[34F] Experiencing severe headaches, numbness, and widespread pain

Patient Description

A 34-year-old female presents with a complex medical history, including a recent exacerbation of Chiari Malformation symptoms, manifesting as severe headaches at the base of the skull, numbness in the extremities, and a stabbing pain in the right arm. The patient also reports constant aching and intermittent throbbing back pain, persistent joint pain in multiple areas, eye discomfort, dizziness, and muscle spasms. Additionally, the patient has noticed a swollen lymph node on the left side of the throat. The patient's medical history includes alopecia, high cholesterol, bipolar disorder, anxiety, PTSD, uterine fibroids, and irregular periods. Past surgeries include a tonsillectomy, gallbladder removal, 3 C-sections, a tubal ligation, and a total hip replacement on the left hip. The patient has had 14 pregnancies. Known medication allergies include Wellbutrin, Prozac, and Latuda. Current over-the-counter medications include Tylenol, ibuprofen, and a multivitamin.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions might be contributing to your symptoms:

  • Chiari Malformation: This is a condition in which brain tissue extends into your spinal canal. It occurs when part of your skull is abnormally small or misshapen, pressing on your brain and forcing it downward. Your symptoms such as headache, numbness, and muscle spasms can be associated with this condition.

    • Treatment options for Chiari malformation can include medications to manage symptoms, and in some cases, surgery.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. Your symptoms such as widespread pain, fatigue, and numbness could be related to this condition.

    • Treatment for fibromyalgia can include both medication and self-care. The emphasis is on minimizing symptoms and improving general health.
  • Dry Eye Syndrome: This condition occurs when your tears aren't able to provide adequate lubrication for your eyes. It can cause a lot of discomfort and can lead to your eyes feeling dry and painful, as you've described.

    • Treatment for dry eye syndrome is often a multi-faceted approach that includes over-the-counter eye drops, avoiding wind and dry air, and potentially prescription medication.
  • Anemia or Vitamin Deficiency: Your symptoms such as dizziness, lightheadedness, and fatigue can be associated with conditions like anemia or vitamin deficiencies.

    • Treatment would involve addressing the underlying cause, such as improving your diet, taking vitamin supplements, or possibly taking medication.
  • Uterine Fibroids: These are noncancerous growths of the uterus that often appear during childbearing years. They can cause heavy menstrual bleeding, pelvic pressure or pain, and frequent urination.

    • Treatment can range from medication to manage symptoms to surgical procedures.

What you can do

It's important to seek medical attention for your symptoms. Here are some steps you can take:

  1. Schedule an appointment with your primary care doctor. They can perform a physical examination and order necessary tests.
  2. Keep a symptom diary. This can help your doctor understand your symptoms and their patterns.
  3. Stay hydrated and maintain a balanced diet.
  4. Try to get regular exercise, as it can often help with symptoms of pain and fatigue.
  5. For your eye discomfort, consider using over-the-counter eye drops for temporary relief.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe headache or a headache that is different from your usual headaches
  • Difficulty breathing or shortness of breath
  • Severe pain
  • Any new or worsening symptoms

Please remember that while I strive to provide accurate information, I'm an AI and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common symptoms of Chiari Malformation?

Common symptoms of Chiari Malformation include headaches, especially at the base of the skull, neck pain, balance problems, numbness or tingling in the hands and feet, dizziness, and muscle weakness. In some cases, it can also cause difficulty swallowing and vision problems.


How is fibromyalgia diagnosed and treated?

Fibromyalgia is diagnosed based on a history of widespread pain lasting more than three months, along with other symptoms such as fatigue, sleep disturbances, and cognitive difficulties. There is no specific test for fibromyalgia, so diagnosis often involves ruling out other conditions. Treatment typically includes medications like pain relievers and antidepressants, as well as lifestyle changes such as exercise, stress management, and cognitive behavioral therapy.


What can cause swollen lymph nodes in the neck?

Swollen lymph nodes in the neck can be caused by infections (such as a cold or sore throat), immune system disorders, or, less commonly, cancers. They are part of the body's immune response and can swell when fighting off infections or other illnesses.


What are the potential side effects of having multiple surgeries?

Potential side effects of having multiple surgeries can include scar tissue formation, chronic pain, increased risk of infections, and complications related to anesthesia. Additionally, each surgery carries its own specific risks depending on the procedure and the patient's overall health.


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