[72F] Experiencing headache, chest tightness, and congestion

Patient Description

A 72-year-old female presents with a throbbing headache located at the top and front of the head, rated as a 6 in pain, which has been occurring for 2 weeks. The headache is intermittent and worsens after physical activity, with no relief found so far. The patient also reports intermittent chest tightness that usually starts just before the headaches and has been getting worse over several weeks. The tightness is described as a squeezing sensation. There is no associated shortness of breath, pain radiating to the arm or jaw, or sudden severe headaches. The patient reported one episode of nausea and vomiting 3 days ago. Additionally, the patient is experiencing a productive cough with phlegm and chest congestion.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions might be causing your symptoms:

  • Migraine: This is a type of headache characterized by throbbing pain, often on one side of the head. It can be triggered by physical activity and may last for several hours to days. Migraines are typically treated with over-the-counter pain relievers, but prescription medications may be necessary for more severe cases.

  • Tension-type headache: This is the most common type of headache, characterized by a dull, aching sensation all over the head. It can be associated with tightness in the neck, forehead, and scalp. Over-the-counter pain relievers are typically effective for tension-type headaches.

  • Angina: This condition is caused by reduced blood flow to the heart, often resulting in chest pain or discomfort that may feel like pressure or squeezing. Angina is typically triggered by physical activity and can be a sign of coronary artery disease. It is treated with medications, lifestyle changes, and sometimes surgical procedures.

  • Bronchitis: This is an inflammation of the bronchial tubes, which carry air to your lungs. Symptoms include coughing up thickened mucus and shortness of breath. Bronchitis is usually caused by a viral infection and resolves on its own, but in some cases, prescription medications may be necessary.

What you can do

  1. For your headache: Try over-the-counter pain relievers such as ibuprofen or acetaminophen. Rest in a quiet, dark room and use a cool compress on your forehead. Avoid activities that worsen your headache.

  2. For your chest tightness: If you have been prescribed nitroglycerin for angina, take it as directed by your doctor. Avoid activities that trigger your chest tightness and try to relax.

  3. For your cough: Drink plenty of fluids to help loosen the mucus in your lungs. Use a humidifier to moisten your nasal passages and throat.

  4. In general: Make sure to get plenty of rest and eat a healthy diet. Avoid smoking and limit your alcohol consumption.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe chest pain or pressure
  • Difficulty breathing or shortness of breath
  • Fainting or loss of consciousness
  • Severe, sudden headache
  • Confusion or difficulty speaking
  • Any other symptoms that are severe or concerning

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, diagnosis, and treatment.

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11 mo ago

People Also Ask


What are the common triggers for migraines and how can they be managed?

Common triggers for migraines include stress, certain foods and drinks, hormonal changes, and physical exertion. Management involves avoiding known triggers, using over-the-counter pain relievers, and in some cases, prescription medications. Lifestyle changes such as regular sleep, hydration, and stress management can also help.


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

A tension-type headache typically presents as a dull, aching sensation all over the head, often with tightness in the neck and scalp. A migraine, on the other hand, is usually a throbbing pain on one side of the head and may be accompanied by nausea, vomiting, and sensitivity to light or sound. Identifying specific symptoms and triggers can help differentiate between the two.


What are the symptoms of angina and how is it treated?

Angina is characterized by chest pain or discomfort that feels like pressure or squeezing, often triggered by physical activity or stress. It is a sign of reduced blood flow to the heart and can be treated with medications, lifestyle changes, and sometimes surgical procedures. Immediate medical attention is necessary if symptoms are severe.


What are the typical symptoms of bronchitis and how can it be managed at home?

Bronchitis symptoms include a productive cough with mucus, chest congestion, and sometimes shortness of breath. It can often be managed at home by staying hydrated, using a humidifier, and resting. Over-the-counter medications may help relieve symptoms, but if symptoms persist or worsen, medical advice should be sought.


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