[20F] Experiencing blurred vision and unusual sensations

Patient Description

A 20-year-old female reports experiencing blurry vision, described as difficulty focusing, affecting both eyes for approximately one month. The patient notes that the blurriness improves when focusing intently or when objects are very close. Additionally, the patient reports aches in the neck, upper back, and occasionally in the arms, characterized by a radiating pain starting from the shoulder or the back of the hand, described as a dull ache rated 2 out of 10 in severity. These symptoms have been occurring on and off for about a month. The patient also describes a sensation of shaking in the hands and arms, which has been present for the past few days, though no physical shaking is observed. The patient mentions feeling weak and tired all the time, despite adequate sleep, and notes that symptoms, particularly vision changes, worsen midday and when out of the house or when thinking about them. No recent injuries or previous occurrences of similar symptoms were reported.

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Arora's Assessment

What might be happening

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

  • Anxiety Disorder: Anxiety can cause a wide range of physical symptoms, including blurry vision, shaking, muscle aches, and fatigue. It's also possible for anxiety to make you hyper-aware of normal bodily sensations, which can make them seem more intense or unusual than they really are.

    • Treatment for anxiety disorders often involves a combination of psychotherapy (talk therapy), cognitive-behavioral therapy, and medication.
  • Chronic Fatigue Syndrome (CFS): This is a complex disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue worsens with physical or mental activity, but doesn't improve with rest. Other symptoms can include muscle pain, impaired memory or concentration, and sleep disturbances.

    • Treatment for CFS focuses on symptom relief.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It amplifies painful sensations by affecting the way your brain processes pain signals.

    • Treatment for fibromyalgia often involves a combination of medications, exercise, stress-reduction measures, and cognitive-behavioral therapy.
  • Vision problems: There are many different conditions that can cause blurry vision, including nearsightedness, farsightedness, and astigmatism. If you're having trouble focusing your eyes, it might be a good idea to get an eye exam.

    • Treatment for vision problems often involves corrective lenses or surgery.

What you can do

  1. Schedule an appointment with your primary care provider to discuss your symptoms. They can help determine if there's an underlying medical condition that needs to be addressed.
  2. Try to identify any triggers for your symptoms. This could include certain activities, foods, or stressors.
  3. Practice good sleep hygiene. This includes going to bed and waking up at the same time every day, avoiding caffeine and alcohol close to bedtime, and making your sleeping environment as comfortable as possible.
  4. Consider seeking help from a mental health professional. They can provide strategies to help manage anxiety and stress, which could potentially help alleviate some of your physical symptoms.

What you should look out for

  • If your symptoms worsen or you develop new symptoms, you should seek medical attention.
  • If you experience sudden, severe pain, difficulty breathing, or any other signs of a serious medical condition, you should seek emergency medical attention.

Remember, I'm an AI and can't replace a real doctor. It's important to consult with a healthcare provider for an accurate diagnosis.

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9 mo ago

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People Also Ask


Can anxiety cause physical symptoms like blurry vision and muscle aches?

Yes, anxiety can cause a variety of physical symptoms, including blurry vision, muscle aches, shaking, and fatigue. It can also make you more aware of normal bodily sensations, making them seem more intense.


What are the common symptoms of Chronic Fatigue Syndrome (CFS)?

Common symptoms of Chronic Fatigue Syndrome include extreme fatigue that worsens with physical or mental activity, muscle pain, impaired memory or concentration, and sleep disturbances. The fatigue does not improve with rest.


How is fibromyalgia diagnosed and treated?

Fibromyalgia is diagnosed based on a history of widespread pain lasting more than three months and the presence of other symptoms such as fatigue, sleep disturbances, and cognitive difficulties. Treatment often involves medications, exercise, stress-reduction techniques, and cognitive-behavioral therapy.


What should I do if I experience persistent blurry vision?

If you experience persistent blurry vision, it is important to schedule an eye exam to rule out vision problems such as nearsightedness, farsightedness, or astigmatism. Corrective lenses or surgery may be needed depending on the diagnosis.


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