Persistent Headache: Causes and Relief Strategies - Internal Medicine

More Info

---

Hello! It sounds like you’re experiencing a persistent headache that has been bothering you for the past four days. Given your symptoms, it’s important to consider various potential causes and relief strategies.

From your description, it seems that your headache began alongside nasal congestion and a runny nose, which could suggest that it was initially related to a viral upper respiratory infection, commonly known as a cold. However, since your nasal symptoms have resolved but the headache persists, it’s possible that you are experiencing a secondary headache. This could be tension-type headache, which is often triggered by stress, anxiety, or prolonged periods of poor posture, especially if you’ve been preparing for an interview.

Tension-type headaches are characterized by a feeling of tightness or pressure around the forehead or back of the head and neck. They can be exacerbated by stress, lack of sleep, or even dehydration. The fact that pressing on your temples and moving your eyes provides some relief suggests that muscle tension or strain may be contributing to your discomfort.

Another possibility is that you might be experiencing a sinus headache, especially if you had nasal congestion. Sinus headaches occur when the sinuses become inflamed due to infection or allergies, leading to pressure and pain in the forehead, cheeks, and around the eyes. However, since your nasal symptoms have improved, this may be less likely.

Given that you mentioned the headache worsens when you bend forward, this could indicate increased intracranial pressure or tension in the neck and shoulder muscles. Stress and anxiety, particularly related to upcoming events like interviews, can lead to muscle tension, which may contribute to headache symptoms.

Here are some strategies to help relieve your headache:
1. Hydration: Ensure you are drinking enough water throughout the day, as dehydration can exacerbate headaches.

2. Rest and Sleep: Make sure you are getting adequate rest. Lack of sleep can lead to increased headache frequency and severity.

3. Stress Management: Engage in relaxation techniques such as deep breathing exercises, meditation, or yoga. These can help reduce stress and tension.

4. Posture: Pay attention to your posture, especially if you are spending long hours at a desk or using a computer. Ensure your workstation is ergonomically set up to reduce strain on your neck and shoulders.

5. Over-the-Counter Pain Relief: Acetaminophen or ibuprofen can be effective for managing headache pain. However, it’s important not to overuse these medications, as frequent use can lead to rebound headaches.

6. Physical Activity: Gentle exercise, such as walking or stretching, can help relieve tension and improve circulation, which may alleviate headache symptoms.

7. Consult a Healthcare Provider: If your headache persists or worsens, it would be wise to consult a healthcare professional. They may recommend further evaluation to rule out other underlying conditions, such as migraines or other types of headaches.

In summary, while your headache may initially seem related to a cold, the persistence of symptoms suggests that stress and tension could be significant contributing factors. Implementing relaxation techniques, ensuring proper hydration, and maintaining good posture can help alleviate your discomfort. If symptoms continue, seeking medical advice is crucial for appropriate diagnosis and treatment. Take care, and I hope you find relief soon!