[47F] With severe headaches, fatigue, and double vision

What might be happening

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

• Chronic Migraine: Given the severity, frequency, and sudden onset of your headaches, chronic migraines are a possibility. Migraines can cause severe, debilitating pain, nausea, and even visual disturbances like double vision.

  • Treatment typically involves medications to prevent migraines and relieve symptoms, lifestyle changes, and avoiding known triggers.

• Cluster Headaches: These are severe headaches that occur in cyclical patterns or clusters. They can cause sharp, stabbing pain, often around one eye, and may be accompanied by other symptoms such as ear fullness.

  • Treatment includes medications to relieve pain and prevent future attacks, as well as oxygen therapy.

• Seizure Disorders: Your seizures, especially if they occur during headaches, could indicate a seizure disorder. This would require a thorough neurological evaluation.

  • Treatment usually involves anti-seizure medications and lifestyle modifications.

• Vestibular Disorders: The fullness in your right ear and hearing loss could be related to a vestibular disorder, which affects the inner ear and can cause symptoms like dizziness, balance issues, and hearing loss.

  • Treatment depends on the specific condition but may include medications, physical therapy, and sometimes surgery.

• Intracranial Pressure Issues: The combination of severe headaches, nausea, and double vision could be indicative of increased intracranial pressure, which requires immediate medical attention.

  • Treatment involves addressing the underlying cause, which could range from medications to surgical interventions.

What you can do

1. Consult a Specialist: Given the complexity and severity of your symptoms, it's crucial to follow up with a neurologist and an ENT specialist. They can perform the necessary tests to diagnose your condition accurately.
2. Keep a Symptom Diary: Track your headaches, seizures, and other symptoms, noting their frequency, duration, and potential triggers. This information will be valuable for your healthcare providers.
3. Lifestyle Modifications: Try to identify and avoid potential triggers for your headaches and seizures. Ensure you get adequate rest, maintain a balanced diet, and manage stress effectively.
4. Hydration and Nutrition: Stay well-hydrated and ensure you're eating a nutritious diet to support overall health.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Sudden, severe headache that feels different from your usual headaches
• Persistent or worsening double vision
• New or worsening seizures
• Sudden hearing loss or changes in hearing
• Any signs of increased intracranial pressure, such as severe headache with vomiting, confusion, or vision changes

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult with your healthcare providers for a formal diagnosis and appropriate treatment.