[58M] Experiencing persistent left-sided headache with sinus symptoms

Patient Description

A 58-year-old male has been experiencing a persistent headache on the left side, from the temple to the center of the forehead, for about 10 days. The headache is described as throbbing and aching with pressure, and it worsens with exposure to sunlight and when lying down. The patient has also noted increased mucus production and nasal congestion, suggesting sinus involvement. The headache began gradually and coincided with the onset of sinus symptoms. Sensitivity to light is present, but there is no fever, neck stiffness, confusion, trouble speaking, or weakness. The patient's medical history includes diabetes, managed with oral medications, and a previous motorcycle accident in 2016 resulting in a brain bleed. The patient has an allergy to Versed, which causes respiratory depression. Currently, the patient is taking Naproxen 500 mg for the headache, which has not been effective in relieving the pain. No other medications are reported.

Arora's Assessment

What might be happening

Based on your symptoms, possible diagnoses include:

Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, pressure in the eyes, nose or cheek area, or on one side of the head. People with sinusitis may also experience a cough, sore throat, nasal congestion with thick nasal secretions, fever, and fatigue.
- Treatment typically involves rest, hydration, and over-the-counter remedies. If symptoms persist for more than a week, a healthcare provider might prescribe antibiotics or a steroid nasal spray.
Migraine: Migraines are a type of headache characterized by intense, throbbing pain, often on one side of the head. They can be triggered by various factors, including changes in weather, stress, lack of food or sleep, and hormonal changes. Light sensitivity is also a common symptom of migraines.
- Treatment typically involves rest, hydration, and over-the-counter remedies. If symptoms persist, a healthcare provider might prescribe specific migraine medications.
Tension headache: This is the most common type of headache, and it causes a constant ache and pressure around the head, temples, and back of the head. It's often associated with stress, anxiety, or muscle strain.
- Treatment typically involves rest, stress management, and over-the-counter pain relievers.

Please note that these are possible diagnoses based on the information you provided. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

Here are some general recommendations that might help alleviate your symptoms:

Rest and hydrate: Make sure you're getting enough sleep and drinking plenty of fluids.
Over-the-counter remedies: Over-the-counter pain relievers, decongestants, and antihistamines might help alleviate your symptoms.
Warm compress: Applying a warm compress to the affected area might help reduce pain and pressure.
Avoid triggers: If you notice that certain factors (like bright light or certain foods) trigger your headaches, try to avoid them.

What you should look out for

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

Severe headache that starts suddenly (often described as "the worst headache of your life")
Headache accompanied by fever, stiff neck, confusion, seizure, double vision, weakness, numbness, or difficulty speaking
Headache after a head injury
Headache that gets worse over time or is persistent

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

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