1. Where you feel pain now, have you had a rash recently?
If so, the possible disease is "herpes zoster"
Herpes zoster:
Herpes zoster is the result of herpes zoster virus infection and can also cause chickenpox. When chickenpox breaks out, herpes zoster virus will enter the base of brain or spinal nerve. It lurks at the bottom of these nerves, usually for several years, and then moves again. Subsequently, the virus reproduces, causing intense knife-like pain on its nerve. It can also cause a series of vesicular rashes on the skin above the pathogenic nerve. What makes the latent herpes zoster virus active again is still unknown.
A few days before herpes appears, the affected area will have a severe burning sensation first. Any part of the body is particularly prone to occur on the trunk side. If the affected area is on the face, especially near the eyes, it will be more painful. Unfortunately, when herpes breaks out, the pain will not stop. In fact, after the herpes disappears, the pain will last for several weeks. The elderly suffer from this disease most often, and the pain is the most serious and lasts the longest when they are sick.
The blister caused by herpes zoster is itchy and will gradually scab. After about seven days, the blister disappears, but it will leave a scar similar to chicken pox (see chicken pox). If your herpes zoster affects your facial nerves, you may have temporary facial paralysis. If your eyes are affected, the cornea (see corneal ulcer and infection). There is a risk of injury, and the eyes will be very painful at this time.
If the infection is still in its infancy, the doctor will prescribe herpetin, acyclovir and other drugs to speed up your recovery. If your face is affected, the doctor will teach you how to protect your eyes. But if the rash has fully developed, all you can do is apply calamine lotion and take painkillers.
2. Are your eyes bloodshot and give off intense pain?
If there is, it may be acute glaucoma.
Acute glaucoma: Glaucoma is a disease in which the circulation of aqueous humor secreted by ciliary body in the eye is blocked. The place where the obstruction occurs is on a tissue network called drainage angle between iris and cornea. Because aqueous humor can't flow out, the intraocular pressure rises, which affects the function of retina and optic nerve and has a great influence on vision. General information about glaucoma (see Glaucoma).
Acute glaucoma is a disease in which the drainage angle is suddenly blocked. Most patients with this disease are elderly people with hyperopia. The distance between the cornea and iris of people with hyperopia is shorter than that of normal eyes. Therefore, its drainage angle is relatively narrow. The older you get, the lens of the eye will gradually expand and push the iris forward, so the drainage angle will narrow. In some cases, the drainage angle becomes extremely narrow, so blockage may occur at any time. When the iris contracts and dilates the pupil, the outer edge of the iris blocks the drainage angle. This phenomenon naturally occurs when you want to see clearly in poor light, or when a certain part of your body reacts because of emotional influence. The aqueous humor produced in the posterior chamber of iris can not be discharged, and the intraocular pressure increases. After the light changes or the emotional reaction disappears, the iris will retreat from the drainage angle. If the aqueous humor can't be discharged and trapped in the drainage angle, the pressure in the eyeball will continue to rise, leading to acute glaucoma.
Glaucoma usually affects only one eye, but the other eye is prone to glaucoma in the future.
Some acute glaucoma is a transient attack at first, and it takes weeks or months to completely attack. The attack time is usually in the evening, and the light is dim. The attack time is as long as the iris blocks the drainage angle. During the onset of acute glaucoma, your vision will become blurred, and you will see a halo around the light, and the cornea will begin to look blurred (because the pressure in the eyeball forces aqueous humor into the cornea). At this time, your eyes will often be red and painful. At this time, vision will not be permanently damaged.
When acute glaucoma is completely attacked, the same symptoms will appear, but they will last and worsen. The patient will feel severe pain in the head and eyes. This severe pain is often accompanied by vomiting and even collapse. The cornea will appear more hazy, and sometimes even gray granules will appear. In addition, the eyeball will be very painful and hard to touch.
Acute glaucoma is not a common disease. In the 40-65 age group, only 1 person per 65,438+0,000 people suffers from acute glaucoma. In the age group over 65, one in every 500 people suffers from acute glaucoma. The prevalence rate of men and women is equal. About half of people with this disease will seek medical advice when they have premonitory symptoms before full-blown attack.
Acute glaucoma has a tendency of family inheritance, because the susceptible factors of the disease (such as hyperopia) also have a tendency of family inheritance. If you are over 40 years old and suffer from hyperopia, and two or more blood relatives have (or have had) acute glaucoma, then you must pay special attention to the possible symptoms of acute glaucoma.
