[39F] Experiencing intermittent double vision and lazy eye
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, the following possibilities might explain your symptoms:
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Ocular muscle imbalance or nerve palsy: The symptoms of double vision and a "lazy eye" that come and go could be due to an imbalance in the muscles that control eye movement or a problem with the nerves that control these muscles. This could be related to a variety of conditions, including thyroid eye disease, myasthenia gravis, or a neurological condition.
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Side effects of cancer treatment: Tamoxifen and Zoladex can cause a variety of side effects, including joint pain and fatigue, which you've reported. High blood pressure can also be a side effect of these medications.
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Fluid retention or venous insufficiency: Swelling in the legs and ankles could be due to fluid retention, which can be a side effect of certain medications, or due to venous insufficiency, where the veins in the legs have trouble sending blood back to the heart.
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Low anion gap: A low anion gap is less common and can be caused by a variety of factors, including certain medications, low albumin levels, or the presence of abnormal proteins in the blood. However, your albumin levels are normal and you've mentioned that you're not taking any other medications, so the cause of your low anion gap is not immediately clear.
What you can do
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Schedule an appointment with your oncologist to discuss your symptoms and concerns. They can assess whether your symptoms are side effects of your cancer treatment or related to another condition.
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Consider seeing an ophthalmologist for your vision issues. They can perform a comprehensive eye exam and potentially identify the cause of your double vision and "lazy eye".
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Keep a symptom diary. Note when your symptoms occur, how long they last, and any potential triggers. This can be helpful information for your healthcare providers.
What you should look out for
Seek immediate medical attention if you experience:
- Sudden worsening of your vision
- Sudden onset of severe headache
- Weakness or numbness on one side of your body
- Difficulty speaking or understanding speech
- Severe leg swelling or pain
Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.
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8 mo ago