[20F] Experiencing headaches, dizziness, and vision issues

Patient Description

A 20-year-old female has been experiencing intermittent headaches described as a squeezing sensation, rated 7-9 in intensity, occurring at least three times a week, and lasting from an hour to a few hours. These headaches are exacerbated by light and have been occurring for the past few months. Additionally, she reports dizziness, nausea, diarrhea, and pins and needles in her hands and feet, which have also been present for a few months. The diarrhea is loose, accompanied by stomach cramps that cause shakiness, sweating, and an increased heart rate. She has had diarrhea four times in one day recently. The patient also experiences blurred and shaky vision when focusing on something for too long, which has been occurring for the past couple of months. She has not traveled recently, does not recall any specific food triggers, and has not experienced these symptoms before. The patient also reports chills and has been feeling cold, but it is unclear if this is related to the cold weather or a symptom.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Migraines: These are severe headaches often accompanied by other symptoms such as nausea, vomiting, and sensitivity to light. The pain is often described as throbbing or pulsing and can be on one side of the head. Migraines can last for hours to days.

    • Treatment for migraines can include over-the-counter pain relievers, prescription medications, and lifestyle changes such as stress management and avoiding migraine triggers.
  • Anxiety Disorders: Chronic anxiety can cause physical symptoms like headaches, stomach cramps, diarrhea, and sweating. It can also cause feelings of dizziness and blurred vision.

    • Treatment for anxiety disorders can include therapy, medication, and lifestyle changes such as regular exercise and stress management techniques.
  • Hyperthyroidism: This is a condition where the thyroid gland produces too much thyroid hormone, which can cause symptoms like sweating, diarrhea, and a rapid heart rate. It can also cause feelings of nervousness and anxiety.

    • Treatment for hyperthyroidism can include medication, radioactive iodine, and in some cases, surgery.
  • Vitamin B12 Deficiency: This can cause symptoms like pins and needles in the hands and feet, dizziness, and blurred vision. It can also cause fatigue and weakness.

    • Treatment for vitamin B12 deficiency can include dietary changes and vitamin B12 supplements.

Please note that these are possible diagnoses and you should consult with a healthcare professional for a formal diagnosis.

What you can do

  1. Keep a symptom diary: This can help you identify any patterns or triggers for your symptoms. This will also be useful information for your doctor.
  2. Stay hydrated: This is especially important if you are experiencing diarrhea, as you can lose a lot of fluid.
  3. Eat a balanced diet: This can help ensure you are getting all the necessary nutrients your body needs.
  4. Get regular exercise: This can help manage symptoms of anxiety and improve your overall health.
  5. Seek medical attention: It's important to consult with a healthcare professional about your symptoms. They can provide a formal diagnosis and appropriate treatment.

What you should look out for

Reasons to seek immediate medical attention:

  • If your symptoms worsen or you develop new symptoms
  • If you experience severe abdominal pain
  • If you experience severe headache or a headache that is different from your usual headaches
  • If you have difficulty breathing or chest pain
  • If you have a high fever or severe dehydration from diarrhea

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of migraines and how can they be managed?

Migraines often present as severe headaches with a throbbing or pulsing sensation, usually on one side of the head. They can be accompanied by nausea, vomiting, and sensitivity to light and sound. Management includes over-the-counter pain relievers, prescription medications, and lifestyle changes such as stress management and avoiding known triggers.


How can anxiety disorders manifest physically and what are some treatment options?

Anxiety disorders can cause physical symptoms like headaches, stomach cramps, diarrhea, sweating, dizziness, and blurred vision. Treatment options include therapy, medication, and lifestyle changes such as regular exercise and stress management techniques.


What are the symptoms of hyperthyroidism and how is it treated?

Hyperthyroidism symptoms include sweating, diarrhea, rapid heart rate, nervousness, and anxiety. Treatment can involve medication to reduce thyroid hormone production, radioactive iodine to shrink the thyroid, or surgery in some cases.


What are the signs of vitamin B12 deficiency and how can it be addressed?

Vitamin B12 deficiency can cause pins and needles in the hands and feet, dizziness, blurred vision, fatigue, and weakness. It can be addressed through dietary changes to include more B12-rich foods and taking vitamin B12 supplements as needed.


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