[43F] Experiencing migraines, tinnitus, and elevated pulse
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, here are some possibilities:
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Chronic Migraine: This is a type of migraine that lasts for more than 15 days per month for at least three months. The exact cause of migraines isn't known, but they might be related to changes in the brain and to genetics. Since migraines often run in families, genetics may play a role. You've mentioned that your migraines are severe, last for about 4 days, and occur every other week. This fits the description of chronic migraines.
- Treatment typically involves a combination of medications and lifestyle changes like avoiding known triggers.
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Tinnitus: This is a non-auditory, internal sound that can be intermittent or continuous, in one or both ears, and either low- or high-pitched. The sound is often described as ringing, buzzing, clicking, hissing, or roaring. You've mentioned experiencing a ringing sound that's worse in the mornings. This could be tinnitus.
- Treatment can involve medications, noise suppression, or treating an underlying health condition causing the tinnitus.
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Gastroparesis: This is a condition that affects the normal spontaneous movement of the muscles in your stomach. You've mentioned being diagnosed with this condition last year and are taking Motegrity for it.
- Treatment typically involves dietary changes, medication, and in severe cases, surgery.
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Autonomic Dysfunction: This is a condition in which the autonomic nervous system (ANS) doesn't work properly. This could cause a variety of symptoms, including a fast heart rate, which you've mentioned experiencing. It could also potentially explain your history of fainting upon standing up.
- Treatment typically involves managing the symptoms and any underlying conditions.
Please note that these are possibilities based on the information you've provided, and only a healthcare professional can provide a definitive diagnosis.
What you can do
- Continue taking your prescribed medications and follow your doctor's advice.
- Try to identify and avoid triggers for your migraines and tinnitus.
- Maintain a healthy lifestyle, including regular exercise, a balanced diet, and adequate sleep.
- Keep a symptom diary to track your symptoms and identify any patterns or triggers.
- Stay hydrated, especially if your migraines are accompanied by vomiting.
What you should look out for
You should seek immediate medical attention if you experience:
- A sudden, severe headache or a headache that is accompanied by a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or trouble speaking.
- A significant increase in the frequency or severity of symptoms.
- New symptoms that you haven't experienced before.
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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9 mo ago