[44F] With persistent migraine and constipation

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Migraine

• Rationale: Your headache on the right side of your head, lasting for five days, with an intensity of 6-8 out of 10, along with nausea, sensitivity to light and sound, and blurry vision, are all consistent with migraine symptoms.
• Typical Treatments: Treatment for migraines often includes over-the-counter pain relievers like ibuprofen or acetaminophen, prescription medications such as triptans, and preventive medications if migraines are frequent. Lifestyle changes, such as stress management and avoiding known triggers, can also help.

Small Bowel Obstruction

• Rationale: Your history of small bowel obstruction, combined with current symptoms of constipation, abdominal pain, and bloating, raises the possibility of a recurrent or partial small bowel obstruction.
• Typical Treatments: Treatment may include bowel rest (no food or drink), intravenous fluids, and sometimes surgery if the obstruction does not resolve on its own. Imaging tests like X-rays or CT scans are often used to diagnose the condition.

Hypothyroidism

• Rationale: Hypothyroidism can sometimes contribute to constipation and general fatigue, which might exacerbate your current symptoms.
• Typical Treatments: Management typically involves taking your prescribed Levothyroxine and regular monitoring of thyroid hormone levels.

What you can do

Headache and Migraine Symptoms

• Seek Medical Attention: Given the duration and intensity of your headache, along with associated symptoms like nausea, sensitivity to light and sound, and blurry vision, it's important to consult a healthcare provider. They may recommend specific migraine medications or further evaluation.
• At Home:
  • Rest in a dark, quiet room to reduce light and sound sensitivity.
  • Apply a cold compress to your forehead.
  • Stay hydrated and avoid known migraine triggers.
  • Continue taking aspirin as needed, but be cautious of overuse.

Constipation and Abdominal Symptoms

• Seek Medical Attention: Given your history of small bowel obstruction and current symptoms of constipation, abdominal pain, and bloating, it's crucial to consult a healthcare provider. They may recommend imaging tests to rule out a recurrent obstruction.
• At Home:
  • Increase your fluid intake, especially water.
  • Consider gentle physical activity, like walking, to stimulate bowel movements.
  • Avoid foods that can worsen constipation, such as dairy and processed foods.
  • Use over-the-counter stool softeners or laxatives if recommended by your healthcare provider.

General Tips

• Monitor Symptoms: Keep track of your symptoms, including headache intensity, bowel movements, and any changes in your condition. Use the MDandMe app to journal your symptoms, track progress, and share insights with your healthcare provider.
• Diet and Lifestyle: Ensure a balanced diet once you transition from liquid fasting, including fiber-rich foods to help with constipation. Maintain regular physical activity and manage stress.

What you should look out for

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

• Severe or worsening abdominal pain
• Inability to pass gas or have a bowel movement
• Persistent vomiting
• Signs of dehydration (e.g., dry mouth, dizziness, reduced urine output)
• Sudden changes in vision or severe headache that doesn't improve with medication

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.