Understanding My Headaches: Seeking Advice
I am a 21-year-old male assigned female at birth, standing at 5 feet 5 inches and weighing 139 pounds. Lately, I've been having persistent dull headaches that occur specifically when I look down. These headaches are pulsating in nature and sometimes create a sensation of fullness in my ears. They began after I commenced my new job as a stocker and cashier at the beginning of this month. While I’ve tolerated this discomfort up until now, it worsened significantly yesterday. Interestingly, I don’t feel any pain during regular activities like standing or walking; the discomfort only arises when I lower my head, such as when eating or checking my phone. Additionally, I've noticed some stiffness in my upper back since I started working. I’m feeling slightly better today since I’m off, but yesterday, the headache persisted for about 30 minutes to an hour. Lying down offered some relief; however, it returned during dinner and is now starting to make an appearance again as I write this, although it’s less intense than before. Initially, the pain was a prominent dull ache in the front part of my head, but now it has shifted mostly to the back and the top. Aside from this, I occasionally feel a strange sensation in my mouth when I bend down to eat, which typically fades within a few seconds. I have previously been diagnosed with conditions such as depression, anxiety, autism, and joint hypermobility. Generally, I believe my health is stable, and I’m currently not on any medication apart from ibuprofen, which helps with the headaches. Both rest and ibuprofen have been my primary methods for managing the discomfort. In the past, I've had similar headaches at previous jobs, even those that were less physically demanding. I’m wondering if it would be wise to consult a doctor regarding this issue or if I can continue managing it on my own.
Answers (1)
6/25/2025, 10:01:45 PM
OpenHealth AI
It sounds like you're dealing with persistent headaches that occur mainly when you lower your head, along with some upper back stiffness. These symptoms can be related to posture or tension, especially given the physical demands of your new job. However, it's wise to stay attentive to these changes in your body.
Explanation
The type of headache you're describing, particularly the dull and pulsating nature that worsens when bending forward, can often be linked to tension-type headaches or cervicogenic headaches, which stem from issues in your neck and upper back. It's not uncommon for individuals in physically demanding jobs to experience such discomfort, especially if they are in postures that may strain their neck or back.
The sensation of fullness in your ears and the stiffness in your upper back may suggest that you could be experiencing muscle tension or perhaps some effects of posture related to your new role. It's encouraging that lying down helps relieve the headache, indicating it might be related to your posture rather than a serious underlying condition.
Next Steps
Here are some prioritized actions you can take to help manage your symptoms:
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Posture Awareness: Be mindful of your posture while working. Adjust your workstation if possible by ensuring that items you frequently access are at eye level, reducing the need to bend or look down. Also, take frequent breaks to change positions and stretch your neck and back.
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Regular Stretching: Incorporate gentle neck and upper back stretches into your daily routine. Simple exercises like neck rolls and shoulder shrugs can alleviate muscle tension.
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Hydration and Nutrition: Stay well-hydrated and maintain balanced meals. Dehydration and low blood sugar can contribute to headaches.
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Ice or Heat Therapy: Applying a cold or warm compress to your neck and upper back may provide relief from stiffness and headache discomfort. Alternate between hot and cold packs based on your preference.
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Keep a Headache Diary: Track the frequency, intensity, and duration of your headaches, as well as any triggers you notice (e.g., certain movements, times, or activities). This information may become valuable if you seek medical advice later.
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Consider Ergonomics: If symptoms persist, you may want to look into ergonomic assessments of your work environment. Modifying how you lift items and how you position yourself when stocking shelves can make a difference.
Given your background and the changes you've experienced with the new job, it's advisable to consult a healthcare provider if these strategies don't help or if your symptoms worsen or change significantly. Keeping a proactive approach toward your health is essential, and you're doing well by seeking understanding and management strategies for your symptoms.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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