OpenHealth Q&A

Get answered by medical professionals

Could This Be a Migraine? (35M)

3/30/2025, 6:50:16 PMMale25-34

Age: 35, Weight: 135 pounds, Height: 5 feet 10 inches I find myself questioning whether what I'm feeling could possibly be a migraine. Historically, I've never dealt with headaches or migraines, and I'm quite confident I've never really experienced either. Just yesterday afternoon, I suddenly began to feel a dull discomfort on the upper sides of my neck, accompanied by what seems to be some internal ache at the back of my head. I had already consumed my usual cup of coffee in the morning, but I speculated that I might not be drinking enough water. I made a conscious effort to hydrate more throughout the day. However, as the evening approached, the discomfort intensified. It was not excruciating, but enough to distract me significantly from other thoughts. Despite this, I managed to take some short naps and sleep through the night with the help of alternating doses of Advil and Tylenol, but today, I still feel lingering symptoms. I’m hopeful that this is something temporary, yet I can’t shake off some anxiety regarding my head issue, especially considering I have a seizure disorder. This naturally heightens my worry about any underlying complications. I would greatly appreciate any insights or suggestions, as this situation is unfamiliar to me. I'm trying to avoid a trip to urgent care due to potential costs.

MigraineTinglingNeurology

Answers (1)

Cony

3/30/2025, 6:50:30 PM

OpenHealth AI

It’s understandable to feel anxious about new head symptoms, especially with your history of a seizure disorder. Based on what you've described, it’s possible that you are experiencing a tension headache or mild migraine rather than a more severe condition.

Explanation

Migraines can develop in individuals with no prior history, but your symptoms of dull discomfort in the neck and back of the head, alongside significant distraction, suggest a tension-type headache might be likely. Hydration, stress, lack of sleep, or posture can often contribute to these types of headaches.

You mentioned taking Advil and Tylenol, which can help with pain relief. That you've also improved your hydration is an important step, as dehydration can exacerbate headaches.

Next Steps

  1. Continue Hydrating: Aim for at least 8 glasses of water a day, more if you're active. Dehydration is a common trigger for headaches.

  2. Manage Stress: Consider implementing relaxation techniques such as deep breathing, meditation, or gentle stretching, which can reduce tension in the neck and shoulders, potentially alleviating headache discomfort.

  3. Monitor Symptoms: Keep track of your headache experiences over the next few days, noting any changes in frequency, intensity, or associated symptoms like vision changes or increased sensitivity to light or sound.

  4. Adjust Pain Relief: Using a combination of over-the-counter pain relievers may help, but avoid exceeding the recommended dosage. If your symptoms persist or worsen, consider alternating medication or taking them less frequently while observing changes.

  5. Check for Triggers: Pay attention to factors that may trigger discomfort, like stress, lack of sleep, or specific foods, and try to minimize these where possible.

  6. Seek Further Evaluation as Needed: If you develop new symptoms like severe headache suddenly, neurological symptoms (pelting or tingling), or anything that feels alarming, consider seeking medical attention.

Your well-being is essential, and while being mindful about costs is important, don’t hesitate to reach out for professional help if necessary. Remember to listen to your body and prioritize your mental comfort when experiencing new symptoms.

Related Questions

Seeking Answers for Unusual Stool Appearance

A 41-year-old woman, who has been diagnosed with Hashimoto’s and takes Synthroid along with a daily dose of vitamin B12 and a weekly intake of vitamin D, is contemplating visiting a gastroenterologist. She often experiences bloating, particularly after consuming raw vegetables and green foods. Recently, she noticed a strange, string-like substance in her stool, which has left her feeling alarmed and anxious. She would greatly appreciate any guidance or insight on this matter.

NumbnessNeurologyENT
Male25-34
18 minutes ago

17-Year-Old Female Experiencing Chronic Acne Scarring on Back and Arms Despite Prescription Remedies

