[40F] Experiencing stinging eyes, headache, and fatigue

Patient Description

A 40-year-old female has been experiencing stinging eyes that worsen throughout the day, a mild but persistent headache located at the front and center of the forehead, and fatigue for about 6 weeks. The headache is described as a dull ache and does not improve with over-the-counter medication or sleep. Additionally, the patient reports clear nasal drainage and throat irritation, particularly upon waking. There is no fever, chills, or any changes in vision. The patient has a medical history of chronic migraine and Hypermobile Ehlers-Danlos Syndrome, both diagnosed in 2020. Current medications include Emgality, amitriptyline, escitalopram, rosuvostatin, buspirone, maxalt, zofran, melatonin, a probiotic, vitamin D, calcium, and B12. No allergies or adverse reactions to medications have been reported.

Show More

Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Dry Eye Syndrome: This condition occurs when your tears aren't able to provide adequate lubrication for your eyes, leading to stinging, redness, or a gritty sensation. It can be caused by a variety of factors, including age, certain medical conditions, and some medications.

    • Treatment typically involves over-the-counter eye drops, prescription eye drops, or lifestyle changes such as taking breaks from looking at screens.
  • Chronic Sinusitis: This is a common condition where the spaces inside your nose and head (sinuses) are swollen and inflamed for 3 months or longer, despite treatment attempts. This can lead to drainage down the back of the throat, nasal obstruction or congestion, pain and swelling around your eyes, cheeks, nose or forehead, and other symptoms such as fatigue.

    • Treatment can involve medications to treat infection and reduce inflammation, nasal irrigation, or in severe cases, surgery.
  • Migraines: You have a history of chronic migraines, and it's possible that your headaches are related to this. Migraines can cause moderate to severe headaches that are throbbing or pulsing and are often accompanied by other symptoms such as sensitivity to light, noise, or smells.

    • Treatment typically involves medications to relieve symptoms and prevent future attacks, as well as lifestyle modifications to avoid triggers.

Please note that these are just possibilities, and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Try using over-the-counter lubricating eye drops for your stinging eyes.
  2. Stay hydrated and use a humidifier in your home to help with your nasal drainage and throat irritation.
  3. Continue taking your prescribed medications and follow your doctor's advice for managing your chronic conditions.
  4. Keep a symptom diary to track when your symptoms occur, how long they last, and any potential triggers. This can be helpful information to share with your doctor.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe headache or headache that comes on suddenly
  • Fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or difficulty speaking
  • Symptoms that worsen or do not improve with treatment

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

Top picked over-the-counter products for Dry Eyes: American Academy of Ophthalmology Practice Guidelines

People Also Ask


What are the common symptoms of Dry Eye Syndrome?

Common symptoms of Dry Eye Syndrome include stinging or burning sensations in the eyes, redness, a gritty feeling as if something is in the eye, blurred vision, and eye fatigue. These symptoms often worsen in environments with low humidity or after prolonged screen time.


How can chronic sinusitis be distinguished from a common cold?

Chronic sinusitis is characterized by symptoms lasting more than 12 weeks, such as nasal congestion, facial pain or pressure, nasal drainage, and reduced sense of smell. Unlike a common cold, which typically resolves within a week or two, chronic sinusitis persists and may require medical intervention.


What lifestyle changes can help manage chronic migraines?

Lifestyle changes that can help manage chronic migraines include maintaining a regular sleep schedule, staying hydrated, avoiding known migraine triggers (such as certain foods, stress, or bright lights), engaging in regular physical activity, and practicing relaxation techniques like yoga or meditation.


What are the potential side effects of using over-the-counter eye drops for dry eyes?

Potential side effects of using over-the-counter eye drops for dry eyes include temporary blurred vision, eye irritation, or an allergic reaction. It's important to follow the instructions on the product label and consult with a healthcare provider if symptoms persist or worsen.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback