[19F] With headaches, scalp tenderness, vision blackouts, and random bruising
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
Headaches, Tension, and Scalp Tenderness
- Tension-Type Headaches: These are common and can cause a constant ache or pressure around the head, particularly at the back and front. They can be triggered by stress, poor posture, or muscle tension.
- Migraine: Although your symptoms don't fully match, migraines can sometimes present with pounding headaches and scalp tenderness. Migraines can also cause visual disturbances, though typically not complete blackouts.
Vision Blackouts
- Transient Ischemic Attack (TIA): This is a temporary period of symptoms similar to those of a stroke. A TIA doesn't cause permanent damage but is a warning sign of a possible future stroke.
- Ocular Migraine: This can cause temporary vision loss or visual disturbances, but usually not complete blackouts.
- Orthostatic Hypotension: A sudden drop in blood pressure when standing up can cause temporary vision blackouts. This might be related to your hydration status.
Random Bruising
- Coagulation Disorders: Conditions that affect blood clotting can cause unexplained bruising. This could be due to a variety of factors, including vitamin deficiencies or more serious conditions like blood disorders.
- Nutritional Deficiencies: Lack of certain vitamins, such as Vitamin C or K, can lead to easy bruising.
What you can do
Vision Blackouts
- Seek Immediate Medical Attention: Given the severity and potential seriousness of your vision blackouts, you should see a doctor as soon as possible. This could be a sign of a TIA or another serious condition that needs prompt evaluation.
- Stay Hydrated: Ensure you are drinking enough water throughout the day to avoid dehydration, which can contribute to orthostatic hypotension.
Headaches, Tension, and Scalp Tenderness
- Consult a Healthcare Provider: A doctor can help determine the cause of your headaches and scalp tenderness. They may recommend imaging studies or refer you to a specialist.
- Over-the-Counter Pain Relief: Medications like ibuprofen or acetaminophen can help alleviate headache pain. Be sure to follow the dosage instructions.
- Stress Management: Techniques such as deep breathing, meditation, or yoga can help reduce stress and tension.
- Proper Posture: Ensure you maintain good posture, especially if you spend long periods sitting or working at a computer.
Random Bruising
- Consult a Healthcare Provider: Unexplained bruising should be evaluated by a doctor to rule out any underlying conditions.
- Monitor Your Diet: Ensure you are getting enough vitamins and nutrients, particularly Vitamin C and K, which are important for blood clotting.
What you should look out for
Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:
- Sudden, Severe Headache: Especially if it is the worst headache you've ever had.
- Persistent Vision Changes: Any ongoing or worsening vision problems.
- New or Worsening Symptoms: Such as weakness, numbness, or difficulty speaking.
- Increased Frequency or Severity of Bruising: Or if you notice any unusual bleeding.
Remember, while I can provide information and suggestions, I am not a doctor. It's important to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
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4 mo ago