Head Pain: Stress or Screen Time? - Internal Medicine

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Head issues


This week is exam week, and I've been staying up late for online self-study.
Since yesterday, I've been experiencing a dull ache in my forehead and the sides of my occiput behind my ears.
The pain is particularly noticeable in the areas behind my ears, where gentle pressure causes tenderness.
On a pain scale of 1 to 10, I would rate it about a 2.
Today, the pressure in my forehead has improved a bit, but the dull ache and tenderness in the back of my head remain unchanged.
Could this be related to stress or spending too much time on the computer?

la la la, 10~19 year old female. Ask Date: 2016/06/23

Dr. Xie Rongyuan reply Internal Medicine


Hello: High stress or prolonged computer use can be potential causes.
If symptoms improve after resting, that is a good sign.
However, if symptoms persist without improvement, it may be necessary to seek medical attention at a hospital.
Thank you for your message!

Reply Date: 2016/06/23

More Info


Understanding the nature of your head pain is crucial, especially during stressful periods like exam weeks. Based on your description, it seems that you are experiencing tension-type headaches, which are often exacerbated by stress and prolonged screen time.
Tension-type headaches are characterized by a feeling of tightness or pressure around the forehead, temples, or back of the head and neck. They can be triggered by various factors, including stress, fatigue, poor posture, and prolonged periods of concentration, such as studying or working on a computer. The pain you describe as a "2 out of 10" is consistent with mild to moderate tension headaches, which can cause discomfort but are typically not debilitating.

The specific areas of pain you mentioned—forehead and the areas behind your ears—are common locations for tension headaches. The sensation of pressure or tenderness when you apply light pressure to these areas can indicate muscle tension in the neck and scalp, which is often a result of stress or prolonged sitting in front of a screen.
In your case, the combination of stress from exams and extended screen time likely contributes to your symptoms. When we are under stress, our muscles tend to tighten, particularly in the neck and shoulder regions, which can lead to referred pain in the head. Additionally, staring at a screen for long periods can lead to eye strain, which may also contribute to headache symptoms.

To alleviate your symptoms, consider the following strategies:
1. Take Regular Breaks: Implement the 20-20-20 rule—every 20 minutes, take a 20-second break and look at something 20 feet away. This can help reduce eye strain.

2. Practice Good Posture: Ensure that your workstation is ergonomically set up. Your screen should be at eye level, and you should sit in a chair that supports your lower back.

3. Stay Hydrated: Dehydration can also lead to headaches, so make sure you are drinking enough water throughout the day.

4. Manage Stress: Engage in relaxation techniques such as deep breathing exercises, meditation, or yoga. These can help reduce muscle tension and improve your overall sense of well-being.

5. Apply Heat or Cold: A warm compress on your neck or a cold pack on your forehead can provide relief from headache symptoms.

6. Consider Over-the-Counter Pain Relief: If your pain persists, you might consider using over-the-counter medications like ibuprofen or acetaminophen, but consult with a healthcare provider if you have any concerns or if you are taking other medications.

7. Seek Professional Help: If your headaches continue or worsen, it would be wise to consult a healthcare professional. They can help rule out other potential causes and may recommend further treatment options.

In summary, your symptoms are likely related to the stress of exams and prolonged screen time. By implementing some of the strategies mentioned above, you may find relief from your headaches. However, if the pain persists or if you experience any new or concerning symptoms, do not hesitate to seek medical advice. Your health and well-being are paramount, especially during such a demanding time.

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