[34F] Experiencing disorientation, migraine, and tingling with chills

Patient Description

A 34-year-old female presents with symptoms of brain fog, mild fever, dizziness, tingling with a cooling sensation, goosebumps, cold fingers and toes, fatigue, disorientation, migraine, and touch sensitivity. The disorientation has been described as feeling slow and detached, with delayed reactions, persisting for a couple of hours. The migraine began in the morning with a dull pain in the right temple, rated as 7 out of 10 in severity. The tingling sensation is painful and pulsating, spreading across the body, accompanied by goosebumps and chills without an actual feeling of cold, lasting over 24 hours. The patient has cold extremities, with fingers being cold for approximately 1.5 years and toes for about 9 years. The patient's medical history includes chronic pain disorder, scoliosis, IBS, chronic migraine with and without aura, and arthritis. Current medications include 35 mg of rapid-release Adderall taken twice daily, monthly injections of Vitamin B and D, 4 mg of Tizanidine taken twice daily, Hydroxychloroquine (dose to be confirmed), and Goodies headache powder as needed. The patient has an allergy to Benadryl. No recent head trauma, neck stiffness, rash, or sudden changes in vision were reported, although the patient has experienced streaky vision with lights in the last few days. There is no known family history of neurological or autoimmune conditions.

Show More

Arora's Assessment

What might be happening

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

  • Migraine: You have a history of migraines, and the intense, constant headache you described could be a migraine. Migraines can sometimes cause other neurological symptoms like tingling, disorientation, and balance issues.

    • Treatment for migraines often involves medications to relieve symptoms and prevent future attacks.
  • Viral Infection: Your fever and general malaise (feeling unwell) could be due to a viral infection. Some viral infections can also cause neurological symptoms.

    • Most viral infections resolve on their own with rest, hydration, and over-the-counter remedies to manage symptoms.
  • Anxiety or Panic Disorder: Anxiety can sometimes cause physical symptoms like tingling, chills, disorientation, and feeling weak or unsteady. It's also possible to have physical symptoms of anxiety without feeling particularly anxious.

    • Treatment for anxiety often involves a combination of therapy, lifestyle changes, and medication.
  • Side effects of medication: Some of the symptoms you described, such as disorientation and tingling, can be side effects of medications. It's possible that one or more of your medications could be contributing to your symptoms.

    • If this is the case, your doctor may be able to adjust your medication regimen to reduce side effects.

Please note that this is not an exhaustive list of possible diagnoses, and these conditions can present differently in different people. It's also possible that more than one condition could be contributing to your symptoms.

What you can do

  1. Consult a healthcare professional: Given the range and severity of your symptoms, it's important to seek medical attention as soon as possible. A healthcare professional can provide a formal assessment and order relevant tests if necessary.

  2. Monitor your symptoms: Keep track of your symptoms, including when they started, what makes them better or worse, and any patterns you notice. This information can be helpful for your healthcare provider.

  3. Stay hydrated and rest: Regardless of the cause of your symptoms, staying hydrated and getting plenty of rest can help your body recover.

What you should look out for

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

  • Severe headache or a headache that is different from your usual migraines
  • Sudden or severe changes in vision
  • Difficulty speaking or understanding speech
  • Weakness or numbness on one side of your body
  • Difficulty walking or loss of balance
  • High fever (above 103°F or 39.4°C)
  • Seizures

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.

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


What are the common symptoms of a migraine and how can they be managed?

Common symptoms of a migraine include intense headache, often on one side of the head, nausea, vomiting, and sensitivity to light and sound. Management typically involves medications to relieve pain and prevent future attacks, lifestyle changes, and avoiding known triggers.


Can viral infections cause neurological symptoms like tingling and disorientation?

Yes, viral infections can cause neurological symptoms such as tingling, disorientation, and balance issues. These symptoms usually resolve as the infection clears, but it's important to rest, stay hydrated, and consult a healthcare provider if symptoms persist.


How can anxiety manifest physically without feeling anxious?

Anxiety can cause physical symptoms like tingling, chills, disorientation, and weakness, even if the person doesn't feel anxious. This can be due to the body's stress response, which affects the nervous system. Treatment may include therapy, lifestyle changes, and medication.


What are the potential side effects of Adderall and Tizanidine?

Adderall can cause side effects such as nervousness, dizziness, headache, and insomnia. Tizanidine may cause drowsiness, dizziness, dry mouth, and muscle weakness. It's important to discuss any side effects with a healthcare provider, who may adjust the dosage or switch medications.


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