[28F] Experiencing severe headache, vomiting, and balance issues with menstrual changes

Patient Description

A 28-year-old female presents with a constellation of symptoms including swollen and painful eyes, blurred vision, vomiting, severe headache, loss of balance, and loud ringing or banging in the ears. The patient desires relief through head and back rubs. Additionally, the patient reports the onset of menstrual bleeding and cramps for the first time in three years, indicating a possible early stage of menopause as informed by a doctor. The severity and persistence of the symptoms are causing significant distress.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Migraine: This is a type of headache that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment for migraines usually involves over-the-counter (OTC) or prescription medications.
  • Meniere's disease: This is an inner ear disorder that can lead to dizzy spells (vertigo) and hearing loss. In most cases, Meniere's disease affects only one ear. It can cause severe dizziness, a roaring sound in your ears (tinnitus), hearing loss that comes and goes, and ear pressure or pain.

    • Treatment for Meniere's disease may involve a combination of medications, physical maneuvers, and hearing aids.
  • Early Menopause: You mentioned that your doctor told you that you are in the early stages of menopause. Menopause can cause a variety of symptoms, including irregular periods, mood changes, and hot flashes. However, it's less likely to be the cause of your current symptoms.

What you can do

Please seek immediate medical attention. Your symptoms may indicate a serious condition that needs urgent evaluation.

In the meantime, try to rest in a quiet, dark room. Stay hydrated and avoid any known headache triggers.

What you should look out for

If any of the following occur, seek immediate medical attention:

  • An abrupt, severe headache like a thunderclap
  • Headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
  • Headache after a head injury, especially if the headache worsens
  • A chronic headache that is worse after coughing, exertion, straining or a sudden movement
  • New headache pain if you're older than 50

Please remember that while I strive to provide accurate information, I'm 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 are the common symptoms of migraines and how can they be managed?

Migraines often present with severe throbbing pain, usually on one side of the head, and can be accompanied by nausea, vomiting, and sensitivity to light and sound. Management typically involves OTC or prescription medications, lifestyle changes, and avoiding known triggers.


What is Meniere's disease and what are its typical symptoms?

Meniere's disease is an inner ear disorder characterized by episodes of vertigo, tinnitus (roaring sound in the ears), fluctuating hearing loss, and ear pressure. Treatment may include medications, dietary changes, and sometimes surgery.


What are the signs of early menopause and how can they affect overall health?

Early menopause can cause symptoms such as irregular periods, hot flashes, mood swings, and changes in sexual function. It can affect bone density and cardiovascular health, so monitoring and management with a healthcare provider is important.


When should someone seek immediate medical attention for a headache?

Immediate medical attention for a headache is necessary if it is sudden and severe, accompanied by fever, stiff neck, confusion, seizures, or if it follows a head injury. Also, if it worsens with physical activity or is new and persistent in someone over 50.


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