[71M] Experiencing headache, nausea, and constant fatigue

Patient Description

A 71-year-old male reports a constant state of fatigue that began yesterday, which is not alleviated by any means and persists throughout the day, severely impacting daily activities. The patient is also experiencing a headache that originates in the neck and radiates upwards, with a severity of 7 out of 10, and is intermittent in nature, having started two days ago. This type of headache has not been experienced by the patient before. Accompanying these symptoms is nausea, though no further details are provided. The patient has not noticed any recent changes in weight. The combination of these symptoms, particularly the new onset of a severe headache and constant fatigue, may warrant further medical evaluation to determine the underlying cause.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Viral Infection: Symptoms such as fatigue, headache, and nausea can be associated with a viral infection, such as the flu. These symptoms are usually accompanied by other symptoms such as fever, sore throat, and body aches.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Dehydration: Dehydration can cause fatigue, headache, and nausea. This can occur if you're not drinking enough fluids, especially in hot weather or after exercise.

    • Treatment involves rehydration with water or electrolyte solutions.
  • Migraine: Migraines often start in the neck and move up, and can cause nausea and fatigue. However, migraines are typically one-sided and can be accompanied by sensitivity to light or sound.

    • Treatment typically involves rest in a dark, quiet room and over-the-counter or prescription medication.

What you can do

  1. Ensure you are staying hydrated. Aim for 8 glasses of water a day.
  2. Rest as much as you can to help your body recover.
  3. Over-the-counter pain relievers can help with the headache.
  4. If your symptoms persist or worsen, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe headache or headache that worsens
  • Fever or chills
  • Chest pain or difficulty breathing
  • Confusion or difficulty speaking
  • Severe abdominal pain

Please remember, while I strive to provide accurate information, I am not a doctor. You should seek care from a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

People Also Ask


What could be causing my constant fatigue and headache?

Constant fatigue and headache can be caused by several factors, including viral infections, dehydration, or migraines. It's important to consider other symptoms you may be experiencing and consult a healthcare professional for an accurate diagnosis.


How can I tell if my symptoms are due to dehydration?

Symptoms of dehydration include fatigue, headache, dry mouth, dizziness, and dark-colored urine. Ensuring adequate fluid intake, especially in hot weather or after physical activity, can help prevent dehydration.


What are the typical symptoms of a migraine?

Typical symptoms of a migraine include a throbbing headache, often on one side of the head, sensitivity to light and sound, nausea, and sometimes visual disturbances. Migraines can vary in intensity and duration.


When should I seek medical attention for my headache and fatigue?

You should seek medical attention if your headache is severe or worsening, if you experience fever, chills, chest pain, difficulty breathing, confusion, difficulty speaking, or severe abdominal pain. These could be signs of a more serious condition.


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