[37F] Experiencing headache, hand and lip numbness, and nausea

Patient Description

A 37-year-old female presents with a new onset of a right-sided dull headache rated 6/10 in severity, which worsens with prolonged screen time. She has also been experiencing tingling numbness in her fingers for approximately 5 minutes and lip numbness. Additionally, she reports nausea but has not provided further details about this symptom. The patient has no known drug allergies, is not currently on any medications, and has no past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Migraine: Migraines are a type of headache characterized by severe, throbbing pain, usually on one side of the head. They can be accompanied by other symptoms such as nausea, vomiting, and sensitivity to light. Some people may also experience a tingling sensation in their hands or face before a migraine attack.

    • Treatment typically involves pain relievers and other medications to manage the symptoms. Lifestyle modifications, such as stress management and avoiding triggers, can also help.
  • Transient Ischemic Attack (TIA): Also known as a "mini-stroke," a TIA occurs when blood flow to part of the brain is blocked or reduced, often by a blood clot. Symptoms are similar to those of a stroke, such as facial drooping, arm weakness, and difficulty speaking, but usually only last for a few minutes to a few hours.

    • Immediate medical attention is necessary for a TIA. Treatment typically involves medications or procedures to prevent a full-blown stroke.
  • Multiple Sclerosis (MS): MS is a chronic disease that affects the central nervous system, particularly the brain and spinal cord. Symptoms can include numbness or weakness in one or more limbs, often on one side of the body, tingling or pain in parts of the body, and problems with coordination and balance.

    • Treatment for MS typically involves medications to manage symptoms and slow the progression of the disease, as well as physical therapy.

Please note that these are possibilities based on the symptoms you've provided. It's important to seek medical attention to get an accurate diagnosis.

What you can do

  • If your symptoms persist or worsen, seek immediate medical attention. This is especially important if you experience symptoms of a stroke, such as sudden numbness or weakness in the face, arm, or leg, especially on one side of the body; sudden confusion, trouble speaking, or difficulty understanding speech; sudden trouble seeing in one or both eyes; sudden trouble walking, dizziness, loss of balance, or lack of coordination; or sudden severe headache with no known cause.

  • If your symptoms are mild and you suspect a migraine, try resting in a quiet, dark room and applying a cool cloth to your forehead. Over-the-counter pain relievers may also help.

  • If you have been diagnosed with a chronic condition like MS, follow your doctor's treatment plan and report any new or worsening symptoms.

What you should look out for

  • If you experience any of the following symptoms, seek immediate medical attention: sudden severe headache, especially with other neurological symptoms; sudden loss of vision or blurred vision; difficulty speaking or understanding speech; sudden weakness or numbness on one side of your body; loss of balance or coordination; or severe nausea and vomiting.

Please remember that I am an AI and not a doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include severe, throbbing pain on one side of the head, nausea, vomiting, and sensitivity to light and sound. Some people may also experience visual disturbances or tingling sensations before the headache begins.


What is a Transient Ischemic Attack (TIA) and how is it different from a stroke?

A Transient Ischemic Attack (TIA) is often called a 'mini-stroke' and occurs when blood flow to the brain is temporarily blocked. Unlike a stroke, the symptoms of a TIA are temporary and usually resolve within minutes to hours. However, a TIA is a warning sign of a potential future stroke and requires immediate medical attention.


What are the early signs of Multiple Sclerosis (MS)?

Early signs of Multiple Sclerosis (MS) can include numbness or weakness in one or more limbs, tingling or pain in parts of the body, vision problems, and issues with coordination and balance. These symptoms can vary widely among individuals.


How can screen time affect headaches?

Prolonged screen time can lead to digital eye strain, which may exacerbate headaches. The strain from focusing on screens for extended periods can cause tension in the head and neck, leading to or worsening headaches.


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