Headaches and Mild Fever: Possible Causes and Solutions - Family Medicine

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Headache, body heat, elevated body temperature?


Hello Doctor: My condition is as follows: I went out to get my car repaired on Wednesday afternoon from 5:00 PM to 6:00 PM.
After returning around 8:00 PM, I started to feel an increase in body temperature and a headache.
Today is Saturday (three days later), and the symptoms are still persistent.
The headache comes in waves, with intermittent pain primarily located in the back part of my head (near the occipital region), accompanied by a feeling of pressure and dull pain inside.
My body temperature is slightly elevated, averaging around 37.2°C, whereas it was previously around 36.8-37.0°C.
Currently, it does not affect my sleep.
I am somewhat sensitive to noise; when there is noise, the headache slightly intensifies, and the frequency of pain increases.
Recently, I have been taking medication for hypertension and cholesterol reduction, but my family members are also taking them without any unusual effects.
Therefore, I would like to consult with you to see what you might determine based on your expertise.
Thank you.

Mr. Zhao, 20~29 year old female. Ask Date: 2021/09/11

Dr. Liao Yaopan reply Family Medicine


Hello, regarding the body temperature measurement data, it does not yet indicate a true fever.
However, if you continue to experience discomfort, it is advisable to seek medical evaluation.
Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2021/09/11

More Info


Understanding headaches and mild fever can be quite complex, as there are numerous potential causes and underlying conditions that could contribute to these symptoms. Based on your description, it seems that you have been experiencing a mild fever (around 37.2°C) and intermittent headaches, particularly localized to the back of your head. You also mentioned that the headache worsens with noise, which could indicate a sensitivity to stimuli often associated with certain types of headaches.


Possible Causes
1. Tension-Type Headaches: Given your description of the headache being "throbbing" and "dull," it could be a tension-type headache. These are often caused by stress, muscle tension, or poor posture, especially if you have been engaged in activities that require prolonged focus, such as working on a car. Tension headaches can also be exacerbated by environmental factors like noise.

2. Migraine: Although you did not mention any visual disturbances or nausea, migraines can sometimes present with localized pain and sensitivity to noise. They can also be triggered by various factors, including stress, changes in sleep patterns, or even certain foods.

3. Infection: The presence of a mild fever suggests that there could be an underlying infection. This could range from a viral infection (like the common cold or flu) to something more serious. Infections can cause headaches due to inflammation and increased pressure in the cranial cavity.

4. Medication Side Effects: Since you are taking medication for blood pressure and cholesterol, it’s essential to consider that some medications can have side effects that include headaches and dizziness. It would be wise to review these with your healthcare provider.

5. Dehydration or Electrolyte Imbalance: If you were working outside and possibly sweating, dehydration could lead to headaches and mild fever. Ensuring adequate hydration and electrolyte balance is crucial, especially in warmer weather.


Recommendations
1. Monitor Symptoms: Keep a detailed log of your symptoms, including the frequency and intensity of headaches, any accompanying symptoms (like nausea, visual changes, or sensitivity to light), and any changes in your fever. This information can be invaluable for your healthcare provider.

2. Hydration: Ensure you are drinking enough fluids, especially if you have been active. Consider electrolyte solutions if you suspect dehydration.

3. Rest and Relaxation: Since tension headaches can be exacerbated by stress, ensure you are taking time to relax. Techniques such as deep breathing, meditation, or gentle stretching can help alleviate tension.

4. Consult a Healthcare Provider: Given that your symptoms have persisted for three days, it would be prudent to consult a healthcare provider. They may recommend blood tests or imaging studies to rule out any serious conditions, especially if your symptoms worsen or do not improve.

5. Medication Review: Discuss your current medications with your doctor to ensure they are not contributing to your symptoms. They may adjust dosages or suggest alternatives if necessary.

6. Avoid Triggers: If you notice that noise exacerbates your headaches, try to minimize exposure to loud environments. Creating a quiet, dark space can help alleviate headache symptoms.


Conclusion
While your symptoms may be indicative of a common condition such as tension headaches or a mild viral infection, it is essential to approach persistent symptoms with caution. Monitoring your condition and seeking medical advice will help ensure that any underlying issues are addressed promptly. Remember, your health is paramount, and proactive management is key to maintaining well-being.

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