[36F] Experiencing severe headache, shoulder pain, and neurological symptoms

What might be happening

Based on the information you've provided, you are experiencing a number of symptoms that could be related to various conditions. Here are some possibilities:

• Migraine: Given your history of migraines, it's possible that your headache, blurred vision, and sensitivity to light could be related to a severe migraine attack. Migraines can sometimes cause other symptoms like nausea, vomiting, and lightheadedness.

  • Treatment typically involves rest, hydration, and over-the-counter or prescription medications to relieve pain and other symptoms.

• Cervicogenic Headache: This is a type of headache that originates from the neck and can cause pain that radiates to the head and shoulder. It can also cause blurred vision and sensitivity to light.

  • Treatment typically involves physical therapy, medications, and sometimes injections or surgery.

• Sinusitis: Your symptoms of blood when blowing your nose, headache, and fatigue could be due to an inflammation or infection of your sinuses.

  • Treatment typically involves rest, hydration, over-the-counter medications to relieve symptoms, and sometimes antibiotics if a bacterial infection is suspected.

• Anxiety or Panic Attack: Given your history of anxiety, it's possible that some of your symptoms like lightheadedness, tingling sensation on the face, and difficulty thinking straight could be related to anxiety or a panic attack.

  • Treatment typically involves relaxation techniques, therapy, and sometimes medications.

Please remember that these are just possibilities and not a definitive diagnosis.

What you can do

1. Rest and hydrate: These are general measures that can help with many conditions.
2. Over-the-counter pain relievers: These can help with your headache and shoulder pain. However, be sure to follow the package instructions and avoid any medications you're allergic to.
3. Seek medical attention: Given the severity and number of your symptoms, it's important to seek medical attention as soon as possible. This is especially important because of your blurred vision and the blood when blowing your nose.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Sudden, severe headache
• Sudden weakness or numbness on one side of your body
• Difficulty speaking or understanding speech
• Sudden, severe dizziness or loss of balance
• Sudden, severe chest pain
• Difficulty breathing

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 appropriate examination, diagnosis, and treatment.