[30F] Experiencing headaches, irritability, and lack of concentration

Patient Description

A 30-year-old female is reporting severe headaches, irritability, and difficulty concentrating, which have been worsening over the past week. She is also experiencing mood swings and has been crying a lot since the loss of her mother. She describes a sharp, stabbing pain in her lower abdomen for the last month, accompanied by diarrhea over the past four days. Her headaches are characterized by intense pressure and shooting pains, with increased sensitivity to light and sound, and occasional blurry vision. She also noted weakness on her right side two days ago, which has since improved, and confusion. She has tight muscles in her neck and back, lethargy, and rapid weight gain. Her menstrual cycles are extremely irregular, and she has not had a period since November. She has a history of Charcot-Marie-Tooth Disease, depression, anxiety, PTSD, and has an 18-year-old artificial hip. She has given birth to five children and is currently overweight at 250 lbs. She is taking Tylenol for pain management. No known drug allergies. No recent travel history.

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Arora's Assessment

What might be happening

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

  • Hormonal Changes: Given your age, sex, and the range of symptoms you're experiencing (mood swings, irritability, headaches, weight gain, and irregular menstrual cycles), it's possible that hormonal changes could be contributing to your symptoms. Conditions such as Polycystic Ovary Syndrome (PCOS) or Premenstrual Dysphoric Disorder (PMDD) could be considered.

    • PCOS is a hormonal disorder common among women of reproductive age. It can cause irregular periods, weight gain, and mood changes.
    • PMDD is a severe form of premenstrual syndrome (PMS). It may cause severe irritability, depression, or anxiety in the week or two before your period starts.
  • Gastrointestinal Issues: Your symptoms of abdominal pain and diarrhea could be due to a variety of gastrointestinal issues, such as Irritable Bowel Syndrome (IBS), food intolerance, or an infection.

  • Migraines: Your description of severe headaches, sensitivity to light and sound, and blurry vision could be indicative of migraines.

  • Depression and Anxiety: Your symptoms of difficulty concentrating, irritability, mood swings, and lethargy can also be symptoms of depression and anxiety, conditions you've been diagnosed with in the past.

Please note that these are potential explanations based on the information you've provided, and they are not definitive diagnoses. It's important to consult with a healthcare provider for a formal evaluation.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to perform some tests or refer you to a specialist for further evaluation.
  2. Keep a symptom diary. Note down when your symptoms occur, their severity, and any potential triggers. This can be helpful information to share with your healthcare provider.
  3. Try to maintain a balanced diet and regular exercise routine. These can help manage symptoms related to hormonal changes and gastrointestinal issues.
  4. Practice stress management techniques, such as mindfulness, meditation, or yoga. These can help manage symptoms of depression, anxiety, and migraines.
  5. If your headaches continue to be severe, consider seeking urgent medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Blood in your stool
  • Sudden, severe headache
  • Sudden weakness or numbness on one side of your body
  • Difficulty speaking or understanding speech
  • Sudden vision changes

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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10 mo ago

People Also Ask


What are the common symptoms of Polycystic Ovary Syndrome (PCOS)?

Common symptoms of PCOS include irregular menstrual cycles, excessive hair growth, acne, weight gain, and difficulty getting pregnant. It can also cause mood changes and fatigue.


How can migraines be distinguished from other types of headaches?

Migraines are often characterized by intense, throbbing pain on one side of the head, sensitivity to light and sound, nausea, and sometimes visual disturbances known as auras. They differ from tension headaches, which usually cause a dull, aching sensation all over the head.


What are some effective ways to manage symptoms of depression and anxiety?

Effective ways to manage symptoms of depression and anxiety include therapy (such as cognitive-behavioral therapy), medication (such as antidepressants), regular physical activity, maintaining a healthy diet, and practicing stress-reduction techniques like mindfulness and meditation.


What should I do if I experience sudden weakness or numbness on one side of my body?

If you experience sudden weakness or numbness on one side of your body, it is important to seek immediate medical attention, as these could be signs of a stroke or other serious neurological condition.


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