[45F] With chronic pain, migraine, and new neurological symptoms

What might be happening

Based on the symptoms and medical history you've shared, several conditions could be contributing to your current health issues:

1. Migraine and Dizziness: Your migraines, coupled with dizziness and balance issues, could be related to vestibular migraines, which affect balance and can cause vertigo. The constant nature of your migraines suggests they may be chronic, requiring a comprehensive management plan.

2. Neck and Back Pain: The sharp and dull pain in your neck and back, along with tingling in your arms, could be related to degenerative disc disease and arthritis. These conditions can cause nerve compression, leading to the symptoms you're experiencing.

3. Circulation Issues and Black Lines Under Fingernails: The black lines under your fingernails, known as splinter hemorrhages, can sometimes indicate circulation issues or other underlying health problems. Given your history of circulation issues in your legs, this might be related.

4. Increased Urination and Hunger: These symptoms, along with your increased thirst, could suggest a metabolic issue such as diabetes, especially given your pre-diabetes status. It's important to have your blood sugar levels checked.

5. Night Sweats: Severe night sweats can be associated with various conditions, including infections, hormonal imbalances, or even stress and anxiety.

What you can do

Migraine and Dizziness:

• Consult a healthcare provider to discuss your migraine management plan. They may recommend preventive medications or lifestyle changes.
• Keep a migraine diary using MDandMe to track triggers, frequency, and severity, which can help in managing your condition.

Neck and Back Pain:

• Consider physical therapy to improve mobility and reduce pain. Gentle exercises and stretches can be beneficial.
• Use heat or cold therapy to alleviate pain and inflammation.
• Avoid activities that exacerbate your pain, and practice good posture.

Circulation Issues and Black Lines Under Fingernails:

• Schedule a visit with your doctor to evaluate the black lines under your fingernails and assess your circulation.
• Elevate your legs when sitting to improve circulation and reduce swelling.

Increased Urination and Hunger:

• Monitor your blood sugar levels and consult your doctor for a diabetes screening.
• Maintain a balanced diet and regular exercise to manage your weight and blood sugar levels.

Night Sweats:

• Ensure your sleeping environment is cool and comfortable.
• Wear breathable, moisture-wicking sleepwear.

What you should look out for

• If you experience worsening dizziness, severe headaches, or any new neurological symptoms, seek medical attention promptly.
• Monitor for any changes in your symptoms, such as increased frequency or severity of night sweats or changes in your fingernails.
• Keep an eye on your blood pressure and blood sugar levels, and report any significant changes to your healthcare provider.

Remember, while I can provide guidance, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.