[38F] Experiencing migraines, numbness, and unexplained weight loss

Patient Description

A 38-year-old female reports a history of migraines, recently experiencing increased frequency of these episodes. The migraines present with right-sided head pain, eye pain, and sensitivity to light, typically upon waking and lasting throughout the day. Intensity is rated at 6.5 out of 10, with bending over exacerbating the pain and relief achieved by laying down in the dark. Identified triggers include lack of sleep, stress, and dehydration. Additionally, the patient describes experiencing coldness and numbness on the skin from the side of the hip to the belly button, with a complete loss of sensation in that area. The patient also mentions unexplained weight loss. Medical history includes capillary telangiectasia diagnosed in 2019, brain surgery in 2012, two C-sections, and gallbladder removal. The patient is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Migraines: You've mentioned having migraines for years, which are characterized by severe, throbbing pain, usually on one side of the head, sensitivity to light, and can last for hours to days. Triggers can include stress, lack of sleep, and dehydration, all of which you've identified as potential triggers for your migraines.

    • Treatment for migraines often involves a combination of medications and lifestyle changes to manage symptoms and prevent future attacks.
  • Peripheral Neuropathy: This condition results from damage to your peripheral nerves, which can cause numbness and coldness in certain parts of your body. It can be caused by a variety of factors, including certain diseases, infections, or exposure to toxins.

    • Treatment for peripheral neuropathy focuses on managing the condition causing your symptoms and relieving the symptoms themselves.
  • Unexplained weight loss: This can be a symptom of various underlying conditions, including metabolic disorders, gastrointestinal diseases, or even stress and anxiety.

    • Treatment would depend on identifying the underlying cause.

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

What you can do

Given the severity and duration of your symptoms, it's important that you consult with a healthcare professional who can provide a formal diagnosis and appropriate treatment. Here are some steps you can take in the meantime:

  1. Keep a headache diary: Note when your migraines start, what you were doing at the time, how long they last and what, if anything, provides relief. This can help identify potential triggers and patterns, and will be useful information for your doctor.
  2. Stay hydrated and maintain a regular sleep schedule: These are two factors you've identified as potential triggers for your migraines.
  3. Try over-the-counter pain relief: Non-prescription medications such as acetaminophen, ibuprofen, or aspirin may help relieve your headache pain.

What you should look out for

Please seek immediate medical attention if you experience:

  • A sudden, severe headache like a thunderclap
  • Headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
  • Headache after a head injury
  • A chronic headache that is worse after coughing, exertion, straining or a sudden movement
  • New headache pain if you're over 50

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

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People Also Ask


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

Common triggers for migraines include stress, lack of sleep, dehydration, certain foods, hormonal changes, and environmental factors like bright lights or loud noises. Managing these triggers involves lifestyle changes such as maintaining a regular sleep schedule, staying hydrated, managing stress through relaxation techniques, and avoiding known food triggers.


What is peripheral neuropathy and what are its common symptoms?

Peripheral neuropathy is a condition resulting from damage to the peripheral nerves, which can cause symptoms such as numbness, tingling, coldness, and pain in the affected areas. It can be caused by diabetes, infections, injuries, or exposure to toxins, among other factors.


What could be the causes of unexplained weight loss?

Unexplained weight loss can be caused by a variety of conditions, including metabolic disorders like hyperthyroidism, gastrointestinal diseases such as celiac disease, chronic infections, cancer, or psychological factors like stress and anxiety. It's important to consult a healthcare professional to determine the underlying cause.


How can one differentiate between a regular headache and a migraine?

A regular headache typically involves mild to moderate pain and can be caused by tension, dehydration, or sinus issues. A migraine, on the other hand, is characterized by severe, throbbing pain, often on one side of the head, and is accompanied by symptoms like nausea, vomiting, and sensitivity to light and sound. Migraines can last for hours to days and may require specific treatment.


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