[23M] Experiencing a range of symptoms including increased eye floaters and sore throat

Patient Description

A 23-year-old male reports a variety of symptoms that have been developing over several months. The patient has noticed an increase in eye floaters, described as dots, lines, and squiggly shapes, which have become more noticeable over the past three months. Additionally, the patient experiences double vision, particularly at night or after prolonged screen time, described as overlapping images. The patient has also been experiencing a sore throat that persists throughout the day, a swollen lymph node on the left side of the neck that is painful when swallowing, and an inflamed saliva gland. The patient mentions brain fog that impairs thought processes and word retrieval, particularly when anxious, which has been ongoing for seven months. Headaches occur every few days, lasting most of the day, and are described as a dull ache with occasional sharp pains, rated a 5 out of 10 in intensity. The patient also reports a plugged ear sensation when waking up after sleeping on the affected side for the past two weeks, neck stiffness, and worsening tinnitus that began six months ago. There has been recent unintended weight loss over the past month and a half. The patient's medical history includes migraines, Raynaud's phenomenon, acid reflux, and palmar fasciitis. Current medications include Fluoxetine 40mg daily, Vitamin D3 50mcg daily, Lamotrigine 25mg daily, and Emgality 120mg monthly. No known drug allergies are reported.

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Arora's Assessment

What might be happening

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

  • Migraine: Migraines are a type of headache characterized by severe, throbbing pain, usually on one side of the head. They can cause symptoms such as sensitivity to light and sound, nausea, and vomiting. The brain fog and headaches you've been experiencing could be related to your history of migraines.

    • Treatment of migraines typically involves medications to relieve symptoms and prevent future attacks.
  • Tinnitus: Tinnitus is the perception of noise or ringing in the ears. It's a common problem that affects about 15 to 20 percent of people. Tinnitus isn't a condition itself — it's a symptom of an underlying condition, such as age-related hearing loss, ear injury or a circulatory system disorder.

    • Treatment of tinnitus involves treating the underlying cause, if identifiable, and may include medications, sound therapy, and cognitive behavioral therapy.
  • Viral or Bacterial Infection: The combination of a sore throat, swollen lymph node, and weight loss could suggest an infection. This could be a viral infection, like mononucleosis, or a bacterial infection, like strep throat.

    • Treatment of infections typically involves rest, hydration, and possibly antibiotics if the infection is bacterial.
  • Anxiety: Anxiety can cause a wide range of physical symptoms, including brain fog, headaches, and tinnitus. The fact that your brain fog seems to worsen when you're nervous or anxious could suggest that anxiety is playing a role in your symptoms.

    • Treatment of anxiety typically involves cognitive behavioral therapy, medications, and lifestyle changes.
  • Eye Floaters: Floaters are spots in your vision. They may look to you like black or gray specks, strings, or cobwebs that drift about when you move your eyes and appear to dart away when you try to look at them directly.

    • Treatment of eye floaters may not always be necessary. Sometimes they improve on their own. But if they're persistent and significantly affect your vision, a vitrectomy, a surgical procedure, may be an option.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Rest and hydration: These are important for recovery from any potential infection.
  2. Over-the-counter pain relievers: These can help with your headaches and sore throat.
  3. Avoid triggers: If you notice that certain activities or situations worsen your symptoms, try to avoid them if possible.
  4. Relaxation techniques: Techniques such as deep breathing, meditation, and yoga can help manage symptoms of anxiety.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or do not improve
  • If you develop new symptoms
  • If you have difficulty swallowing or breathing
  • If you experience severe headaches or neck stiffness

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

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1 yr ago

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People Also Ask


What causes eye floaters and when should I be concerned about them?

Eye floaters are caused by tiny clumps of gel or cells inside the vitreous, the clear gel-like fluid that fills your eye. They are usually harmless and common with aging. However, if you notice a sudden increase in floaters, flashes of light, or a loss of peripheral vision, you should seek medical attention as these could be signs of a retinal detachment.


How can anxiety contribute to physical symptoms like brain fog and headaches?

Anxiety can lead to physical symptoms due to the body's stress response, which can affect cognitive functions and lead to brain fog. It can also cause muscle tension and changes in blood flow, contributing to headaches. Managing anxiety through therapy, medication, and relaxation techniques can help alleviate these symptoms.


What are the common treatments for tinnitus?

Tinnitus treatment focuses on managing the underlying cause if identified. Options include sound therapy, cognitive behavioral therapy, and sometimes medications. Lifestyle changes and stress management can also help reduce the perception of tinnitus.


What could be the reasons for unintended weight loss and when should I seek medical attention?

Unintended weight loss can be caused by various factors, including infections, chronic illnesses, or stress. It's important to seek medical attention if you experience significant weight loss without trying, as it could indicate an underlying health issue that needs to be addressed.


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