[31F] Experiencing blurred vision, dizziness, and migraines

Patient Description

A 31-year-old female reports experiencing blurred vision that fluctuates throughout the day, with episodes being more severe during daylight hours. She has been dealing with this condition for approximately one week. Additionally, she experiences lightheadedness when transitioning from sitting to standing, which has been occurring for about a week and a half. She rates the severity of both her blurred vision and dizziness at a 6 out of 10. The patient also suffers from heartburn early in the morning, regardless of food intake, which has been ongoing for two weeks and is rated at a severity of 5 out of 10. She has a history of migraines for about a year, with pain located behind the eyes, accompanied by nausea, sensitivity to light and sound, and visual disturbances. The sensitivity to light and sound has been present for a couple of weeks and months, respectively, and both are described as causing pain, with the sensitivity to sound rated at a severity of 6 out of 10. The patient has no known drug allergies, no pre-existing conditions, and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

  • Migraines: You've mentioned having migraines for about a year, with symptoms including pain behind the eyes, nausea, and sensitivity to light and sound. Migraines are a type of headache characterized by severe pain and other symptoms. The exact cause is unknown, but it's thought to involve changes in chemicals and blood vessels in the brain.

    • Treatment typically involves medications to relieve symptoms and prevent future attacks. Lifestyle changes, such as avoiding known triggers and maintaining a regular sleep schedule, can also help.
  • Orthostatic Hypotension: This condition, characterized by a drop in blood pressure when standing up from a sitting or lying position, could explain your dizziness. It can be caused by dehydration, certain medications, or underlying conditions.

    • Treatment usually involves lifestyle changes, such as standing up slowly and staying hydrated. In some cases, medications may be prescribed.
  • Gastroesophageal Reflux Disease (GERD): This condition, in which stomach acid backs up into the esophagus, could be causing your heartburn. It's often worse in the morning and after meals.

    • Treatment typically involves lifestyle changes, such as avoiding certain foods and eating smaller meals, and medications to reduce stomach acid.
  • Vision changes: Your blurred vision could be due to a number of conditions, including migraines, but it's important to get this checked out as it could also be a sign of a more serious condition, such as glaucoma or a neurological disorder.

    • Treatment depends on the underlying cause. It's important to have regular eye exams to detect any problems early.

What you can do

  1. Make an appointment with your healthcare provider to discuss your symptoms. They can provide a formal diagnosis and treatment plan.
  2. In the meantime, try to identify any triggers for your migraines and avoid them if possible.
  3. Stand up slowly to help prevent dizziness.
  4. Avoid foods and drinks that trigger your heartburn, and try not to eat within 2-3 hours of bedtime.
  5. Stay hydrated and eat a balanced diet to help maintain overall health.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Sudden, severe headache or change in the pattern of your headaches
  • Sudden, severe dizziness or fainting
  • Chest pain or difficulty breathing
  • Sudden vision changes or loss of vision

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 appropriate examination, testing, and care.

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11 mo ago

People Also Ask


What could be causing my blurred vision that fluctuates throughout the day?

Fluctuating blurred vision can be caused by several factors, including migraines, changes in blood sugar levels, or eye conditions like glaucoma. It's important to consult an eye specialist to determine the exact cause.


Why do I feel lightheaded when I stand up from sitting?

Feeling lightheaded when standing up could be due to orthostatic hypotension, which is a drop in blood pressure upon standing. This can be managed by standing up slowly, staying hydrated, and possibly adjusting your diet or medications under a doctor's guidance.


What are some common triggers for migraines and how can I avoid them?

Common migraine triggers include stress, certain foods and drinks (like caffeine and alcohol), changes in sleep patterns, and hormonal changes. Keeping a migraine diary to track potential triggers and avoiding them can help manage migraines.


How can I manage heartburn that occurs early in the morning?

To manage morning heartburn, try avoiding large meals before bedtime, elevating the head of your bed, and avoiding foods and drinks that trigger reflux, such as spicy foods, caffeine, and alcohol. Over-the-counter antacids may also provide relief.


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