[19M] With irritability to light and noise, tremors, and heart flutters

Patient Description

A 19-year-old male presents with a year-long history of irritability to light and noise, occurring daily for about 20 minutes, often triggered by lack of sleep. He finds relief with light-blocking glasses. Additionally, he experiences tremors described as a buzzing sensation in his fingers and legs, and heart flutters that occur primarily at rest. The patient has a history of migraines, managed with Nurtec as needed, and reports no side effects. He also has a past diagnosis of a stomach ulcer. The patient consumes nicotine regularly but does not regularly consume caffeine or alcohol. He has been attempting to improve his sleep patterns. There is a family history of migraines or neurological conditions. Recently, he started taking MK-677.

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Arora's Assessment

What might be happening

Your symptoms could be related to several conditions:

  1. Migraine-Related Sensitivity: Your irritability to light and noise, along with neck tightness, could be linked to migraines. Migraines often cause sensitivity to light and sound and can be accompanied by neck pain.

  2. Anxiety or Stress: The heart flutters, shakiness, and tingling might be related to anxiety or stress, even if you don't feel particularly stressed. These symptoms can occur when your body is at rest.

  3. Nicotine Use: Nicotine can contribute to heart palpitations and tremors. It can also affect sleep quality, potentially worsening your symptoms.

  4. Medication Effects: While you haven't noticed side effects from Nurtec, it's important to consider how any new supplements, like MK-677, might interact with your symptoms.

What you can do

For Light and Noise Sensitivity:

  • Continue using light-blocking glasses.
  • Try to maintain a regular sleep schedule to minimize triggers.

For Heart Flutters and Tremors:

  • Consider reducing nicotine use, as it can exacerbate these symptoms.
  • Practice relaxation techniques, such as deep breathing or meditation, to help manage any underlying anxiety.

For Neck Tightness:

  • Gentle neck stretches and maintaining good posture can help alleviate tension.
  • Consider seeing a physical therapist for targeted exercises.

General Health:

  • Keep a symptom journal using MDandMe to track patterns and triggers.
  • Ensure you're getting enough hydration and balanced nutrition.

What you should look out for

  • If your symptoms worsen or you experience new symptoms like chest pain, severe headaches, or fainting, seek medical attention promptly.
  • Monitor any changes in your symptoms with the introduction of new supplements or medications.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

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2 mo ago


People Also Ask


Can migraines cause sensitivity to light and noise?

Yes, migraines can cause sensitivity to light and noise, a condition known as photophobia and phonophobia, respectively. These symptoms are common during migraine attacks and can be quite debilitating.


How does nicotine use affect heart palpitations and tremors?

Nicotine use can increase heart rate and blood pressure, leading to heart palpitations and tremors. It can also disrupt sleep, which may exacerbate these symptoms.


What are the potential side effects of taking MK-677?

MK-677, a growth hormone secretagogue, can have side effects such as increased appetite, water retention, and potential impacts on insulin sensitivity. It's important to monitor for any new symptoms when starting this supplement.


How can improving sleep patterns help with migraine symptoms?

Improving sleep patterns can help reduce the frequency and severity of migraines. Adequate sleep helps regulate neurotransmitters and hormones that can trigger migraines, and maintaining a regular sleep schedule can minimize potential triggers.


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