[25F] With severe headache and nausea
Patient Description
A 25-year-old female presents with severe throbbing and aching pain in the forehead, around the temples and eyes, rated as 10/10 in intensity. The headache has been ongoing for 2 hours and is accompanied by nausea. The patient experiences these headaches approximately three times a week, each lasting around 24 hours. Symptoms include sensitivity to light and sound, visual disturbances such as flashes of light or zigzag patterns, numbness or tingling in the face or limbs, and weakness on one side of the body. The patient has a history of hemiplegic migraine, diagnosed almost a year ago, and a family history of migraines. She has been taking Tylenol for relief but reports no significant improvement. No known allergies to medications.
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Arora's Assessment
What might be happening
Based on your symptoms and history, it seems like you are experiencing a hemiplegic migraine. This type of migraine can cause:
- Severe throbbing headache, often on one side
- Nausea
- Sensitivity to light and sound
- Visual disturbances
- Temporary weakness or paralysis on one side of the body
Hemiplegic migraines are a rare form of migraine that can mimic stroke-like symptoms. Treatment often involves medications to relieve symptoms and prevent future attacks. It's important to work closely with a healthcare provider to manage this condition.
What you can do
- Rest in a dark, quiet room: This can help reduce sensitivity to light and sound.
- Stay hydrated: Drink plenty of water to help alleviate symptoms.
- Use cold compresses: Applying a cold pack to your forehead may provide some relief.
- Track your symptoms: Use MDandMe to journal your symptoms, triggers, and any medications you take. This can help you and your healthcare provider manage your condition more effectively.
What you should look out for
Seek medical attention if:
- Your symptoms worsen or do not improve with usual treatments.
- You experience new or unusual symptoms.
- You have difficulty speaking, confusion, or loss of consciousness.
Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.
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2 mo ago