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Forum Name: Headaches

Question: Severe Chronic Headaches Fever and Nausea

 taytay3880 - Wed Jun 23, 2010 6:32 am

Recently my fiance has been complaining of severe headaches and nausea. It started when he was out after 2:30 am working a few days ago and has been non-stop ever since. About two nights ago he was running a high fever. It concerns me because his family has a considerable amount of health problems from diabetes, high blood pressure, and his younger brother has a brain tumor. We were able to get his fever down, but the headaches are much more difficult to handle. Sitting up and laying down have become a chore for him because of how badly those movements make his head hurt. (He says its a contant pain though) Its also been difficult for him to keep any food down. He basically works three jobs and never gets a break, I'm concerned that he's overworking himself, but more so I fear that some terrible could be wrong here.
 Dr.M.Aroon kamath - Wed Jul 07, 2010 1:13 pm

User avatar Hi,
It would have been a bit more helpful if you had provided your fiance's age.

Although your concern is genuine, it is too early to seriously consider a brain abscess although the classic triad of headache, fever, and focal neurologic deficit is rarely seen (<5-20% of cases) these days.

It seems probable that your fiance contracted a minor viral illness which precipitated an episode of acute sinusitis.

Acute sinusitis is a rapid onset, short but severe infection of one, multiple or all the sinuses(pan sinusitis) that could last for up to 4-8 weeks. Chronic sinusitis is when it is long-lasting(>8 wks) and recurrent.

Symptoms of sinus headache include facial pain/discomfort and a dull, aching pain over the infected sinus, which typically intensify when the patient bends forward or lies down.

Have him examined by your family doctor if it is still continuing.
Best wishes!

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