[19F] Experiencing shakiness, migraines, and coughing up blood

Patient Description

A 19-year-old female reports experiencing sudden onset of shakiness and weakness, described as an all-over body sensation that started around 11:00 am, making it difficult to stand. She has been suffering from sharp, unexpected migraines for about a week, with pain localized to the temples, behind the eyes, and on top of the eyelids, rating the severity as 7 out of 10. These migraines, which last from 30 minutes to 1.5 hours, are accompanied by visual disturbances and sensitivity to light. Additionally, she has been coughing up blood and blood clots of varying sizes since approximately March-April 2023, with no recent injuries or surgeries that could have contributed to this symptom. She also experiences a sensation of cold air passing through her throat when breathing, which began today. The patient finds some relief from migraines with head tension relief methods.

Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

Migraines: Migraines are a type of headache characterized by severe, throbbing pain, usually on one side of the head. They can be accompanied by other symptoms such as sensitivity to light and visual disturbances. The fact that you've experienced migraines before and that they last between 30 minutes to 1.5 hours is consistent with this diagnosis.
- Treatment typically involves medications to relieve symptoms and prevent future attacks.
Anemia: Anemia is a condition characterized by a lack of healthy red blood cells to carry adequate oxygen to your body's tissues. Symptoms can include weakness, shakiness, and feeling cold. Coughing up blood could be a sign of a more serious condition related to your respiratory system, and should be evaluated by a healthcare professional.
- Treatment depends on the cause of the anemia, but may include dietary changes, supplements, or medications.
Anxiety or Panic Disorder: These conditions can cause a variety of physical symptoms, including shakiness, feeling weak, and experiencing a sensation of cold air. However, they would not explain your coughing up blood.
- Treatment typically involves a combination of therapy and medication.

What you can do

Given the severity and variety of your symptoms, it's important that you seek medical attention as soon as possible. In the meantime, here are some things you can do:

Rest and stay hydrated. This can help manage your migraines and general weakness.
Avoid known migraine triggers. This might include certain foods, stress, or changes in your sleep pattern.
Keep a symptom diary. This can help you and your healthcare provider identify patterns and potential triggers for your symptoms.

What you should look out for

Please seek immediate medical attention if:

You experience a sudden, severe headache or migraine
Your migraines become more frequent or severe
You continue to cough up blood
Your shakiness or weakness worsens or prevents you from carrying out your daily activities

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

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