[20F] Experiencing constant fatigue and frequent migraines

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Chronic Fatigue Syndrome (CFS): This condition is 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. This condition also often involves difficulties with memory, focus, and concentration, sometimes referred to as "brain fog".

  • There is no specific test for CFS. Your doctor will have to rule out other potential causes of your fatigue to diagnose this condition. Treatment typically involves a combination of lifestyle changes and coping strategies.

• Hypothyroidism: This is a condition where the thyroid gland doesn't produce enough thyroid hormones. Symptoms can include fatigue, weight gain, and depression. Given your family history of autoimmune disease (your mother has lupus), it's possible that you could have an autoimmune form of hypothyroidism called Hashimoto's thyroiditis.

  • Diagnosis of hypothyroidism typically involves a simple blood test to measure your levels of thyroid hormones. Treatment usually involves taking a daily medication to replace the missing thyroid hormone.

• Migraines: Migraines are a type of headache characterized by severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can cause significant pain for hours to days.

  • Diagnosis of migraines is usually based on your medical history, symptoms, and a physical and neurological examination. Treatment is aimed at preventing a full-blown attack, and alleviating the symptoms if you do get a migraine.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

1. Schedule an appointment with your healthcare provider: It's important to discuss your symptoms with a healthcare provider who can provide a proper diagnosis and treatment plan.

2. Keep a symptom diary: This can help you and your healthcare provider identify patterns and triggers to your symptoms.

3. Maintain a healthy lifestyle: Regular exercise, a balanced diet, and adequate sleep can help manage symptoms of fatigue and migraines.

What you should look out for

Seek immediate medical attention if you experience:

• A sudden, severe headache like a thunderclap
• Headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or trouble speaking
• Headache after a head injury, especially if the headache worsens
• A chronic headache that is worse after coughing, exertion, straining or a sudden movement
• New headache pain if you're over 50

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.