If the paroxysmal acute glaucoma is treated early, the patient's vision can almost return to normal. However, once the disease breaks out, it often destroys the posterior optic nerve fibers, leading to partial permanent blindness. If we don't pay attention to it after the onset of acute glaucoma, the sick eyes will be completely blind.
Because of the risk of visual impairment, acute glaucoma must be treated as soon as possible. Because symptoms can make patients feel uncomfortable, most people will go to a doctor for treatment. You should see a doctor as soon as the symptoms appear. If the doctor is sick after work, you can call the doctor or go to the emergency room of a nearby hospital for help. The doctor will arrange for you to be hospitalized, and the ophthalmologist will take care of you.
3. Is the pain located between the eyes and the nose on one side of the face? A runny nose or tears in affected eyes?
Possible diseases: migraine
Migraine: You have periodic headaches, usually accompanied by nausea, blurred vision and other symptoms. During the headache, you can hardly do anything. Although the medical community has intensively studied the symptoms of migraine, so far, it is still unclear why some people suffer from this disease and what causes migraine.
In many cases, some factors seem to be related to migraine. For example, migraine is probably hereditary, and this disease may be related to genetic factors. In some cases, people have found that certain foods, including cheese, chocolate and red wine, can cause migraine. Recurrent headaches are often related to menstruation, nervousness, and even hope to get a relaxed rest after nervousness. Migraine may also be related to mental illness. But your migraine may seem to have nothing to do with the above factors.
The biological cause of migraine may be that the artery leading to the brain responds to the pathogenic factor (whatever it is). For some reason, the artery first narrows and then expands, and the change of artery diameter seems to be the cause of migraine. Narrowing arteries can also reduce the blood supply to all parts of the brain, which may be the cause of other symptoms such as blurred vision in migraine.
Migraine patients will have other symptoms first, then severe headache, and severe headache and other symptoms will appear at the same time. The nature of each attack varies from person to person, but there is usually an early warning period before the attack, at which time you will feel extremely tired and uncomfortable. Then there are symptoms such as nausea, vomiting and sometimes diarrhea. You will find that you can't stand strong light (this is called photophobia). Your vision may also be disturbed in some way. Usually, the condition of one eye is more serious, and there will be blurred vision or distorted vision. The duration of early symptoms varies from a few minutes to several hours.
When a headache appears, the warning symptoms will subside. You may feel intense pain. The pain starts on one side of your forehead, but it will spread gradually. Then, the pain may start to turn into jumping pain, so your whole head begins to hurt. During the migraine attack, your eyes may be bloodshot, and you may look pale and ill. In some cases, the pain occurs between the nose and eyes, and the patient will cry and have a runny nose.
The duration of each migraine attack, the duration of headache and the duration of headache disappearance are unpredictable, but you can learn to predict the nature and duration of your spontaneous migraine attack based on past experience.
Some patients have rare symptoms, such as tingling or numbness in one arm or one side, dizziness, tinnitus and temporary insanity.
Migraine is a common problem. Migraine rarely occurs after puberty, but some children will have unexplained recurrent abdominal pain (see recurrent abdominal pain and headache), which is sometimes a sign of migraine when they grow up in the future. The first migraine attack after 40 years old is rare. In fact, some people stop getting sick when they reach middle age. If you are a woman and someone in your family suffers from migraine, then you are likely to suffer from migraine, and the rate of migraine in women is slightly higher than that in men.
Although migraine can cause great pain, it is not dangerous. However, it is very dangerous to drive and operate the machine when you suffer from migraine and the headache makes you a little insane. A few migraine sufferers have permanent symptoms such as numbness, weakness and visual impairment. However, this rarely happens.
If you have recurrent severe headaches that can't be controlled by taking painkillers, you should see a doctor. There is no diagnostic test to determine whether your headache is caused by migraine or other diseases, but the doctor will make a diagnosis based on your description of the symptoms.
