[35F] Experiencing migraines, nausea, and loss of appetite

Patient Description

A 35-year-old female has been experiencing migraines characterized by throbbing pain located in the temples and forehead, rated as a 10 on the pain scale. The migraines, which have been occurring off and on for four weeks, at least three times a week, are exacerbated by noise, movement, and light, but are alleviated by resting in bed under covers. The patient also reports a loss of appetite for two weeks, without noticeable weight change, and has had diarrhea. Stress appears to be a trigger for the migraines. Additionally, the patient has experienced 'thunderclap' headaches, a fever, and a stiff neck, as well as visual disturbances or an aura before or during the headaches. No confusion, weakness, or difficulty speaking was reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Migraines: These are severe, recurring headaches often accompanied by other symptoms like nausea, vomiting, and sensitivity to light and sound. Some people may experience visual disturbances, known as an aura, before a migraine begins. Stress is a common trigger for migraines.

    • Treatment for migraines often involves medications to relieve symptoms and prevent future attacks. Lifestyle changes, such as stress management and regular sleep, can also help.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus or bacteria. It can cause diarrhea, nausea, and loss of appetite. However, it's less likely to be the cause of your symptoms if you've been experiencing them for several weeks without other symptoms like fever or abdominal pain.

    • Treatment for gastroenteritis typically involves rest and hydration.

What you can do

  1. Consult a healthcare professional: Given the severity and duration of your symptoms, it's important to seek medical attention. A healthcare provider can help determine the cause of your symptoms and recommend appropriate treatment.

  2. Manage your migraines: Over-the-counter pain relievers may help with your headaches. Try to identify and avoid any triggers, such as stress or certain foods. Resting in a dark, quiet room can also help.

  3. Stay hydrated: If you're experiencing diarrhea, it's important to drink plenty of fluids to prevent dehydration.

What you should look out for

Seek immediate medical attention if you experience:

  • A sudden, severe headache like a "thunderclap"
  • Fever, stiff neck, or confusion with your headache
  • Persistent vomiting or diarrhea
  • Severe abdominal pain

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

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10 mo ago

People Also Ask


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

Common triggers for migraines include stress, certain foods, hormonal changes, and sensory stimuli like bright lights or loud noises. Managing migraines often involves identifying and avoiding these triggers, using medications to relieve symptoms, and adopting lifestyle changes such as regular sleep and stress management techniques.


What are the symptoms of gastroenteritis and how is it treated?

Symptoms of gastroenteritis include diarrhea, nausea, vomiting, and loss of appetite. It is typically treated with rest, hydration, and sometimes over-the-counter medications to relieve symptoms. If symptoms persist or worsen, it's important to consult a healthcare professional.


When should someone seek immediate medical attention for a headache?

Immediate medical attention should be sought for a headache if it is sudden and severe like a 'thunderclap,' or if it is accompanied by symptoms such as fever, stiff neck, confusion, persistent vomiting, or severe abdominal pain.


How can stress contribute to migraines and what are some ways to manage it?

Stress can trigger migraines by causing changes in brain chemicals and blood flow. Managing stress can help reduce the frequency and severity of migraines. Techniques such as regular exercise, relaxation exercises, adequate sleep, and time management can be effective in managing stress.


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