[35F] Experiencing headache, nausea, and fatigue with history of Chiari malformation

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Migraine: Migraines are a type of headache characterized by throbbing pain, often on one side of the head. They can be triggered by various factors, including stress, certain foods, and changes in sleep pattern. Migraines can also cause nausea and sensitivity to light and sound. Some people may experience visual disturbances, known as aura, before a migraine starts.

  • Treatment typically involves pain-relieving medications and preventive medications to reduce the frequency and severity of migraines.

• Post-Acute Sequelae of SARS-CoV-2 infection (PASC) or Long COVID: Some people experience lingering symptoms or health problems four or more weeks after first being infected with SARS-CoV-2, the virus that causes COVID-19. Common symptoms include fatigue, shortness of breath, "brain fog," sleep disorders, fevers, gastrointestinal symptoms, anxiety, and depression. Changes in mood and anxiety could also be related to this.

  • Treatment involves managing symptoms, which may include over-the-counter remedies, prescription medications, and physical therapy.

• 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. Headache is the most common symptom of Chiari malformation, typically after sudden coughing, sneezing, or straining. Other symptoms can include dizziness, nausea, and problems with balance and coordination.

  • Treatment options can include medications to manage symptoms or surgery to correct the malformation.

• Anxiety: Anxiety can cause physical symptoms like headaches, dizziness, and nausea. You mentioned that your anxiety has worsened since your COVID-19 illness, which could be contributing to your symptoms.

  • Treatment typically involves psychotherapy (counseling), medications, or both.

What you can do

1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may refer you to a neurologist for further evaluation.
2. Keep a headache diary. Note when your headaches start, what you were doing at the time, how long they last, and what, if anything, provides relief. This may help you identify triggers and patterns, and it will be useful information for your healthcare provider.
3. Practice good sleep hygiene. Try to go to bed and wake up at the same time every day, even on weekends. Make sure your bedroom is quiet, dark, and cool, and use your bed only for sleeping and sex.
4. Stay hydrated and eat regular, balanced meals. Skipping meals or becoming dehydrated can trigger headaches.
5. Try to manage stress. Techniques such as meditation, deep breathing, yoga, or simply taking a short walk could help reduce your stress levels and lessen your headaches.
6. Avoid caffeine as it can trigger headaches in some people.

What you should look out for

Seek immediate medical attention if you experience:

• A sudden, severe headache like a thunderclap
• A headache accompanied by a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties
• A headache after a head injury, especially if it worsens
• A chronic headache that is worse after coughing, exertion, straining, or a sudden movement
• New headache pain if you're over 50

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 professional who can evaluate your symptoms and condition.