[39F] With severe head and neck pain, shortness of breath, and fluid retention
Patient Description
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Arora's Assessment
What might be happening
Based on the information you’ve provided, several serious conditions could be contributing to your symptoms:
- Hypertensive Crisis: Your blood pressure reading of 235/115 is extremely high and could be causing severe headaches, chest pain, and other symptoms. This is a medical emergency that requires immediate attention to prevent complications like stroke or heart attack.
- Infection: Given your history of a UTI and kidney pain, it's possible that the infection has spread, leading to a kidney infection (pyelonephritis). This can cause fever, chills, back pain, and fatigue.
- Cardiovascular Issues: The feeling of your heart beating strongly, chest pain, and shortness of breath could indicate a cardiovascular problem, such as heart failure or a heart attack. The swelling and fluid retention you described could also be related to this.
- Thrombosis or Vascular Issues: The swelling and tenderness in your neck and the bulging veins could indicate a blood clot or other vascular issue, especially given your history of a pinched artery.
- Substance Use Complications: Daily meth use can lead to severe cardiovascular and neurological issues, including high blood pressure, heart problems, and increased risk of stroke.
What you can do
- Seek Immediate Medical Attention: Given the severity and combination of your symptoms, you should seek immediate medical attention. Go to the nearest emergency room or call 911. Do not drive yourself; have someone else take you or call for an ambulance.
- Monitor Symptoms: While waiting for medical help, monitor your symptoms closely. If you experience worsening chest pain, severe shortness of breath, confusion, or loss of consciousness, call 911 immediately.
- Medication Management: Continue taking your baby aspirin and ibuprofen as prescribed. Do not take any more amoxicillin until you have consulted with a healthcare provider.
- Avoid Strenuous Activity: Rest as much as possible and avoid any strenuous activities that could exacerbate your symptoms.
- Stay Hydrated: Drink plenty of water, but avoid caffeine and alcohol, which can increase blood pressure and dehydration.
Remember, I am not a doctor, and this advice is based on the information you have provided. It is crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.
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4 mo ago