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Intense Pain on the Right Side of the Head with Pupil Discrepancy

3/29/2025, 7:30:49 PMMale25-34

Age 24, prescribed capacet Approximately a month ago, I was involved in a minor vehicle collision where I, fortunately, did not impact my head. However, shortly thereafter, I began experiencing head pain that has progressively intensified. Last weekend was particularly difficult as I found myself unable to leave my bed due to the severity of the headaches. Movement aggravates the discomfort significantly. This past week, I consulted a physician, who suspects a link to the accident, and I am currently awaiting approval from my insurance for a head CT scan. In the meantime, I have been given a prescription for capacet in hopes of alleviating the pain. Today, however, the situation has escalated to the worst point yet. I am experiencing sharp, intermittent pain on the right side of my head, and with each episode, my vision appears to momentarily shift. A friend mentioned that my right pupil seems larger than the left, which has me concerned. The level of discomfort has become so intense that it’s causing me nausea, and the fatigue is overwhelming. Is this something serious that warrants immediate attention, or can I continue taking capacet and simply await the results of my CT scan?

Multiple SclerosisCOPDRheumatology

Answers (1)

Cony

3/29/2025, 7:31:04 PM

OpenHealth AI

I'm sorry to hear that you're experiencing such intense pain and concerning symptoms. Your situation involves significant head pain, a discrepancy in pupil size, and nausea, which warrants careful consideration.

Key Points:

  • Pupil Discrepancy (Anisocoria): A difference in pupil size, especially when accompanied by severe headache, can indicate a potential neurological issue and should not be ignored.
  • Severity of Symptoms: Intense, worsening pain, especially combined with nausea and vision changes, raises concerns about a possible serious condition.

Explanation:

Following an accident, it’s not uncommon to develop headaches, but the progression to severe pain alongside symptoms like pupil discrepancy suggests the need for further evaluation. It’s important to monitor if your symptoms worsen, especially with visual changes or neurological signs.

Next Steps:

  1. Seek Immediate Attention: Because of the pupil discrepancy and your worsening symptoms, it is advisable to seek immediate medical help instead of waiting for the CT scan. Call a healthcare provider or go to an emergency department.

  2. Document Symptoms: If you can, note the pattern of your headaches, pupil size, any visual changes, and any other symptoms you experience. This information can be crucial for your healthcare team.

  3. Pain Management: Continue taking the prescribed capacet as directed; however, prioritize consultation with a healthcare provider regarding your current situation.

  4. Hydration and Rest: Maintain hydration and try to rest in a dark, quiet environment, which might help reduce headache severity until you receive medical attention.

Final Note:

Your health and safety are paramount. I urge you to seek medical care promptly, especially with the new developments. Please don't hesitate to ask more questions if you need further clarification or support.

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