[41F] With severe migraine, back, jaw, and shoulder pain, and history of high blood pressure

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Migraine with Severe Pain

• Migraine: Your symptoms of severe, sharp, stabbing pain in the left temple and behind the eye, along with watering eyes, jaw pain, and sinus pain, are consistent with a migraine. Migraines can also cause blurry vision and can be debilitating. Typical treatments include over-the-counter pain relievers, prescription medications, and sometimes lifestyle changes to avoid triggers.

High Blood Pressure

• Hypertension (High Blood Pressure): Given your history of high blood pressure, it's possible that your migraine and other symptoms could be related to poorly controlled hypertension. High blood pressure can sometimes cause headaches and other symptoms. It's important to monitor your blood pressure and manage it with lifestyle changes and medications as prescribed by your doctor.

Musculoskeletal Pain

• Muscle Strain or Tension: The dull ache between your shoulder blades and the sharp pain in the middle of your back could be due to muscle strain or tension, possibly from being in bed for an extended period. This can also cause referred pain to other areas, such as the jaw and shoulder.

Nerve Compression

• Nerve Compression or Pinched Nerve: The tingling in your right hand and the pain between your shoulder blades could be due to nerve compression, such as a pinched nerve in your neck or upper back. This can cause symptoms like tingling, numbness, and pain that radiates to other areas.

What you can do

Migraine

• Seek Medical Attention: Given the severity and duration of your migraine, it's important to see a healthcare provider as soon as possible. They may prescribe stronger medications or recommend other treatments.
• Rest in a Dark, Quiet Room: Try to rest in a dark, quiet room to reduce sensory stimuli that can worsen migraines.
• Stay Hydrated: Drink plenty of water to stay hydrated, as dehydration can sometimes trigger or worsen migraines.
• Cold Compress: Apply a cold compress to your forehead or the back of your neck to help alleviate pain.

High Blood Pressure

• Monitor Your Blood Pressure: Keep track of your blood pressure readings and share them with your healthcare provider.
• Follow Your Treatment Plan: Ensure you are taking any prescribed medications for high blood pressure and follow your doctor's recommendations for lifestyle changes, such as a low-sodium diet and regular exercise.

Musculoskeletal Pain

• Gentle Stretching: Perform gentle stretching exercises to relieve muscle tension in your back and shoulders.
• Heat or Cold Therapy: Apply a heating pad or cold pack to the affected area to reduce pain and inflammation.
• Over-the-Counter Pain Relievers: Consider taking over-the-counter pain relievers, such as ibuprofen or acetaminophen, to manage pain.

Nerve Compression

• Posture Correction: Ensure you maintain good posture, especially if you've been lying in bed for an extended period. Use pillows to support your neck and back.
• Avoid Prolonged Pressure: Avoid positions that put prolonged pressure on your neck or back, which can exacerbate nerve compression.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Worsening Symptoms: If your pain or other symptoms worsen or do not improve with home treatments.
• Neurological Symptoms: If you experience new or worsening neurological symptoms, such as numbness, weakness, or difficulty speaking.
• Chest Pain or Shortness of Breath: If you experience chest pain, shortness of breath, or other concerning symptoms.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.