[23F] Experiencing migraine-like symptoms with visual disturbances and nausea

Patient Description

A 23-year-old female is reporting symptoms consistent with a migraine, including initial gray peripherals in both eyes followed by pain in the left eye, headache on the left side, and associated nausea. The patient does not report any recent changes in health or new medications that could contribute to these symptoms. The patient is not pregnant and has not mentioned any significant past medical history that could be related to the current symptoms.

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Arora's Assessment

What might be happening

Based on your description, it seems like you might be experiencing:

  • Migraine with Aura: Migraines are a type of headache characterized by severe pain on one side of the head, and are often accompanied by other symptoms such as nausea and visual disturbances (the aura). The aura usually occurs before the headache, and can include seeing spots, flashing lights, or experiencing a temporary loss of vision.

    • Treatment usually involves medications to relieve the symptoms of a migraine, such as pain-relief medications, triptans (medications that block pain pathways in the brain), and anti-nausea medications. Preventive medications can also be prescribed if migraines are frequent or very severe.
  • Cluster Headache: These are severe headaches that occur on one side of the head and come in clusters, meaning you experience cycles of headache attacks followed by headache-free periods. They can be accompanied by other symptoms such as red or watering eyes, sweating, and nausea.

    • Treatment usually involves medications to reduce the severity of the cluster headaches, such as sumatriptan and local anesthetics. Preventive medications can also be prescribed, such as verapamil and corticosteroids.

Please note that these are possible explanations for your symptoms based on the information you've provided, but only a healthcare professional can provide a definitive diagnosis.

What you can do

You should seek medical attention as soon as possible. In the meantime, you can try the following to help manage your symptoms:

  1. Rest in a quiet, dark room. This can often help to reduce the severity of a migraine.
  2. Apply a warm or cold compress to your forehead or the back of your neck. The heat or cold can help to relieve the pain.
  3. Stay hydrated and avoid triggers. Dehydration can make headaches worse, and certain foods or smells can trigger migraines in some people.

What you should look out for

You should seek immediate medical attention if:

  • Your headache is severe and sudden, and unlike any headache you've had before.
  • You have a headache accompanied by a high fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or difficulty speaking.
  • You have a headache after a head injury.
  • Your headache is accompanied by shortness of breath, chest pain, or fainting, which could indicate a serious condition affecting the heart or lungs.

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of a migraine with aura?

Common symptoms of a migraine with aura include visual disturbances such as seeing spots or flashing lights, temporary loss of vision, severe pain on one side of the head, nausea, and sensitivity to light and sound.


How can I differentiate between a migraine and a cluster headache?

Migraines typically involve severe pain on one side of the head, often with nausea and visual disturbances. Cluster headaches are also one-sided but occur in cycles or clusters, with symptoms like red or watering eyes and nasal congestion. The pain from cluster headaches is often described as more intense and can be accompanied by restlessness.


What are some effective treatments for migraines?

Effective treatments for migraines include pain-relief medications like NSAIDs, triptans which block pain pathways in the brain, and anti-nausea medications. Preventive medications may be prescribed for frequent or severe migraines, such as beta-blockers, antidepressants, or anti-seizure drugs.


When should I seek immediate medical attention for a headache?

You should seek immediate medical attention if your headache is severe and sudden, unlike any you've had before, or if it's accompanied by symptoms like high fever, stiff neck, confusion, seizures, double vision, weakness, numbness, difficulty speaking, or after a head injury. Also, seek help if you experience shortness of breath, chest pain, or fainting.


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