[41M] With migraines, mood swings, and severe dizziness

What might be happening

It is likely that your symptoms are related to multiple issues, including existing diagnoses. If you have more questions, we can continue chatting.

Migraines and Mood Swings

• Migraines: Your migraines, accompanied by nausea, visual disturbances, sensitivity to light and sound, and abnormal heartbeat, are concerning. Migraines can be triggered by various factors, including stress, hormonal changes, certain foods, and environmental factors. The presence of visual disturbances and limb weakness/numbness suggests that you might be experiencing complex migraines, which can sometimes mimic stroke-like symptoms.
• Mood Swings: Given your history of bipolar disorder, mood swings could be related to this condition. Bipolar disorder can cause significant fluctuations in mood, energy, and activity levels.

Dizziness and Lightheadedness

• Vertigo or Vestibular Migraines: Your dizziness and lightheadedness, especially with blurry vision and abnormal heartbeat, could be related to vestibular migraines, which affect balance and can cause vertigo-like symptoms.
• Cardiovascular Issues: Although you do not have a history of cardiovascular issues, the rapid or abnormal heartbeat during dizziness episodes warrants further investigation to rule out any underlying heart conditions.

Pain

• Chronic Pain: The pain in your head, neck, arm, and under your rib cage could be related to various factors, including your brachial plexus injury, muscle tension, or other underlying conditions. Chronic pain can also be exacerbated by stress and mental health conditions.

What you can do

Migraines and Mood Swings

• See a Doctor: It's important to consult a healthcare provider to evaluate your migraines and mood swings. They may recommend medications to prevent migraines or manage acute attacks, as well as mood stabilizers for bipolar disorder.
• Lifestyle Modifications: Keep a migraine diary to track potential triggers, such as certain foods, stress, or sleep patterns. Avoid known triggers and maintain a regular sleep schedule.
• Stress Management: Practice stress-reducing techniques such as mindfulness, meditation, or yoga.

Dizziness and Lightheadedness

• Medical Evaluation: Given the severity and frequency of your dizziness, along with the abnormal heartbeat, it's crucial to seek medical attention. Your doctor may recommend tests such as an ECG, blood tests, or imaging studies to rule out cardiovascular issues.
• Hydration and Nutrition: Ensure you stay hydrated and maintain a balanced diet. Dehydration and poor nutrition can contribute to dizziness.
• Safety Measures: Avoid activities that could be dangerous during a dizzy spell, such as driving or operating heavy machinery. Sit or lie down immediately if you feel dizzy to prevent falls.

Pain

• Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen may help manage your pain. However, consult your doctor before starting any new medication.
• Physical Therapy: Consider seeing a physical therapist for your neck and arm pain, especially given your history of brachial plexus injury. They can provide exercises to improve strength and flexibility.
• Heat and Cold Therapy: Applying heat or cold packs to painful areas can help reduce pain and inflammation.

What you should look out for

Given the severity of your symptoms and the possibility of life-threatening causes, you should seek medical care as soon as you can. Reasons to seek care even more urgently include:

• Severe or Sudden Symptoms: If you experience sudden, severe headaches, chest pain, shortness of breath, or fainting, seek emergency medical attention.
• Neurological Symptoms: Any new or worsening weakness, numbness, or difficulty speaking should be evaluated promptly.
• Heart-Related Symptoms: Persistent or worsening abnormal heartbeats, especially if accompanied by chest pain or shortness of breath, should be assessed by a healthcare provider immediately.

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