[38F] Experiencing recurrent blurry vision and severe headaches
Patient Description
A 38-year-old female reports experiencing a blurry spot in one eye that occurs 2 to 3 times a year and is followed by a severe, throbbing, and aching headache rated 8 out of 10 in intensity. The headache is localized between the eyes and temples and is associated with light sensitivity. These symptoms have been occurring for several hours at a time and the blurry spot in vision starts small and then becomes more noticeable, lasting approximately 2 hours. The patient has a family history of similar headaches in her mother. She also experiences headaches around her menstrual period, but they are different from the ones described. The patient's medical history includes scoliosis diagnosed in her early teens and carpal tunnel syndrome diagnosed two years ago. She is currently taking Suboxone twice daily, gabapentin, and 600mg of ibuprofen as needed. There are no known allergies or adverse reactions to medications.
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Arora's Assessment
What might be happening
Based on the information you've provided, the most likely diagnosis is:
- Migraine with Aura: Migraines are a type of headache characterized by severe, throbbing pain usually on one side of the head. They are often accompanied by other symptoms such as sensitivity to light and sound. Some people experience an "aura" before the headache begins, which can include visual disturbances like seeing spots or experiencing blurred vision.
- Treatment for migraines can include over-the-counter pain relievers, prescription medications, and lifestyle modifications to avoid known triggers.
Please note that this is a possible explanation based on the information you've provided, but only a healthcare professional can provide a definitive diagnosis.
What you can do
- Rest in a quiet, dark room. This can often help to alleviate the symptoms of a migraine.
- Use a cold compress on your forehead. This can also help to relieve the pain.
- Over-the-counter pain relievers such as ibuprofen can be helpful, but should be used as directed and not exceed the recommended dosage.
- Keep a headache diary. This can help you identify potential triggers for your migraines, which can include certain foods, stress, changes in weather, and hormonal changes.
- Consult with a healthcare professional. They can provide a definitive diagnosis and discuss treatment options with you, which may include prescription medications.
What you should look out for
If you experience any of the following symptoms, you should seek immediate medical attention:
- 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, especially if the headache gets worse
- A chronic headache that is worse after coughing, exertion, straining or a sudden movement
- New headache pain if you're over 50
Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for a definitive diagnosis and treatment.
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10 mo ago