[41F] Experiencing headache, eye twitching, and blurry vision

Patient Description

A 41-year-old female presents with a sporadic twitch under the eye lasting for about half an hour per episode over the past three days, accompanied by slight blurry vision in the left eye that started today. She also reports a sharp headache behind the left ear with a pain intensity of 4 out of 10, which has been persistent for four days. The patient experiences widespread body aches with varying sensations, including pressure and sharp muscle pain, rating the severity as 7 out of 10, also persisting for four days. Additionally, she has been feeling fatigued and has had trouble focusing for about a week, noting increased forgetfulness and the need to speak slower to maintain her train of thought. The patient has a history of endometriosis, is slightly overweight, and takes Naprosyn (500mg) as needed for pain, about 1 or 2 pills per week, starting from March 2023. She consumes caffeine daily, alcohol occasionally, and smokes marijuana in small quantities. There is no known family history of migraines or neurological conditions, and the patient has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Migraine: Migraines are a type of headache characterized by severe, throbbing pain usually on one side of the head. They can cause symptoms like visual disturbances, sensitivity to light and sound, and can last for hours to days.

    • Treatment typically involves pain relieving and preventive medications. Lifestyle modifications such as regular sleep, meals, and hydration can also help.
  • Tension-type headache: This is the most common type of headache and can cause a constant pressure or aching around the head, especially at the temples or back of the head and neck. They can be associated with stress, fatigue, or muscle strain.

    • Treatment usually involves over-the-counter pain relievers. Stress management and relaxation techniques can also help.
  • Eye strain: This can result from prolonged computer use, reading, or other tasks that require visual concentration. It can cause symptoms like blurry vision, headache, and eye twitching.

    • Treatment involves resting your eyes, adjusting the lighting, and taking breaks during long tasks.
  • Benign essential blepharospasm: This is a condition characterized by abnormal blinking or spasm of the eyelids. It's not harmful or life-threatening, but can be bothersome.

    • Treatment might involve botulinum toxin injections, medications, or in rare cases, surgery.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It's often considered when there are multiple sites of body pain.

    • Treatment involves a combination of medications, exercise, stress management, and healthy lifestyle habits.

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

What you can do

  1. Try to rest and hydrate well. Over-the-counter pain relievers can help with your headache and body aches.
  2. Try to reduce stress as much as possible, as stress can exacerbate many of the conditions mentioned above.
  3. Avoid eye strain by taking regular breaks from computer work or reading, and ensure your lighting is adequate.
  4. Keep a symptom diary to track when your symptoms occur, how long they last, and any potential triggers. This can be helpful information for your healthcare provider.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen significantly
  • You experience sudden, severe headache
  • You have difficulty speaking, moving, or understanding speech
  • You have a high fever, stiff neck, or rash (these could be signs of a more serious condition, such as meningitis)

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What could be causing the twitching under my eye?

The twitching under your eye could be due to benign essential blepharospasm, eye strain, or stress. It's generally not harmful but can be bothersome. Resting your eyes and managing stress can help alleviate the twitching.


How can I manage the widespread body aches and fatigue?

Widespread body aches and fatigue could be related to conditions like fibromyalgia or tension-type headaches. Managing stress, ensuring adequate rest, and using over-the-counter pain relievers can help. Regular exercise and a healthy lifestyle are also beneficial.


Is the blurry vision related to my headaches?

Blurry vision can be associated with migraines or eye strain. Migraines often cause visual disturbances, while eye strain from prolonged visual tasks can also lead to blurry vision. It's important to monitor your symptoms and consult a healthcare provider for a proper assessment.


What lifestyle changes can help reduce my symptoms?

Lifestyle changes that can help reduce symptoms include maintaining regular sleep patterns, staying hydrated, managing stress through relaxation techniques, and taking breaks during tasks that require visual concentration. Keeping a symptom diary can also help identify triggers.


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