[35F] Experiencing recurrent episodes of blurry vision and other symptoms

Patient Description

A 35-year-old female reports experiencing a recurring small blurry spot in her vision that spreads into a C shape before disappearing, similar to the afterimage of looking at a bright light. This has been occurring for over four years, usually once a month or less, often in the morning, and possibly related to her hormonal cycle. The episodes last about 15 minutes and began after the birth of her son. Accompanying symptoms include lightheadedness, premature ventricular contractions, brain fog, irritability, and sensitivity to loud noises, which she rates as 6.5 out of 10 in severity. The patient also notes a lack of emotional range, feeling very little joy or sadness. Her medical history includes MTHFR genetic mutation, being a carrier for glycogen storage disease, uterine polyps removal, joint hypermobility, and a head injury 17 years ago. She suspects ADHD and autism with sensory processing disorder. She has an allergy to amoxicillin and sensitivities to gluten and lactose, and is not currently on any medications.

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Arora's Assessment

What might be happening

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

  • Migraine with Aura: The visual disturbances you described could be a type of migraine called a "migraine with aura." Auras are usually visual disturbances that occur before the headache phase of a migraine. However, not all people who experience auras have headaches. Auras are typically temporary and can include vision changes, such as seeing flashing lights, zigzag lines, or blind spots.

    • Treatment typically involves medications to relieve the symptoms of migraines. Preventive medications can also be used if the migraines are frequent or severe.
  • Sensory Processing Disorder: Your sensitivity to loud noises and the emotional distress it causes could be related to sensory processing disorder, which is common in people with autism. This condition affects how the brain processes sensory information.

    • Treatment often involves occupational therapy, which can help you learn to manage your reactions to sensory stimuli.
  • Mood Disorder: Your report of experiencing very little emotions could be a sign of a mood disorder, such as depression. People with depression often report feeling numb or empty, rather than sad.

    • Treatment for mood disorders can include psychotherapy (talk therapy), medications, or a combination of both.

Please note that these are possibilities based on the information you've provided, and they are not a definitive diagnosis. It's important to consult with a healthcare provider who can evaluate your symptoms in a comprehensive manner and provide an accurate diagnosis.

What you can do

  1. For your migraines, try to identify any potential triggers, such as certain foods, stress, or changes in your sleep pattern. Avoiding these triggers may help reduce the frequency of your migraines. Over-the-counter pain relievers may help with any associated headaches. However, it's important to use these medications carefully, as overuse can lead to rebound headaches.

  2. For your sensitivity to loud noises, consider using noise-cancelling headphones or earplugs in noisy environments. You might also find it helpful to gradually expose yourself to louder noises to desensitize your reactions.

  3. For your mood symptoms, consider reaching out to a mental health professional. They can provide you with strategies to manage your symptoms and improve your quality of life. Regular exercise, a healthy diet, and adequate sleep can also help improve mood symptoms.

What you should look out for

  • If your migraines become more frequent or severe
  • If your sensitivity to loud noises worsens or starts to interfere with your daily life
  • If your mood symptoms worsen or if you start to have thoughts of harming yourself

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment plan.

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11 mo ago

People Also Ask


What are the common symptoms of a migraine with aura?

Common symptoms of a migraine with aura include visual disturbances such as seeing flashing lights, zigzag patterns, or blind spots. These symptoms typically occur before the headache phase of a migraine and can last from a few minutes to an hour.


How can sensory processing disorder affect daily life?

Sensory processing disorder can affect daily life by causing over-sensitivity or under-sensitivity to sensory stimuli, such as sounds, lights, or textures. This can lead to difficulties in concentrating, irritability, and challenges in social situations.


What are some potential triggers for migraines?

Potential triggers for migraines can include certain foods (like aged cheese or chocolate), stress, hormonal changes, lack of sleep, and environmental factors such as bright lights or loud noises.


What are the treatment options for mood disorders like depression?

Treatment options for mood disorders like depression include psychotherapy (such as cognitive-behavioral therapy), medications (like antidepressants), lifestyle changes (such as regular exercise and a healthy diet), and sometimes a combination of these approaches.


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