[49F] Experiencing headache, numbness, and general malaise

Patient Description

A 49-year-old female reports suffering from a constant, sharp headache predominantly on the right side, rated as 5-6/10 in severity, which worsens with head movement. Accompanying symptoms include numbness in the face and lips, triggered by turning the head, and sensitivity to light and sound. The patient also experiences moderate general weakness and fatigue, significant enough to disrupt daily activities and travel plans. Additionally, she has intermittent fevers managed with ibuprofen or Tylenol, and body aches described as soreness in the back and legs, akin to excessive exercise. Minimal nausea is also present. The patient has a history of depression, high blood pressure, and anxiety but is not currently on any medications. These symptoms have been persistent for the past three days.

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Arora's Assessment

What might be happening

Based on your symptoms, several conditions could be causing your discomfort:

  • Migraine: A type of headache that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment typically involves pain relieving medications and preventive medications.
  • Tension headache: Often described as a constant band-like pain around the head, tension headaches are often associated with muscle tightness in the neck and scalp. They can be triggered by stress, anxiety, or depression.

    • Treatment usually involves pain relievers, stress management techniques, and sometimes antidepressants.
  • Viral infection: Your symptoms of fever, body aches, and fatigue could be due to a viral infection, such as the flu. This would not explain your headache and facial numbness, however.

    • Treatment for a viral infection usually involves rest, fluids, and over-the-counter medications to manage symptoms.
  • Trigeminal neuralgia: This condition affects the trigeminal nerve, which carries sensation from your face to your brain. If you have trigeminal neuralgia, even mild stimulation of your face — such as from brushing your teeth or putting on makeup — might trigger a jolt of excruciating pain.

    • Treatment options include medications, injections, and in some cases, surgery.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the severity and persistence of your symptoms, it's important that you seek medical attention as soon as possible. In the meantime, here are some things you can do:

  1. Rest and stay hydrated. This can help your body recover if you have a viral infection.
  2. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage your headache and body aches.
  3. Try to avoid any known headache triggers, such as certain foods, smells, or excessive noise or light.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • A sudden, severe headache like a thunderclap
  • A headache accompanied by fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
  • A headache after a head injury, especially if the headache gets worse
  • A chronic headache that is worse after coughing, exertion, straining or a sudden movement
  • New headache pain if you're over 50

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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8 mo ago

People Also Ask


What are the common symptoms of a migraine and how can it be treated?

Common symptoms of a migraine include severe throbbing pain or a pulsing sensation on one side of the head, nausea, vomiting, and extreme sensitivity to light and sound. Treatment typically involves pain-relieving medications like NSAIDs or triptans, and preventive medications such as beta-blockers or anticonvulsants.


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

A tension headache is often described as a constant band-like pain around the head and is associated with muscle tightness in the neck and scalp. It is usually less severe than a migraine and lacks the nausea and sensitivity to light and sound. Stress management and over-the-counter pain relievers are common treatments.


What are the possible causes of facial numbness and when should I be concerned?

Facial numbness can be caused by conditions affecting the nerves, such as trigeminal neuralgia or a migraine. It can also be a sign of more serious conditions like a stroke. Seek medical attention if numbness is sudden, accompanied by other symptoms like weakness or difficulty speaking, or if it persists.


What are some effective ways to manage fatigue and body aches associated with viral infections?

To manage fatigue and body aches from viral infections, ensure adequate rest, stay hydrated, and use over-the-counter medications like ibuprofen or acetaminophen to relieve symptoms. Maintaining a balanced diet and gentle exercise can also help improve energy levels.


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