[18F] With migraine-like headache, bloating, nausea, and heavy menstrual bleeding

What might be happening

Based on the information you have provided, there are a few possible explanations for your symptoms:

• Migraines: Your headache, which is severe, located in the temples, worsened by light and movement, and associated with nausea, is consistent with migraines. Migraines can be debilitating and often require specific treatments.

  • Treatment typically involves medications to relieve pain and prevent future attacks. Over-the-counter pain relievers like ibuprofen or acetaminophen can help, but prescription medications may be necessary if these are not effective.

• Menstrual-Related Symptoms: Heavy menstrual bleeding, bloating, and headaches can be related to your menstrual cycle. Hormonal fluctuations can cause these symptoms.

  • Treatment may include hormonal therapies like birth control pills to regulate your cycle and reduce bleeding. Over-the-counter pain relievers can also help manage pain.

• Anemia: Given your history of anemia and heavy menstrual bleeding, it is possible that your anemia could be contributing to your symptoms, particularly fatigue, and headaches.

  • Treatment involves iron supplements and dietary changes to increase iron intake. In severe cases, other treatments may be necessary.

What you can do

1. Consult a Doctor: It is important to see a healthcare provider to get a formal diagnosis and appropriate treatment. They may recommend specific tests or imaging to understand your condition better.
2. Medication: Continue taking your iron supplements and Prozac as prescribed. You may need a different pain management strategy for your headaches, so discuss this with your doctor.
3. Hydration and Diet: Stay hydrated and maintain a balanced diet rich in iron, especially if you have heavy menstrual bleeding. Foods like lean meats, beans, and leafy greens can help.
4. Rest and Relaxation: Try to rest in a dark, quiet room when you have a migraine. Stress management techniques like deep breathing or meditation can also be beneficial.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Sudden Symptoms: If your headache becomes the worst you've ever had, or if you experience sudden vision changes, confusion, or weakness, seek immediate medical attention.
• Persistent or Worsening Symptoms: If your symptoms do not improve with over-the-counter treatments or if they worsen, consult a healthcare provider.
• Signs of Severe Anemia: If you feel extremely fatigued, dizzy, or short of breath, these could be signs of worsening anemia and should be evaluated by a doctor.

Remember, while this information can help guide you, it is essential to consult a healthcare professional for a formal diagnosis and appropriate treatment.