Self-help method-you may be your best doctor, because you have the time and motivation to study your case in detail. You can record the onset time, duration of each onset and any other events related to your lifestyle in your diary. Try to keep an objective attitude. Record the consumption of dinner, snacks, wine, coffee and non-alcoholic drinks you eat. Write down the time when you go to bed and get up (some people sleep too long in bed and get migraine when they get up in the morning). When you write these things down in detail, some causes of migraine attacks will appear, and you can take preventive measures. For example, you will find that whenever you do hard work for a period of time or experience emotional tension for a period of time, you are prone to get sick. You can take preventive measures, such as changing the pace of life, avoiding tight work arrangements and giving yourself time to relax.
For some women, oral contraceptives seem to be the trigger for migraine. If you have migraine, it's time for you to take birth control pills. You should discuss this with your doctor. Changing drugs or changing contraceptive methods (see infertility and contraception) may eliminate headaches.
When you can identify the early signs of migraine attack, you can prevent it. When you suspect a migraine attack, take the most effective medicine found by you or your doctor immediately. It is much easier to control migraine at the beginning of the attack than at the peak after the attack.
See a doctor for treatment-migraine can't be cured, but it can eliminate its symptoms and often greatly alleviate the condition. The most effective treatment for migraine during the attack period includes the use of painkillers such as acetaminophen; Use drugs that constrict blood vessels (vasoconstrictors) such as ergot preparation; Or use drugs to control nausea and vomiting, such as antihistamines and phenothiazine. Different drugs have different effects on different people. It may take several months for you and your doctor to find the most effective medicine for you. Only when you are sure it is necessary, you must take the medicine according to the dosage prescribed by the doctor, because taking too much medicine will produce extremely uncomfortable side effects, including causing headaches as bad as migraine, even worse than migraine you want to avoid.
Severe recurrent migraine requires frequent and regular preventive treatment. Several drugs are effective in preventing severe recurrent migraine, including ergot preparation, two blockers and serotonin antagonist (a vasoconstrictor). However, these drugs may have adverse side effects and must be taken under the close supervision of medical staff.
Other methods to prevent migraine include relaxation therapy, yoga and biofeedback therapy. Some migraine patients strictly follow a special diet therapy, which is also beneficial to prevent migraine.
4. Is there dull pain and tenderness around the eyes and cheekbones, which will get worse when you bow your head?
Possible diseases: sinusitis
Sinusitis: Sinus sinuses are air cavities in the bones behind and above the nose. Inflammation of sinus mucosa is called sinusitis. Sinusitis is a bacterial or viral infection. The frontal sinus on the forehead above the eyes and the maxillary sinus on the cheekbones are the most susceptible parts. Bacteria that cause sinusitis spread from the nose to the sinuses. Because the mucosa of the nasal cavity extends to the mucosa of the sinus, bacteria can easily spread from the nasal cavity to the sinus. Sinusitis usually occurs after a cold, which belongs to viral infection, and secondary bacterial infection will make the condition more complicated.
What are the symptoms?
A few days after catching a cold, just when you thought it would get better, the stuffy nose got worse. The green secretion in the nose increases. Later, because the passage between the nose and the sinuses is also blocked, this secretion will stop being discharged. In this way, your nasal congestion may become more serious. You must breathe through your mouth. I have a heavy nasal voice when I speak, and I feel uncomfortable all over. If the frontal sinus has been affected, you will have a headache, which is located above one eye or above both eyes. I have the worst headache when I get up in the morning, or when I bend my head forward. There will be tenderness above the eyes and under the forehead. If the maxillary sinus is infected, one or both cheeks will hurt. You will feel as if your upper jaw teeth are hurting. Occasionally, sinusitis may occur after dental treatment, because the infection will spread from your root and embed in one of your sinuses (see tooth abscess).
Sinusitis is a common disease, but its susceptibility is different. Some people will never suffer from sinusitis, and some people will suffer from sinusitis as long as they have a bad cold. Some people dive directly into the water without covering their noses, which leads to sinusitis. Injury to the nasal bone and foreign bodies entering the nostrils may make you more susceptible to infection, which may lead to sinusitis. Nasal deformities (such as deviated nasal septum) can make you susceptible to sinusitis due to nasal congestion.
If you use antibiotics to treat sinusitis, the harm is minimal. Before antibiotics appeared, infections sometimes spread to bones or brains through sinus mucosa. This serious complication of sinusitis will hardly happen again today.
Please try the following self-help methods. If the symptoms last for three or four days, you should see a doctor, who will take an X-ray examination of your sinuses to confirm the diagnosis of sinusitis. The doctor may also gently press the bottom of the sinus from your nose or mouth.
