[32F] Experiencing numbness, nausea, and vision changes

Patient Description

A 32-year-old female is presenting with a high platelet count, persistent nausea rated 8/10 in severity, fatigue, a gritty feeling in the mouth, weight gain, and swelling. She reports numbness and a tingling sensation in her right hand, fingers, and upper arm that has been present for approximately 2 hours. Additionally, she has been seeing black spots in both eyes for the past 4 weeks. Muscle weakness and jaw pain are also noted. The patient has been diagnosed with a high platelet count and is currently on daily doses of Adderall XR 30 mg, furosemide 20 mg, and Losartan 25 mg, with no reported side effects or recent changes in medication. No allergies, use of recreational drugs, alcohol, or tobacco are reported. There is no family history of blood disorders or neurological conditions, and no new over-the-counter medications, supplements, or herbal remedies have been started.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Thrombocytosis: This is a condition characterized by a high platelet count. It can be primary (caused by bone marrow disorders) or secondary (caused by another condition such as infection, inflammation, cancer, or anemia). Symptoms can vary, but may include fatigue, weight gain, and swelling.

    • Treatment typically involves addressing the underlying cause. If the high platelet count is due to a bone marrow disorder, medication or procedures to lower the platelet count may be necessary.
  • Peripheral Neuropathy: This is a condition that results from damage to the peripheral nerves, which can cause numbness and tingling in the hands and arms. It can be caused by a variety of conditions, including diabetes, infections, and vitamin deficiencies.

    • Treatment typically involves managing the underlying condition and relieving symptoms. Medications for pain relief and physical therapy may be recommended.
  • Migraine: This is a type of headache that can cause severe throbbing pain, usually on one side of the head. It can also cause nausea, fatigue, and visual disturbances such as seeing black spots (also known as "floaters").

    • Treatment typically involves medications to relieve symptoms and prevent future attacks. Lifestyle changes, such as stress management and regular exercise, may also be beneficial.

Please note that these are potential diagnoses based on the symptoms you've described. It's important to consult with a healthcare provider for an accurate diagnosis and treatment plan.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may order tests to help determine the cause of your symptoms.
  2. Keep a symptom diary. This can help you and your healthcare provider identify patterns and potential triggers for your symptoms.
  3. Stay hydrated and maintain a balanced diet. This can help manage symptoms such as fatigue and nausea.
  4. Try to get regular exercise. This can help improve circulation and reduce symptoms such as swelling and fatigue.

What you should look out for

Seek immediate medical attention if you experience:

  • Sudden, severe headache or changes in headache patterns
  • Sudden changes in vision, such as loss of vision or double vision
  • Difficulty speaking or understanding speech
  • Sudden, severe pain in your chest or shortness of breath
  • Any other symptoms that are severe or concerning to you

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

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


What causes a high platelet count and what are the potential risks?

A high platelet count, or thrombocytosis, can be caused by bone marrow disorders (primary) or other conditions like infection, inflammation, cancer, or anemia (secondary). Risks include blood clots, which can lead to serious complications such as stroke or heart attack.


What are the common symptoms and causes of peripheral neuropathy?

Peripheral neuropathy is characterized by numbness, tingling, and pain in the extremities. It can be caused by diabetes, infections, vitamin deficiencies, and other conditions. Managing the underlying cause and relieving symptoms are key to treatment.


How can migraines affect vision and what are the typical visual symptoms?

Migraines can cause visual disturbances known as auras, which may include seeing black spots, flashes of light, or zigzag patterns. These symptoms typically occur before or during a migraine attack.


What lifestyle changes can help manage symptoms like fatigue and nausea?

Lifestyle changes such as staying hydrated, maintaining a balanced diet, regular exercise, and stress management can help alleviate symptoms like fatigue and nausea. Keeping a symptom diary can also help identify triggers and patterns.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback