[29F] Experiencing balance issues, blurred vision, and menstrual irregularities

Patient Description

A 29-year-old female presents with a several-week history of balance issues, described as a sudden sensation of falling or swaying, sometimes triggered by movement but occasionally occurring without movement, lasting a few minutes each time. Concurrently, she reports blurred vision for about a month, characterized by an inability to focus and seeing yellow spots or sparkly things. She also experiences dull back pain, rated 5-6/10, worse in the morning and when getting up from sitting or bending, without any recent injury. Menstrual irregularities have been noted since September, with absent, light, or random bleeding patterns. Additionally, she reports occasional migraines, expressive difficulties, weakness or numbness in extremities, and unexplained weight gain of about 10lbs. The patient has a history of GERD and a hiatal hernia, with a recent onset of snoring. She also experiences random, severe stabbing stomach pains, rated 8-9/10, lasting about a minute, and irregular bowel movements with dark brown stool. She has a penicillin allergy and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Multiple Sclerosis: This is a chronic disease that affects the central nervous system, particularly the brain and spinal cord. It can cause a range of symptoms including fatigue, difficulty with coordination and balance, numbness or weakness in one or more limbs, and problems with bowel and bladder function. It can also cause visual disturbances, such as blurred vision or eye pain.

    • Diagnosis is typically made through a combination of a neurological exam, magnetic resonance imaging (MRI), and sometimes a spinal fluid analysis. Treatment usually involves medications to manage symptoms and slow disease progression.
  • Polycystic Ovary Syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. This could explain your irregular periods and weight gain.

    • Diagnosis is made based on symptoms, physical exam, blood tests, and sometimes an ultrasound. Treatment can involve lifestyle changes and medication to manage symptoms and prevent complications.
  • Gastrointestinal issues: Your GERD and hiatal hernia, along with your new symptoms of stomach pain and changes in bowel movements, suggest that you might be experiencing a flare-up or complication of these conditions, or possibly a new gastrointestinal issue.

    • Diagnosis would involve a physical exam and possibly imaging or endoscopy. Treatment would depend on the specific diagnosis but could involve dietary changes, medication, or in some cases surgery.

Please remember that these are just possibilities, and there could be other explanations for your symptoms.

What you can do

  1. Make an appointment with your primary care doctor to discuss these symptoms. They can perform a physical examination and order appropriate tests to help determine what might be causing your symptoms.
  2. Keep a symptom diary. Note when each of your symptoms occur, how long they last, and what makes them better or worse. This can be helpful information for your doctor.
  3. Try to maintain a balanced diet and regular exercise routine. This can help manage symptoms of many conditions, including PCOS and gastrointestinal issues.
  4. Stay hydrated, especially if you're experiencing loose stools.

What you should look out for

Seek immediate medical attention if you experience:

  • Sudden, severe headache
  • Sudden difficulty speaking or understanding speech
  • Sudden weakness or numbness on one side of your body
  • Sudden loss of vision or double vision
  • Severe abdominal pain

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis.

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People Also Ask


What are the common symptoms of Multiple Sclerosis?

Common symptoms of Multiple Sclerosis include fatigue, difficulty with coordination and balance, numbness or weakness in limbs, visual disturbances like blurred vision or eye pain, and problems with bowel and bladder function.


How is Polycystic Ovary Syndrome (PCOS) diagnosed and treated?

PCOS is diagnosed based on symptoms, physical exams, blood tests, and sometimes an ultrasound. Treatment can involve lifestyle changes, such as diet and exercise, and medications to manage symptoms and prevent complications.


What could cause sudden balance issues and blurred vision?

Sudden balance issues and blurred vision could be caused by neurological conditions like Multiple Sclerosis, vestibular disorders, or other central nervous system issues. It's important to consult a healthcare professional for an accurate diagnosis.


What are the potential complications of GERD and a hiatal hernia?

Potential complications of GERD and a hiatal hernia include esophagitis, esophageal strictures, Barrett's esophagus, and an increased risk of esophageal cancer. Management typically involves dietary changes, medications, and sometimes surgery.


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