[23F] Experiencing headache, nausea, and breathing difficulties

What might be happening

Based on the information you've provided, the following conditions could be contributing to your symptoms:

• Post-Acute Sequelae of SARS-CoV-2 infection (PASC), also known as Long COVID: This condition occurs in individuals who have recovered from the acute phase of COVID-19 but continue to experience symptoms or develop new ones that persist for weeks or even months. This could explain your ongoing symptoms of fatigue, brain fog, and difficulty breathing.

  • Management of PASC involves symptom management and rehabilitation. It's important to rest and pace yourself, and to seek medical help if symptoms worsen.

• Side effects of medications: Some of your symptoms could be side effects of the medications you're taking. For example, metoprolol can cause fatigue and shortness of breath, and duloxetine can cause nausea and headache.

  • If you suspect your medications may be causing your symptoms, do not stop taking them without first consulting your doctor. They can review your medications and adjust dosages or switch medications if necessary.

• Migraine: Your description of a constant headache primarily located between your eyebrows could suggest a migraine, especially if you've had similar headaches in the past. Migraines can sometimes be accompanied by nausea.

  • Migraine treatment usually involves pain-relieving medications and preventive medications. Lifestyle changes, such as regular sleep, meals, and exercise, can also help.

• Anxiety or stress: These can cause a variety of physical symptoms, including headaches, nausea, and difficulty breathing. Given the chronic illnesses you've been dealing with, it's possible that stress or anxiety is playing a role.

  • Management of anxiety or stress often involves a combination of therapy, relaxation techniques, lifestyle changes, and sometimes medication.

What you can do

1. Rest and hydrate: Make sure you're getting enough sleep and staying hydrated. These are simple steps that can sometimes help alleviate symptoms like headaches and fatigue.
2. Monitor your symptoms: Keep track of when your symptoms occur, their severity, and any potential triggers. This information can be helpful for your healthcare provider.
3. Consult your doctor: Given your complex medical history and the persistence of your symptoms, it's important to consult your healthcare provider. They can review your symptoms in the context of your medical history and current medications, and may suggest tests or referrals to specialists if necessary.

What you should look out for

Seek immediate medical attention if you experience:

• Severe headache or a headache that is different from your usual headaches
• Difficulty breathing that is getting worse
• Chest pain
• Sudden weakness or numbness on one side of your body
• Difficulty speaking or understanding speech
• Sudden vision changes

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.