for you.

What you should look out for

It's important to seek medical attention if you experience any of the following:

  • Severe or Sudden Headaches: If you experience a sudden, severe headache unlike any you've had before, seek medical attention immediately.
  • Neurological Symptoms: If you notice any changes in vision, speech, or motor function, or if you experience confusion or loss of consciousness, seek medical attention immediately.
  • Persistent or Worsening Symptoms: If your headaches become more frequent, severe, or do not respond to treatment, consult your healthcare provider.
  • Postpartum Complications: Given that you are 8 weeks postpartum, it's important to discuss any new or worsening symptoms with your healthcare provider to rule out any complications related to childbirth.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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4 mo ago


People Also Ask


What are the common symptoms of migraines?

Common symptoms of migraines include severe throbbing pain on one side of the head, visual disturbances such as flashes of light or blind spots, nausea, and sometimes tingling sensations. Some people may also experience sensitivity to light and sound.


Can hormonal changes after childbirth cause headaches?

Yes, hormonal changes after childbirth can lead to headaches. The stress and physical changes associated with a C-section and caring for a newborn can also contribute to headaches during the postpartum period.


What are some effective treatments for tension headaches?

Effective treatments for tension headaches often include over-the-counter pain relievers, relaxation techniques such as deep breathing or meditation, and lifestyle changes to reduce stress. Maintaining good posture and staying hydrated can also help.


How can I identify potential triggers for my headaches?

To identify potential triggers for your headaches, keep a headache diary to track the frequency, duration, intensity, and any potential triggers of your headaches. This can help you and your healthcare provider identify patterns and develop a treatment plan.


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