Forehead Heat and Headaches: When to Seek Medical Advice - Internal Medicine

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Forehead headache with fever?


Hello, Dr.
Hong.
Since last Sunday (August 21), I've been feeling a warmth on my forehead at times, which I find quite uncomfortable, but my temperature has not shown any fever, peaking at 36.8-36.9°C.
Initially, I did not experience any headaches, but over the past two days (August 26), I have started to have some headaches, and today (August 28), the headaches have become increasingly severe.
My neck feels slightly tight, but I am not experiencing dizziness; I just feel off and lack energy.
I previously inquired about an issue with damaged packaging of food from a convenience store, and since then, I have not felt well.
I would like to ask the doctor what possible causes there could be for my headaches and which specialty I should consult for an appropriate examination.
I am also a bit concerned that the food may have been tampered with or contaminated with unknown substances.

do, 30~39 year old female. Ask Date: 2022/08/28

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on your description, the main issues are headaches and a sensation of heat in the head, but your body temperature is normal.
If you do not have any other specific symptoms, the most likely causes are stress or discomfort due to environmental factors, such as irregular sleep patterns, high stress levels, or significant temperature fluctuations in your surroundings.
These could all be contributing factors.
Regarding food, it is unlikely to cause such symptoms.
If you continue to feel unwell, you may want to consult a family medicine clinic.
Thank you for your inquiry.

Reply Date: 2022/08/28

More Info


When experiencing forehead heat and headaches, especially when accompanied by other symptoms like neck tightness and general malaise, it's important to consider several potential causes and when to seek medical advice. Based on your description, it seems that your symptoms have evolved from a sensation of warmth in the forehead to more pronounced headaches and discomfort.
Firstly, the feeling of warmth in the forehead without a significant fever (as indicated by your temperature readings of 36.8-36.9°C) can be attributed to various factors. These may include tension headaches, which are often caused by stress, poor posture, or prolonged periods of computer use, leading to muscle tension in the neck and shoulders. Additionally, migraines can also present with localized warmth and headache, sometimes triggered by environmental factors, dietary changes, or stress.

The onset of headaches after a period of discomfort following the consumption of food with damaged packaging raises valid concerns about food safety. While it's less common for foodborne illnesses to present with isolated headaches, gastrointestinal symptoms or systemic reactions could potentially lead to headaches as a secondary symptom. If you suspect that your symptoms are related to food consumption, it would be prudent to consult with a healthcare professional who can assess for any potential foodborne illness or allergic reactions.

Given that your headaches have intensified and are now accompanied by neck tightness and a general feeling of being unwell, it is advisable to seek medical attention. A visit to a primary care physician or a neurologist would be appropriate. They can perform a thorough evaluation, which may include a physical examination, neurological assessment, and possibly imaging studies if deemed necessary.
In terms of immediate management, consider the following strategies to alleviate your symptoms:
1. Hydration: Ensure you are drinking enough fluids, as dehydration can exacerbate headaches.

2. Rest: Adequate sleep and rest are crucial. If you are experiencing stress or anxiety, finding ways to relax, such as through mindfulness or gentle stretching, may help.

3. Pain Relief: Over-the-counter medications like acetaminophen or ibuprofen can be effective for managing headache pain. However, be cautious with their use and consult a healthcare provider if you find yourself relying on them frequently.

4. Monitor Symptoms: Keep track of your symptoms, including their frequency, duration, and any potential triggers. This information can be valuable for your healthcare provider.

If your symptoms persist or worsen, or if you develop additional symptoms such as fever, severe neck stiffness, or neurological signs (like vision changes or weakness), seek medical attention promptly. These could indicate more serious conditions that require immediate evaluation.

In summary, while your symptoms may be related to tension or mild illness, the progression and combination of symptoms warrant a professional evaluation to rule out any underlying conditions. Don’t hesitate to reach out to a healthcare provider who can guide you through the necessary steps for diagnosis and treatment.

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