Intermittent pain in the left temple and behind the right ear (Fengchi point) for 24 hours, accompanied by chest pain?
My husband has been experiencing headaches for 6 days, which is unusual for him.
He has visited the hospital twice, but the doctors have been unable to determine the cause.
The medication only provides temporary relief from the pain, addressing the symptoms but not the underlying issue.
Initially, he had severe headaches accompanied by stiffness in the shoulders and neck, with pain when moving his neck, along with chest pain.
His body temperature has consistently ranged from 37.3 to 37.5 degrees Celsius.
When the headache intensifies, he experiences goosebumps and pain in his nerves.
His appetite has also decreased, and while he is taking the medication prescribed by the doctor, it only alleviates the pain for a short time.
Although his body feels fine, the headache persists, alternating between the left temple and the area behind the right ear, causing sharp pain 24 hours a day.
He is having difficulty sleeping, which is very distressing.
I researched some information, and initially, it seemed like the flu, but the flu test at the hospital came back negative.
I hope the physician can provide some answers.
Yu, 20~29 year old female. Ask Date: 2018/12/15
Dr. Hong Weibin reply Neurology
Hello: If you have never experienced similar headaches in the past and are currently experiencing neck stiffness, it is advisable to seek a consultation with a neurologist for a personal evaluation.
It may be necessary to rule out dangerous causes of headaches, such as central nervous system infections or intracranial lesions.
Reply Date: 2018/12/15
More Info
I'm sorry to hear about your husband's persistent headaches and chest pain. Given the symptoms you've described, it's crucial to approach this situation with caution and thoroughness. Persistent headaches, especially when accompanied by other symptoms such as neck stiffness, chest pain, and changes in body temperature, warrant a comprehensive evaluation by a healthcare professional.
Understanding the Symptoms
1. Headaches: The fact that your husband has experienced headaches for six days, especially when he has not had them before, is concerning. The nature of the pain—shifting from one side of the head to the other and being described as severe—could suggest several types of headaches, including tension-type headaches, migraines, or even more serious conditions like cluster headaches or secondary headaches due to other underlying issues.
2. Neck Stiffness: This symptom, combined with headaches, raises the possibility of meningitis, especially if there is any fever or sensitivity to light. Meningitis is an inflammation of the protective membranes covering the brain and spinal cord and can be life-threatening if not treated promptly.
3. Chest Pain: While chest pain can be related to various causes, including anxiety, muscle strain, or even gastrointestinal issues, it is essential to rule out cardiac causes, especially if the pain is severe or accompanied by other symptoms like shortness of breath or sweating.
4. Temperature: A body temperature consistently around 37.3 to 37.5 degrees Celsius is slightly elevated and could indicate an underlying infection or inflammatory process.
5. Neurological Symptoms: The description of "goosebumps" and pain in the nerves could suggest a neurological component to his symptoms. This could be related to nerve irritation or inflammation.
Recommendations
1. Seek Immediate Medical Attention: Given the combination of persistent headaches, neck stiffness, and chest pain, it is advisable to seek immediate medical attention. A neurologist or an emergency room visit may be warranted to conduct further evaluations, including imaging studies like a CT scan or MRI of the brain, and possibly a lumbar puncture if meningitis is suspected.
2. Keep a Symptom Diary: Documenting the frequency, duration, and intensity of the headaches, as well as any other symptoms, can provide valuable information to healthcare providers. Note any triggers, such as stress, dietary changes, or environmental factors.
3. Medication Review: If the current medications are only providing temporary relief, it may be necessary to discuss alternative treatments with a healthcare provider. This could include preventive medications for headaches or adjustments to pain management strategies.
4. Lifestyle Modifications: Encourage your husband to maintain a regular sleep schedule, stay hydrated, and manage stress through relaxation techniques such as deep breathing, meditation, or gentle yoga. These practices can sometimes help alleviate headache symptoms.
5. Follow-Up Care: If the symptoms persist or worsen, ensure that follow-up appointments are made with healthcare providers. Continuous monitoring and adjustment of treatment plans may be necessary.
Conclusion
In summary, your husband's symptoms are concerning and require thorough investigation. While headaches can often be benign, the combination of symptoms he is experiencing suggests that a more serious underlying condition could be present. Prompt medical evaluation is essential to rule out any serious issues and to develop an effective treatment plan. Encourage him to seek care as soon as possible, and ensure that he communicates all his symptoms clearly to the healthcare providers.
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