Following up on the previous issue regarding physical problems (headache)?
Hello Dr.
Yeh, I previously asked about my health issues on August 25 (link: #159959).
My body aches significantly improved on August 26, but my headache has persisted until today, August 27.
It's not unbearable pain, but it's a constant dull ache, especially noticeable in certain positions like bending over, getting up suddenly, blowing my nose, or standing up (it feels like it's pulsing with my heartbeat).
My head also feels tight and swollen.
The location of the headache seems to shift; it started at the back of my left neck and has now moved to both temples.
Could you please advise if these symptoms indicate that my cold is not fully resolved? How many days might it take for a complete recovery? I haven't experienced this in 19 years, so I'm feeling quite anxious...
Thank you, doctor.
Harrry, 10~19 year old female. Ask Date: 2020/08/27
Dr. Ye Qianyu reply Family Medicine
Hello! Based on your description, there are many potential triggers for headaches.
I recommend that you measure your body temperature and blood pressure.
If either is elevated, it is advisable to seek treatment at a medical facility.
Reply Date: 2020/08/27
More Info
Persistent headaches can be a source of significant discomfort and concern, especially when they seem to linger or change in intensity and location. Based on your description, it appears that your headaches may be related to a combination of factors, including possible residual effects from a recent illness, tension, and changes in posture or activity levels.
Firstly, the nature of your headache—described as a dull, throbbing pain that intensifies with certain movements or actions (like bending over, getting up quickly, or blowing your nose)—suggests that it could be a tension-type headache or a sinus-related headache. Tension-type headaches are often characterized by a feeling of tightness or pressure across the forehead or at the back of the head and neck. They can be triggered by stress, poor posture, or prolonged periods of inactivity, such as sitting at a computer for extended periods.
On the other hand, if your headache is associated with nasal congestion or sinus pressure, it could indicate that your body is still recovering from a cold or upper respiratory infection. Sinus headaches typically occur when the sinuses become inflamed or congested, leading to pressure and pain in the forehead, cheeks, and around the eyes. This type of headache can feel worse when bending over or when there are changes in altitude, such as standing up quickly.
Given that you mentioned experiencing full-body aches that improved shortly after, it is plausible that your headache is a lingering symptom of the same viral infection. Viral infections can lead to inflammation and irritation in the body, which may manifest as headaches. The recovery time for such headaches can vary; however, many people find that their symptoms improve within a few days to a week as the underlying infection resolves.
If your headaches persist beyond a week, worsen, or are accompanied by other concerning symptoms (such as vision changes, severe nausea, or neurological symptoms), it would be prudent to seek further medical evaluation. A healthcare professional may recommend imaging studies, such as a CT scan or MRI, to rule out any serious underlying conditions, especially if there is a change in the pattern of your headaches or if they are significantly different from what you have experienced in the past.
In the meantime, there are several strategies you can employ to help alleviate your symptoms:
1. Hydration: Ensure you are drinking plenty of fluids, as dehydration can exacerbate headaches.
2. Rest: Allow your body to recover by getting adequate sleep and taking breaks from screens and stressful activities.
3. Posture: Pay attention to your posture, especially when sitting for long periods. Ergonomic adjustments to your workspace can help reduce tension in your neck and shoulders.
4. Pain Relief: Over-the-counter pain relievers such as acetaminophen or ibuprofen can be effective for managing headache pain. However, use them as directed and avoid overuse, which can lead to rebound headaches.
5. Relaxation Techniques: Consider incorporating relaxation techniques such as deep breathing, meditation, or gentle stretching to help reduce muscle tension.
6. Warm Compress: Applying a warm compress to your neck and shoulders may help relieve tension-type headaches.
In summary, while your symptoms may be related to a recent illness, it is essential to monitor their progression. If they do not improve or if you experience new symptoms, consulting with a healthcare provider is recommended to ensure a thorough evaluation and appropriate management.
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