I am Dr. Shamoon. Your pattern - a year of pain that began above the eyebrows and now spreads to the temples, behind the eyes, the nose bridge and the jaw, with light sensitivity, cramp-like tightness at the base of the skull and a stiff neck - fits best with migraine occurring on a background of tension-type/cervicogenic (neck-related) headache, very often driven by an untreated refractive error or eye strain in a 16-year-old. Two things in your history stand out to me as the real fuel: your sleep (falling asleep at 2-3 am and waking at 8-9 am is only 5-6 hours, and irregular sleep is one of the strongest migraine triggers at your age) and long screen/study posture, which loads the neck muscles and gives exactly the 3 pm to 6 pm build-up you describe that worsens by night. Paracetamol alone is usually too weak for true migraine, and taking any painkiller on more than 8-10 days a month can itself create a daily medication-overuse headache - so please tell your doctor honestly how many days a month you take it. Nothing you describe sounds sinister so far, but because it has lasted a year and is now daily and intense, it deserves a proper in-person assessment rather than more self-medication.
Next Steps
1) Get an eye check-up with refraction and eye pressure first - your symptoms started above the eyebrows with light sensitivity, and glasses alone settle many teenage headaches. 2) Fix sleep: same bedtime by 11 pm, 8 hours, no phone/screen for 1 hour before bed. 3) Keep a 4-week headache diary - date, time it starts, severity out of 10, what you ate, sleep hours, periods, and every tablet taken. This single sheet will tell your doctor whether it is migraine and whether painkillers are being overused. 4) Do not exceed paracetamol on more than 2 days a week; ask a physician in person before adding any other painkiller, since you are 16 and dosing must be by weight. 5) Water 2-2.5 litres a day, do not skip meals (skipped breakfast is a classic afternoon-headache trigger), and do gentle neck and shoulder stretches twice a day for the stiffness. 6) Ask your doctor to check blood pressure and a simple haemoglobin/
thyroid panel. 7) If the diary shows more than 4 disabling headaches a month, a physician or neurologist can start proper migraine preventive treatment - this usually changes everything. You are welcome to consult me on Practo with your diary and eye report, or visit me in person at Synergy Multispeciality Hospital, Miraj, for examination and a plan.
Health Tips
Seek urgent in-person care the same day if the headache becomes the worst of your life or thunderclap in onset, or comes with fever and neck rigidity, vomiting, drowsiness, confusion, double or blurred vision, weakness or numbness of a limb, seizure, or if it is clearly worse on lying down, coughing or in the early morning. Do not take anyone else's migraine tablets and avoid daily painkillers.