[24F] Experiencing sudden neurological symptoms and abdominal pain

Patient Description

A 24-year-old female presents with a sudden onset of a heavy, numb feeling in the head and neck, pins and needles in the arms and hands, specifically on the left side, and a pulsating sensation that began 20 minutes prior to reporting. She also experiences a cramping and pressure-like abdominal pain rated 7/10 for severity, ongoing for 3 months, accompanied by fever and chills. The patient's bowel movements have been infrequent, with the last being 7 days ago, described as hard, black, and pebble-like. She reports a new type of headache causing whole head pain, nausea, and rated 7/10 for intensity, with associated blurry vision and light sensitivity. Additionally, she mentions confusion, trouble staying alert, and extreme fatigue. The patient has a recent diagnosis of hyperthyroidism and polycystic ovary syndrome (PCOS) but is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Migraine: A type of headache characterized by severe, throbbing pain, often on one side of the head. Migraines can cause symptoms such as light sensitivity, blurred vision, and nausea. They can also cause numbness or tingling in one side of the body before or during the headache.

    • Treatment typically involves medications to relieve the headache and prevent future migraines. Lifestyle changes, such as stress management and avoiding triggers, can also help.
  • Hyperthyroidism: An overactive thyroid can cause a variety of symptoms, including fatigue, muscle weakness, and sensitivity to heat. It can also cause more serious symptoms, such as rapid or irregular heartbeat, which could potentially explain the pulsating sensation you're feeling.

    • Treatment typically involves medications to slow down the thyroid, and in some cases, surgery may be necessary.
  • Polycystic Ovary Syndrome (PCOS): This condition can cause a variety of symptoms, including irregular periods, heavy bleeding, and pelvic pain. It can also cause fatigue and difficulty losing weight.

    • Treatment typically involves lifestyle changes and medications to manage symptoms.
  • Anemia: This condition, which is characterized by a lack of healthy red blood cells to carry oxygen to your tissues, can cause fatigue and weakness. It can also cause symptoms such as shortness of breath, irregular heartbeat, and pale or yellow skin.

    • Treatment typically involves supplements or medications to increase the number of red blood cells.

Please note that these are only possible explanations and not a definitive diagnosis. You should consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms. They may want to perform tests to determine the cause of your symptoms.

  2. Keep a symptom diary. Write down when your symptoms occur, how long they last, and any potential triggers. This can help your healthcare provider diagnose your condition.

  3. Stay hydrated and eat a balanced diet. This can help manage your symptoms and improve your overall health.

  4. Try to get plenty of rest. This can help manage your fatigue and give your body a chance to recover.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or you develop new symptoms
  • You experience severe pain or discomfort
  • You have difficulty breathing or experience chest pain
  • You have a severe headache or a headache that is different from your usual headaches
  • You experience confusion, difficulty speaking, or changes in your vision or alertness

Remember, I am an AI and this advice is based on the information you've provided. It's 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 and how can they be managed?

Common symptoms of a migraine include severe, throbbing headache, often on one side of the head, nausea, vomiting, and sensitivity to light and sound. Management typically involves medications to relieve pain and prevent future migraines, as well as lifestyle changes like stress management and avoiding known triggers.


How does hyperthyroidism affect the body and what are the treatment options?

Hyperthyroidism can cause symptoms such as fatigue, muscle weakness, heat sensitivity, rapid or irregular heartbeat, and weight loss. Treatment options include medications to slow down thyroid hormone production, radioactive iodine therapy, or surgery to remove part or all of the thyroid gland.


What are the symptoms of PCOS and how is it typically treated?

PCOS symptoms include irregular menstrual cycles, heavy bleeding, pelvic pain, acne, and weight gain. Treatment often involves lifestyle changes, such as diet and exercise, and medications to regulate menstrual cycles and manage symptoms.


What could cause black, pebble-like stools and what should be done about it?

Black, pebble-like stools can indicate constipation and possibly bleeding in the upper gastrointestinal tract, which can cause the stool to appear black. It's important to consult a healthcare provider for evaluation and treatment, which may include dietary changes, hydration, and possibly medications.


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