[41F] Experiencing severe migraines, night sweats, and bladder incontinence

Patient Description

A 41-year-old female has been experiencing severe migraines, night sweats, bladder incontinence, and a persistent dry cough for approximately 2 months. The migraines are debilitating, with a pain level of 10, sensitive to sound and movement, and are different from her regular migraines. The night sweats are sporadic and severe enough to cause her to wake up multiple times at night, feeling cold and needing hot water to alleviate the sensation of freezing. Bladder incontinence presents as a complete lack of control, with frequent and large volume urination, leading to the use of diapers. The patient also reports a rash on the right side of her face, tiredness, weakness, and a history of neutrophilia diagnosed in early 2015. She has allergies to penicillin, magnesium, and metropropol but is not currently on any medications.

Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

Menopause: Women typically enter menopause between 45 and 55 years of age, but it can occur earlier. Symptoms can include hot flashes, night sweats, mood changes, and urinary incontinence. However, your severe migraines and coughing are not typical symptoms of menopause.
- Treatment options for menopause symptoms include hormone replacement therapy (HRT), lifestyle changes, and over-the-counter remedies.
Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone. Symptoms can include sweating, weight loss, and fatigue. However, your migraines and coughing are not typical symptoms of hyperthyroidism.
- Treatment options for hyperthyroidism include medication, radioactive iodine, and surgery.
Infection: Certain infections can cause symptoms such as night sweats, fatigue, and coughing. However, your migraines and urinary incontinence are not typical symptoms of an infection.
- Treatment of infections typically involves antibiotics or antiviral medications, depending on the cause.
Neurological conditions: Certain neurological conditions can cause symptoms such as migraines, urinary incontinence, and fatigue. However, your night sweats and coughing are not typical symptoms of a neurological condition.
- Treatment of neurological conditions typically involves medication and physical therapy.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

Drink plenty of fluids to stay hydrated, especially if you're sweating a lot at night.
Try over-the-counter pain relievers for your migraines, but be sure not to exceed the recommended dose.
Use a humidifier in your room at night to help with your cough.
Wear absorbent pads or undergarments to manage your urinary incontinence.

What you should look out for

Reasons to see a doctor more urgently:

If your symptoms worsen or you develop new symptoms
If you notice blood in your urine or stool
If you develop a fever or chills
If you experience sudden or severe pain

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 appropriate examination, testing, and care recommendations.

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1 yr ago

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