[45M] Experiencing severe, constant headache with nausea

Patient Description

A 45-year-old male reports a severe, constant headache that has been present since waking up, approximately 4 hours in duration, and worsening over time. The headache is described as an all-encompassing tightness rather than a pulsating sensation, and it is exacerbated by loud noises, such as the neighbor hammering. The patient has a history of similar headaches, indicating that this may be a recurring issue. Typically, an aspirin provides relief, but the patient has not taken one yet. There is also an associated feeling of nausea with a propensity to vomit. No specific triggers were identified, and no mention of fever or stiff neck was made.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Hangover: Excessive alcohol consumption can lead to a hangover, which often includes a headache, nausea, and sensitivity to light and sound. Dehydration and the effects of alcohol on your body can cause these symptoms.

    • Treatment typically involves rest, rehydration, and over-the-counter pain relievers like aspirin.
  • Tension Headache: These are often described as a constant band-like pain around the head, and can be triggered or worsened by stress or loud noises.

    • Treatment typically involves over-the-counter pain relievers, stress management, and sometimes prescription medication.

Please note that while these are the most likely causes based on your symptoms, only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Rest and hydrate: Drink plenty of water and try to get some sleep. This can help your body recover from the effects of alcohol.
  2. Over-the-counter pain relievers: Aspirin or ibuprofen can help relieve the symptoms of a hangover or tension headache. Be sure to follow the instructions on the package.
  3. Avoid loud noises: If possible, try to stay in a quiet environment until your headache improves.

What you should look out for

If your symptoms worsen or you experience any of the following, seek medical attention immediately:

  • Severe headache that comes on suddenly
  • Headache accompanied by confusion, seizures, double vision, weakness, numbness, or difficulty speaking
  • Headache after a head injury
  • Chronic, progressive headache that's worse in the morning
  • Headache accompanied by fever, stiff neck, nausea, and vomiting

Remember, I'm an AI and not a doctor. Always consult with a healthcare professional for a definitive diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common causes of a constant, non-pulsating headache?

Common causes of a constant, non-pulsating headache include tension headaches, which are often described as a tight band around the head, stress, dehydration, and sometimes sinus issues. It's important to consider lifestyle factors and any recent changes that might contribute to these headaches.


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

Tension headaches are typically characterized by a constant, dull, and non-pulsating pain, often described as a tight band around the head. Migraines, on the other hand, usually involve a throbbing or pulsating pain, often on one side of the head, and can be accompanied by nausea, vomiting, and sensitivity to light and sound.


What are some effective home remedies for managing headaches?

Effective home remedies for managing headaches include staying hydrated, resting in a dark and quiet room, applying a cold or warm compress to the head or neck, practicing relaxation techniques such as deep breathing or meditation, and using over-the-counter pain relievers like aspirin or ibuprofen as directed.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is severe and sudden, accompanied by confusion, seizures, double vision, weakness, numbness, or difficulty speaking, occurs after a head injury, is chronic and progressively worsening, or is accompanied by fever, stiff neck, nausea, and vomiting.


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