[20F] With persistent headache and respiratory symptoms

What might be happening

Based on the symptoms you've described, there are several serious conditions that could be causing your symptoms, and it's important to seek medical attention promptly:

1. Pulmonary Embolism: This is a blockage in one of the pulmonary arteries in your lungs, often caused by blood clots. Symptoms can include shortness of breath, chest pain, and coughing up blood. Given your symptoms, this is a serious condition that requires immediate medical evaluation.

2. Severe Anemia or Hematological Disorder: Your lab results indicating a very low hematocrit level suggest severe anemia, which can cause fatigue, shortness of breath, and other symptoms. This could be due to a hematological disorder, which needs to be assessed by a healthcare provider.

3. Infectious Disease: The combination of fever, weight loss, night sweats, and coughing up blood could suggest an infectious disease like tuberculosis, which requires medical evaluation.

4. Migraine or Neurological Issue: The persistent throbbing headache, especially with sensitivity to light and movement, could be a severe migraine or another neurological issue. Given the severity and persistence, it's important to have this evaluated.

What you can do

1. Seek Immediate Medical Attention: Given the seriousness of these potential conditions, I strongly recommend that you seek immediate medical attention. Visit an emergency room or urgent care facility to ensure you receive the appropriate care and treatment.

2. Monitor Your Symptoms: Keep track of any changes in your symptoms, especially if they worsen. This information can be helpful for healthcare providers in diagnosing and treating your condition.

3. Avoid Triggers: Since light and movement worsen your headache, try to rest in a dark, quiet room to minimize discomfort.

4. Stay Hydrated and Nourished: Ensure you are drinking enough fluids and eating small, nutritious meals to help manage fatigue and nausea.

5. Reach Out for Support: Consider reaching out to friends, family, or support groups for emotional support during this time.

Please prioritize your health and seek medical care as soon as possible. If you experience any new or worsening symptoms, do not hesitate to call 911 or have someone take you to the hospital.