Hello and thank you for the question.
Answers given are for informational purposes only and are not meant to replace an exam by an in-person.
I am Dr. Sohaib, a practicing Internal Medicine Specialist and i will do my best to help you today.
You need to answer a few questions first which will help me assist you in a better way.
How severe is the pain on a scale of 1 to 10?
Do you still get the flashes? Problems in speech?
So you have old problem with migraine attacks right?
Thank you very much for the useful information. Since it started with classical symptoms of migraine, i will still attribute the current pain to it. Such kind of pains do occur in other conditions as well such as meningitis, encephalitis etc, but this is associated with various other symptoms as well such as reduced cognition, fever and untreated this results in loss of consciousness, fits and even death. In your case, most likely this is continued migraine, or a Tension head ache (that occurs due to stress, sleep issues and anxiety).
Also, i dont think this is related to your sinuses.
At this point, its better to have this evaluated by your doctor for a comprehensive clinical examination.
And you can use naproxen along with tylenol for pain control. Have rest and adequate sleep.
Most likely this is going to improve soon, but in case if this does not, its imperative to get an evaluation soon.
I would have been worried too if I were at your place, but let me reassure you that this does not sound serious at all. It is a treatable condition and carries a good prognosis with appropriate management.
Does it help? Any more questions/clarifications you have?
Let me know i will be glad to assist.
Okay. But you did mention that the pain is at back of your head also?
There was no fever? No nasal discharge?
Ok. Well it that case (if this started after a cold) this can be from the sinus inflammation, and If you have already started taking antibiotics then you have to complete the course. At this stage "wait and see" should be the plan while you continue with the antibiotics and pain management.
Steam inhalation will also be of great help right now.
Okay. Honestly, the symptoms are little overlapping (infection/migraine/tension headache), and actually you are taking treatment for all of these already.
You can wait further (while you continue with the treatment) for the response. This may take up a week or two even. But at any stage if you feel that you are not improving or symptoms are getting worse, see your doctor again for a re-evaluation. I believe that this will settle down soon.
Have rest, and drink lot of fluids (which help relieve the congestion and facilitate the drainage in the sinuses).
Tinnitus is again related to infection, and so is the swollen gland. These symptoms usually take a longer duration to settle down completely. For example you may experience tinnitus for another week or so. And similarly the gland will get back to normal size in 4-6 weeks.
Wen your ear tube is inflammed, it gives you cracking sounds whenever you swallow due to pressure effect in the tube.
I hope this clarifies and answers you?
Brain tumor is extremely unlikely in your case (because of young age). Moreover, the symptoms due to brain tumor continue to get worse untreated, and do not improve (wax and wane).
So no one would consider brain tumor here in your clinical scenario.
And do not worry or panic un-necessarily. This is simply an infection/inflammation related pain, with some element of migraine/tension headache and will improve soon.
It was a pleasure assisting you and thank you very much for visiting us.
My goal is to provide you with Excellent Service - if satisfied with the response, Please do not forget to Rate my service.
If you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.
I hope this goes away soon. And since the anxiety issues are significant, i will suggest you to get treatment for anxiety as well (if you are not taking any), this will help you a lot.
Honestly, this does not sound anything serious to me.