[35F] Experiencing migraines, fatigue, and stiffness with recent weight loss

Question

I had fever before having the low body temperature

Patient Description

A 35-year-old female has been experiencing severe migraines characterized by whole head pain, particularly in the middle and front, with burning sensations, worsened by light and noise. These migraines have persisted for 6 days, with a severity rating of 7 out of 10. Tylenol provides some relief. Additionally, she reports stiffness in the shoulders and neck, worsening at night, and has been present for 2 days. The patient also notes significant weight loss over the past week, alongside symptoms of fatigue, stress, and a body temperature of 96F. She has a history of concussions diagnosed in July and a family history of migraines. Current medications include Tylenol and ibuprofen, taken as needed. No known allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Migraines: Your symptoms of severe headaches, sensitivity to light and noise, and nausea are common symptoms of migraines. Migraines can also cause muscle stiffness, particularly in the neck and shoulders.

    • Treatment typically involves pain relievers, such as the Tylenol and ibuprofen you're currently taking. Preventive medications can also be prescribed by a doctor if migraines are frequent or very severe.
  • Chronic Fatigue Syndrome (CFS): This is a complex disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue worsens with physical or mental activity, but doesn't improve with rest. Other symptoms can include headaches, muscle and joint pain, and also unrefreshing sleep.

    • There's no single test to confirm a diagnosis of CFS. You may need a variety of medical tests to rule out other health problems that have similar symptoms. Treatment is focused on symptom relief.
  • Stress or Anxiety: Chronic stress or anxiety can lead to physical symptoms like the ones you're experiencing, including headaches, muscle tension, and fatigue.

    • Treatment can involve a combination of lifestyle changes, therapy, and medication.
  • Hypothyroidism: This is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages, but over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease. Symptoms include fatigue, sensitivity to cold, and unexplained weight loss.

    • Treatment typically involves daily use of the synthetic thyroid hormone levothyroxine.

What you can do

  1. Continue taking Tylenol or ibuprofen as needed for your migraines, but avoid overuse which can lead to rebound headaches.
  2. Try to identify any triggers for your migraines (such as certain foods, lack of sleep, stress) and avoid them if possible.
  3. Practice good sleep hygiene, which includes keeping a regular sleep schedule, making your bedroom quiet and dark, and avoiding screens before bed.
  4. Try to manage your stress levels through techniques such as meditation, deep breathing, and yoga.
  5. Eat a balanced diet and try to get regular exercise, which can help with both migraines and fatigue.
  6. Consult a healthcare provider for a thorough evaluation and to discuss your symptoms in detail.

What you should look out for

  • If your migraines become more frequent or severe
  • If your fatigue worsens or doesn't improve with rest
  • If you develop new symptoms such as a fever, rash, or severe neck stiffness
  • If your symptoms are affecting your ability to function in your daily life

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 accurate information.

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10 mo ago

People Also Ask


What are common triggers for migraines and how can they be avoided?

Common triggers for migraines include certain foods (like aged cheese and alcohol), stress, changes in sleep patterns, hormonal changes, and sensory stimuli such as bright lights or loud noises. Avoiding these triggers involves identifying them through a headache diary and making lifestyle adjustments to minimize exposure.


How can stress and anxiety contribute to physical symptoms like headaches and fatigue?

Stress and anxiety can lead to physical symptoms by causing muscle tension, which can result in headaches and fatigue. The body's stress response can also affect sleep and energy levels, contributing to overall fatigue. Managing stress through relaxation techniques, therapy, and lifestyle changes can help alleviate these symptoms.


What are the signs and symptoms of hypothyroidism, and how is it diagnosed?

Hypothyroidism symptoms include fatigue, sensitivity to cold, weight gain, dry skin, and depression. It is diagnosed through blood tests that measure levels of thyroid hormones and thyroid-stimulating hormone (TSH). If hypothyroidism is suspected, a healthcare provider will conduct these tests to confirm the diagnosis.


What lifestyle changes can help manage chronic fatigue syndrome?

Lifestyle changes that can help manage chronic fatigue syndrome include maintaining a regular sleep schedule, engaging in gentle exercise, eating a balanced diet, and managing stress through techniques like meditation or yoga. It's also important to pace activities to avoid overexertion and to seek support from healthcare providers for symptom management.


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Archie#3960

10 mo ago

Do you think you have peripheral circulatory issue? What's your under the tongue vs under the armpit temperature?

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