[55F] Experiencing headache and eye pressure following head injury

Patient Description

A 55-year-old female is experiencing a throbbing headache rated 7 out of 10 in severity, located at the top center and front forehead, which began after sustaining a head injury three days prior. The headache is exacerbated by bright light, computer use, and watching TV, but is somewhat alleviated by the application of ice. The patient also reports a sensation of pressure in the eyes. There is no nausea, vomiting, dizziness, confusion, weakness, numbness, or slurred speech reported. The patient has a history of asthma diagnosed in 2009 and is currently taking Albuterol, Olmesartan, Montelukast, Symbicort, as well as vitamins C, D3, and B12. No known drug allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you're experiencing the following:

  • Concussion: This is a type of traumatic brain injury that's caused by a blow to the head or body, a fall, or another injury that jars or shakes the brain inside the skull. Symptoms can include headaches, pressure in the head, fatigue, and sensitivity to light.

    • Treatment typically involves rest and restricting activities to allow the brain to recover. This means you should avoid tasks that are physically demanding or require a lot of concentration. Over-the-counter pain relievers can be used for headaches, but it's important to avoid aspirin, which can increase the risk of bleeding.
  • Post-concussion syndrome: This is a complex disorder in which various symptoms, such as headaches and dizziness, last for weeks and sometimes months after the injury that caused the concussion.

    • Treatment is symptom specific and might involve medications for pain and therapies for depression or anxiety if they occur.
  • Traumatic iritis: This is inflammation of the iris — the colored part of the eye — usually following an eye injury. Symptoms can include eye pain, sensitivity to light, and blurred vision.

    • Treatment typically involves prescription eye drops to reduce inflammation and pain.

Please note that these are potential explanations based on the information provided, and they may not be the actual cause of your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  • Rest and avoid activities that are physically demanding or require a lot of concentration.
  • Use over-the-counter pain relievers for headaches. Avoid aspirin, which can increase the risk of bleeding.
  • Avoid bright lights and screen time if they worsen your symptoms.
  • Continue to apply ice if it provides relief.
  • Consult with a healthcare provider for an accurate diagnosis and treatment plan.

What you should look out for

Seek immediate medical attention if you experience:

  • Increased intensity or frequency of headaches
  • Persistent vomiting or nausea
  • Slurred speech or confusion
  • Seizures
  • Weakness or numbness in the arms or legs
  • Persistent or worsening symptoms

Remember, I'm an AI and this advice is based on the information you provided. It's important to consult with a healthcare provider for an accurate diagnosis and treatment plan.

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10 mo ago

People Also Ask


What are the common symptoms of a concussion?

Common symptoms of a concussion include headaches, pressure in the head, fatigue, confusion, dizziness, sensitivity to light or noise, and sometimes nausea or vomiting. It's important to monitor these symptoms and consult a healthcare provider for proper management.


How can I manage sensitivity to light after a head injury?

To manage sensitivity to light after a head injury, try to rest in a dimly lit room, wear sunglasses indoors if necessary, and limit screen time on devices like computers and TVs. Gradually reintroduce light exposure as symptoms improve.


What is post-concussion syndrome and how long does it last?

Post-concussion syndrome is a condition where symptoms such as headaches, dizziness, and cognitive difficulties persist for weeks or months after the initial concussion. The duration varies, but most people recover within three months. Treatment focuses on symptom management.


When should I seek medical attention after a head injury?

You should seek medical attention after a head injury if you experience increased intensity or frequency of headaches, persistent vomiting or nausea, slurred speech, confusion, seizures, or weakness or numbness in the arms or legs. These could be signs of a more serious condition.


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