[50F] Experiencing severe, throbbing headaches and nausea

Patient Description

A 50-year-old female reports experiencing severe, throbbing headaches rated 7 out of 10 in intensity, affecting the entire head. These headaches have occurred twice in the last 24 hours and are accompanied by nausea. The patient also expresses a concern that her blood pressure might be high, which could be related to her symptoms. The patient has not indicated any specific triggers or activities that worsen the headache. No additional information regarding past medical history, medications, or other symptoms has been provided.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Migraine: Migraines are a type of headache characterized by a throbbing sensation that can be severe. They can last from a few hours to a few days and can be accompanied by nausea.

    • Treatment often includes over-the-counter pain relievers, rest in a dark, quiet room, and staying hydrated. Prescription medications are also available.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. When they become blocked and filled with fluid, germs can grow and cause an infection. Symptoms can include headache, particularly in the area of the sinuses, as well as nausea.

    • Treatment can include nasal decongestants, antibiotics (if a bacterial infection is suspected), and pain relievers.
  • Hypertension (High Blood Pressure): While high blood pressure often doesn't have noticeable symptoms, some people may experience headaches and nausea. However, these symptoms are usually associated with hypertensive crises, which are medical emergencies.

    • Treatment involves lifestyle changes and medications to lower blood pressure.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Rest and stay hydrated. This can help alleviate symptoms of both migraines and sinusitis.
  2. Over-the-counter pain relievers may help with the headache.
  3. Monitor your blood pressure if you have a home blood pressure monitor. If it's consistently high, seek medical attention.

What you should look out for

Reasons to see a doctor more urgently:

  • If your headache is the worst you've ever experienced
  • If you have sudden, severe high blood pressure
  • If you experience confusion, trouble speaking or understanding speech, sudden vision problems, or sudden difficulty walking
  • If your symptoms worsen or do not improve after a few days

Please remember that while I strive to provide accurate and helpful information, I am not a doctor. Always seek the advice of a healthcare professional for any health concerns.

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11 mo ago

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People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include a throbbing or pulsing headache, often on one side of the head, sensitivity to light and sound, nausea, and sometimes vomiting. Some people also experience visual disturbances known as auras.


Can high blood pressure cause headaches and nausea?

Yes, high blood pressure can cause headaches and nausea, especially during a hypertensive crisis, which is a medical emergency. However, high blood pressure often does not have noticeable symptoms, so regular monitoring is important.


How can sinusitis lead to headaches?

Sinusitis can lead to headaches due to the inflammation and swelling of the sinus tissues, which can cause pressure and pain in the forehead, cheeks, and around the eyes. This pressure can result in a headache, often accompanied by other symptoms like nasal congestion and facial tenderness.


What are some effective ways to manage severe headaches at home?

To manage severe headaches at home, you can rest in a dark, quiet room, use over-the-counter pain relievers like ibuprofen or acetaminophen, stay hydrated, and apply a cold or warm compress to your head or neck. It's also helpful to avoid known triggers and practice relaxation techniques.


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