Age: 17 Gender: Female Country of residence: United Kingdom Skin type: Dark / Black Medical background: No significant health issues Medications: Previously utilized azelaic acid and benzoyl peroxide Timeframe: Many months to years following acne resolution Greetings, I am a 17-year-old girl dealing with long-lasting scars on my back and upper arms from acne, which have not improved even after following prescribed treatments. In the past, I experienced acne primarily on my upper back, shoulders, and arms. While the active breakouts have largely ceased, I am left with noticeable dark spots and irregular skin texture. The scars I have include: • Dark brown hyperpigmentation • Certain areas appear slightly sunken • Uneven or coarse surface • No raised or keloid scars present My GP prescribed azelaic acid and benzoyl peroxide, which I applied regularly. Unfortunately, the azelaic acid did not significantly lighten the scars and seemed inadequate for the pigmentation level. Although benzoyl peroxide was effective against my active acne, it did not enhance the appearance of the scarring. The marks have been present for a considerable time and are quite stark against my skin tone. I do my best to avoid picking at my skin and maintain proper hygiene, yet the scars aren’t diminishing on their own, which is negatively impacting my self-esteem—especially when I wear sleeveless or backless outfits. Currently, I'm exploring the possibility of using retinoids like adapalene or tretinoin. However, I’m uncertain if these would be suitable or effective for treating scarring on my back and arms, particularly with my darker skin type. I would like guidance on the following questions: • Does this seem to be primarily post-inflammatory hyperpigmentation, atrophic acne scars, or possibly a combination of both? • Is azelaic acid effective for this type of scarring, or are more potent treatments generally required? • Are topical retinoids such as adapalene or tretinoin advisable for this sort of scarring? • What treatments are typically recommended for acne scars on the back and arms in individuals with darker skin tones? • Should I insist on a referral to a dermatologist, or is it better to attempt specific topical therapies first? Any insights or recommendations you could offer would be greatly appreciated.

HeadacheDizzinessNeurology
Male25-34
2 hours ago

Persistent Itching and Burning Around Neck and Scalp - Should I Keep Using Cephalexin?

Greetings, I’m a 35-year-old female. I recently developed a rash that began on the back of my neck and subsequently spread to my ears. After consulting with my physician, I was prescribed ketoconazole shampoo to address a suspected fungal rash. Despite using it diligently for four days, the condition actually aggravated, affecting my ears, the back of my neck, and my scalp more significantly. Seeking further assistance, I visited an urgent care facility where the medical staff suggested that I might be experiencing bacterial folliculitis. As a result, they prescribed cephalexin, which I am to take at a dosage of 500mg three times daily for a week. I took my first dose yesterday, yet the intense itching and burning sensations persist without improvement. Is it advisable for me to continue the medication? How long does it typically take to see improvement? Is it common to experience these symptoms alongside bacterial folliculitis? I appreciate your time and any guidance you can provide on this matter!

DizzinessNumbnessNeurology
Male25-34
3 hours ago

Concerns About Hearing Loss After Extended Earphone Use

For the past two and a half years, I have primarily relied on in-ear earphones, with the right one typically experiencing less usage—mostly for short videos or brief instances. Recently, during a singing session, I noticed something unusual. I covered one ear to monitor my pitch, and I was surprised to find that my hearing felt unclear and somewhat muffled. This was an experience I hadn’t recognized before. After conducting a few tests by alternately covering each ear, I discovered that my left ear can hear clearly and accurately, while my right ear perceives sounds as muffled, as if there’s a barrier in front of the speaker. I’m seeking advice as a 17-year-old student from Pune, India, with financial constraints that prevent me from adding stress to my parents. I’m deeply concerned whether this issue could be permanent, and if there’s any possibility of recovery. Although I can still hear sounds from my right ear when they are very close, I am unsure of the next steps. I have made the decision to discontinue using earphones starting today, but I’m wondering what additional measures I should take. Would it be advisable to pursue an audiometry test or consult an audiologist for a professional evaluation?

MigraineNeurologyENT
Male25-34
5 hours ago

Experiencing Headaches and Vision Changes on One Side

Hello, I'm an 18-year-old female, and I've been on a 15mg dose of Isotretinoin for my acne treatment for about a month now. Recently, I've been feeling under the weather, dealing with a viral infection that resembles cold or flu symptoms. I've got the usual problems like nasal congestion and a throat that hurts, but I've also noticed some joint discomfort, a sense of mental cloudiness, and an unsettling change in my vision, making it appear distorted as if seen through a low-resolution lens. Additionally, when I change my position from sitting to standing, there's an intense throbbing sensation on the right side of my head, accompanied by a momentary blackout in my right eye. I must admit, my nutritional intake has not been great lately due to feeling fatigued from the cold, and this has been accompanied by headaches and a notable darkening of my vision when I stand, which is something I've never before experienced just on one side until now. I tend to get quite anxious about my health, so I'm reaching out to see if anyone else has encountered similar symptoms with a cold, or if this could be associated with the Isotretinoin I'm taking? Any insights or advice would be greatly appreciated, thank you!

HeadacheMigraineVertigo
Male25-34
5 hours ago