[26F] With persistent headache and disorientation
Patient Description
A 26-year-old female has been experiencing an aching pain in the back of her head on the left side for a few months. The pain intensity can reach 7 out of 10, though it is not constant. Pain medications have not been effective. She also reports episodes of disorientation, which began after being diagnosed with anxiety. These episodes occur multiple times a day, lasting hours, and make daily life more challenging, though she is still able to manage her job. There are no changes in vision, nausea, vomiting, speech difficulties, seizures, or loss of consciousness. Occasionally, she experiences tingling in her arms or legs. She is currently taking Sertraline 50 mg once a day for anxiety, which has helped reduce panic. She does not use alcohol, tobacco, or recreational drugs, and there is no known family history of neurological conditions or anxiety disorders. She has no allergies and takes her medication in the morning after breakfast.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possibilities:
-
Tension Headaches: These are common and can cause aching pain, often due to stress or anxiety. They typically affect both sides of the head but can be localized.
- Treatment often includes stress management, over-the-counter pain relief, and relaxation techniques.
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Migraines: These can cause severe, throbbing pain and may be accompanied by disorientation or tingling.
- Treatment may involve prescription medications and lifestyle changes to avoid triggers.
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Anxiety-Related Symptoms: Anxiety can manifest physically, causing headaches and sensations like disorientation or tingling.
- Treatment includes therapy, medication like Sertraline, and stress-reduction techniques.
What you can do
- Track Symptoms: Use MDandMe to journal your symptoms, noting any patterns or triggers.
- Relaxation Techniques: Practice deep breathing, meditation, or yoga to help manage anxiety and tension.
- Stay Hydrated: Ensure you're drinking enough water, as dehydration can worsen headaches.
- Regular Sleep: Maintain a consistent sleep schedule to help reduce headache frequency.
What you should look out for
Seek medical attention if you experience:
- Sudden, severe headaches
- Changes in vision or speech
- Persistent numbness or weakness
- Any new or worsening symptoms
Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.
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3 mo ago