Self-help method-stay in a room with suitable temperature at home. Use a sprayer or humidifier to increase the humidity in the air. Blow your nose gently with a tissue. Inhale steam from a basin filled with boiling water or the spout of a kettle to relieve the pain, but don't burn yourself, the steam is very hot.
See a doctor-the doctor may prescribe you a broad-spectrum antibiotic, or suggest you take medicine, nasal drops or nasal spray to reduce mucosal congestion. Drugs to reduce mucosal congestion can shrink the mucosa of abscess and expand airway, but the use of decongestants to treat sinusitis must be prescribed by doctors. If used improperly, decongestants will do more harm than good.
Further treatment is unnecessary. If sinusitis persists, the doctor may give you local anesthesia and then perform minor surgery. The doctor will pierce a hole in the bone between the nose and the sinuses, open another passage and flush the sinuses with disinfectant. This operation can rule out obstruction. The things taken from the sinuses should be analyzed to find out the cause of infection and decide the best treatment. If the infection becomes chronic, you will find that you need another minor operation to improve secretion discharge, but this complication rarely occurs.
5. Do you have a face that keeps jumping? This kind of pain can be severe when you eat at night, when you touch a specific tooth?
Disease: tooth abscess
Tooth abscess is a swelling sac filled with pus in the periapical tissue of maxillary teeth. When the tooth decays, or the pulp is necrotic (see root canal therapy), and when the pulp of the tooth is necrotic, plus bacterial invasion, it will affect the surrounding tissues. Even after receiving root canal treatment, bacteria occasionally remain in the tissue around the root, leading to abscess.
If untreated, an abscess will appear, which will damage the epiphysis, corrode into small tubes (also called sinuses) and penetrate the gums above. When the tubule is about to penetrate the gum surface, it will form a swelling called fistula. Fistula can exist for weeks, but sometimes it breaks. In this case, the foul-smelling pus is discharged into the mouth, and the pain at the swelling suddenly disappears. However, after the fistula breaks, the infection may spread to the whole body, making the patient tired and weak, and the resistance to the disease decreases.
If anyone goes to the dentist irregularly, if his teeth are corroded and not treated, he is likely to have a tooth abscess. If left untreated, the pulp will die, and the dead pulp will eventually cause abscess.
If the abscess is not treated by a dentist or doctor, there is a risk that the infection will spread and cause systemic septicemia, or the nearby bones will be affected. If the dentist does not remove the dead pulp and bacteria from the diseased teeth, the infection will continue.
See a doctor as soon as possible. If the swelling has spread to the face and neck, you should see a doctor immediately. If you can't find a dentist for the time being, go to your doctor, who may give you antibiotics to prevent the infection from spreading further. Then you should see a dentist as soon as possible.
Self-help method-take aspirin to relieve pain. Rinse your mouth with warm salt water every hour. This will accelerate the rupture of fistula to eliminate pain. The fistula is broken, so the pus in the mouth should be washed with warm salt water. See a dentist as soon as possible.
See a doctor-a dentist may pull out a badly infected back tooth or deciduous tooth. In order to save a tooth, the dentist will drill a small hole in the crown and enter the pulp cavity. If the abscess does not fester, this drilling can reduce the pressure on the pulp, thus alleviating the pain. The dentist cleaned and disinfected the pulp cavity and root canal. When you go to the dentist again, if the infection has been cleared, the dentist will permanently fill the pulp cavity and root canal, and also seal the drill hole. After about six months, the dentist may treat the affected part.
Photographic examination is performed to make sure that new bones and tissues have grown out of the abscess cavity. If this happens, no further treatment is needed.
In a few cases of tooth abscess, the abscess has not been cleared, and even after root canal treatment, there is still a small infected area at the root tip. Antibiotics cannot permanently eliminate infection. In order to deal with stubborn bacteria, the dentist will introduce you to an oral surgeon or an endodontist.
They may use apical induction to treat your problem. In the apexification operation, the doctor will first give local anesthesia to the gum, and then make a small incision on the gum to drill out the bone covering the apex and remove the infected tissue. In rare cases, this operation still can't solve the problem, so the doctor has to pull out the sick tooth (see a dentist). After tooth extraction, it is best to replace the extracted tooth with a bridge.
It is recommended to go to a big hospital to avoid misdiagnosis or delay treatment!
I wish your grandmother a speedy recovery!