[19O] With cognitive impairment and headaches

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Cognitive Impairment: Given your difficulty with speech, finding words, and maintaining conversations, you might be experiencing cognitive impairment. This can be caused by various factors, including neurological conditions, mental health issues, or even side effects of medications.

• Migraine or Cluster Headaches: The intense, localized headaches on the right side of your head, especially around the eye, could indicate migraines or cluster headaches. These types of headaches can sometimes be associated with visual disturbances like double vision or blurred vision.

• Postural Orthostatic Tachycardia Syndrome (POTS) and Inappropriate Sinus Tachycardia (IST): These conditions can cause symptoms like lightheadedness, weakness, and cognitive difficulties, especially when standing up or during periods of physical activity.

• Medication Side Effects: Metoprolol and Diltiazem can sometimes cause side effects such as dizziness, lightheadedness, and cognitive changes. It's important to discuss these potential side effects with your healthcare provider.

What you can do

1. Consult a Healthcare Provider: It's crucial to speak with a healthcare provider about your symptoms. They may recommend further testing, such as imaging studies (like an MRI or CT scan) or blood tests, to rule out any underlying conditions.

2. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur, their severity, and any potential triggers. This information can be valuable for your healthcare provider.

3. Manage Headaches: For your headaches, continue using Ibuprofen as needed, but be cautious about overuse. You might also try other headache management techniques, such as relaxation exercises, hydration, and avoiding known triggers.

4. Stay Hydrated and Maintain a Healthy Diet: Proper hydration and a balanced diet can help manage symptoms of POTS and IST. Avoiding caffeine and alcohol might also be beneficial.

5. Mental Health Support: Given the impact on your social relationships and anxiety, consider seeking support from a mental health professional. Cognitive-behavioral therapy (CBT) can be particularly helpful for managing anxiety and cognitive symptoms.

What you should look out for

• Worsening Symptoms: If you notice a significant worsening of your symptoms, such as increased frequency or severity of headaches, more pronounced cognitive difficulties, or new neurological symptoms, seek medical attention promptly.

• Severe Headaches: If you experience a sudden, severe headache (often described as a "thunderclap" headache), seek emergency medical care immediately.

• Changes in Vision: Persistent or worsening double vision or blurred vision should be evaluated by a healthcare provider.

• Severe Weakness or Numbness: If you experience sudden or severe weakness or numbness in your arms or legs, seek immediate medical attention.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult with a healthcare provider to receive a formal diagnosis and appropriate treatment.