The headache has been ongoing for about a week?
Hello Doctor, I started experiencing symptoms similar to dizziness about a week ago.
Previously, I had been sneezing and visited my usual doctor, who prescribed me cold medication (Rhin Tab) for about three days, along with stomach medication and green cough tablets.
While I was taking these medications, I felt very well—no headaches, no dizziness, and none of the symptoms occurred.
However, after stopping the medication, I noticed that my head started to hurt.
The pain varies in location; sometimes it’s at the temples, other times at the back of my head, and occasionally it feels like a migraine on one side.
The pain is generally mild, characterized by a tightness and pressure sensation (like when you press on it with your hand), accompanied by a slight feeling of nausea, but it's still bearable.
I don’t wake up at night due to headaches.
Afterward, I went back to the doctor and received another three days’ worth of the same medications.
I finished taking them about two days ago, and I am currently off the medication.
The headache situation has not improved since stopping the medication (I felt very good while taking it).
There is still a pressure sensation in my head, even though it’s not very painful.
However, it feels somewhat strange.
I’m wondering if you could help clarify this for me.
I’ve researched a lot about headaches, and severe cases often involve unbearable pain, waking up at night due to pain, or symptoms like neck stiffness, none of which I currently have.
However, this is the first time I’ve experienced headaches for such an extended period; previously, my migraines would typically last only about a day.
Thank you, Doctor.
Mr. Chen, 20~29 year old female. Ask Date: 2016/10/30
Dr. Gao Chunde reply Neurology
Perhaps the initial headache is not a cold, but rather a tension-type headache.
The medication taken may contain analgesic components, which could provide some relief.
If it is a tension-type headache, it is generally advisable to relax the shoulders and neck, take breaks from the computer to move around, and spend some time outdoors.
If there is no improvement, it would be necessary to consult a neurologist.
Reply Date: 2016/10/30
More Info
Persistent headaches lasting over a week can be concerning and warrant medical attention. Based on your description, it seems you are experiencing a variety of headache symptoms, including pressure-like sensations, nausea, and varying pain locations. While you have had temporary relief with medication, the recurrence of symptoms after stopping the medication suggests that there may be an underlying issue that needs to be addressed.
Headaches can be classified into several categories, including tension-type headaches, migraines, and cluster headaches, among others. Given the nature of your symptoms, it is possible that you are experiencing tension-type headaches, which are often characterized by a dull, aching sensation and a feeling of tightness or pressure around the forehead or back of the head. However, the variability in your symptoms, such as the location of the pain and the associated nausea, may also suggest the possibility of migraines or other headache disorders.
It is important to consider several factors that could contribute to your persistent headaches. Stress and anxiety are common triggers for tension-type headaches, and they can also exacerbate migraine symptoms. Additionally, changes in sleep patterns, dietary habits, and hydration levels can all play a role in headache frequency and intensity. Since you mentioned that your headaches began after a period of taking medication for a cold, it is also worth considering whether the underlying illness or the medications themselves may have influenced your headache patterns.
Given that your headaches have persisted despite medication and are affecting your daily life, I strongly recommend seeking a thorough evaluation from a healthcare professional, preferably a neurologist. They can perform a comprehensive assessment, which may include a physical examination, a review of your medical history, and possibly imaging studies such as an MRI or CT scan to rule out any serious underlying conditions.
In the meantime, there are several strategies you can employ to help manage your symptoms. Here are some suggestions:
1. Maintain a Headache Diary: Keep track of your headache occurrences, including the time of day, duration, intensity, and any associated symptoms. This information can be valuable for your healthcare provider in identifying patterns and triggers.
2. Stay Hydrated: Dehydration can contribute to headache symptoms. Ensure you are drinking enough water throughout the day.
3. Manage Stress: Engage in relaxation techniques such as deep breathing exercises, meditation, or yoga. Regular physical activity can also help reduce stress and improve overall well-being.
4. Establish a Routine: Try to maintain a consistent sleep schedule and avoid excessive screen time before bed. Good sleep hygiene can help improve sleep quality and reduce headache frequency.
5. Limit Caffeine and Alcohol: Both substances can trigger headaches in some individuals. Monitor your intake and consider reducing consumption if you notice a correlation with your headaches.
6. Consider Over-the-Counter Pain Relief: While you mentioned using acetaminophen, be cautious with overuse, as it can lead to rebound headaches. Consult your healthcare provider about appropriate use and alternatives.
7. Explore Alternative Therapies: Some individuals find relief through acupuncture, chiropractic care, or physical therapy. Discuss these options with your healthcare provider to determine if they may be suitable for you.
In conclusion, while it is understandable to seek self-management strategies, persistent headaches warrant a professional evaluation to identify the underlying cause and appropriate treatment. Your health and well-being are paramount, and addressing these symptoms with a healthcare provider can lead to better management and improved quality of life.
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