[49F] Experiencing nausea, headache with palpitations, and blurred vision

Patient Description

A 49-year-old female reports experiencing nausea that intensifies after movement, accompanied by a throbbing headache rated 5/10 in intensity, with palpitations felt in the chest, head, face, and feet. The patient describes the palpitations as a steady thumping, occurring for about 20 minutes. Additionally, the patient has been dealing with slightly blurred vision, consistent since onset about an hour ago. The patient also mentions feeling mildly lightheaded, experiencing brief chest discomfort, and slight shortness of breath. The patient has a history of seizures diagnosed approximately 10 years ago and a mental illness, though the exact diagnosis time is uncertain. The patient is not currently on any medications and reports no known allergies to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Migraine: This is a type of headache characterized by throbbing pain, often on one side of the head, and can be accompanied by nausea, blurred vision, and sensitivity to light and sound. Your description of a throbbing headache and blurred vision may suggest this.

    • Treatment typically involves over-the-counter or prescription medications to relieve pain and prevent future migraines. Lifestyle modifications, such as stress management and regular sleep, can also help.
  • Panic Disorder: This is a type of anxiety disorder characterized by recurrent unexpected panic attacks. Panic attacks are sudden periods of intense fear that may include palpitations, shortness of breath, chest pain, or nausea. Given your reported stress and the variety of symptoms you're experiencing, this could be a possibility.

    • Treatment typically involves psychotherapy, medication, or both.
  • Vertigo: This is a sensation of feeling off balance and is often caused by problems in the inner ear or brain. It can cause symptoms such as dizziness, loss of balance, and nausea, especially after movement.

    • Treatment depends on the cause and severity of the symptoms. It may include medications, physical therapy maneuvers, or other treatments.
  • Cardiovascular conditions: Conditions such as heart disease or arrhythmias can cause symptoms like palpitations, shortness of breath, chest discomfort, and dizziness. Given your age and symptoms, it would be important to rule out these conditions.

    • Treatment depends on the specific condition and may involve lifestyle changes, medications, or procedures.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the variety and severity of your symptoms, it's important to seek medical attention as soon as possible. Please reach out to a healthcare provider who can evaluate your symptoms and medical history in more detail.

In the meantime, try to rest and stay hydrated. Avoid any known triggers for your symptoms, if possible.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe headache or headache that is different from your usual migraines
  • Sudden, severe chest pain or discomfort
  • Trouble breathing
  • Fainting or loss of consciousness
  • Seizures

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago

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People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include a throbbing headache, often on one side of the head, nausea, vomiting, and sensitivity to light and sound. Some people also experience visual disturbances known as auras.


How can panic disorder manifest in physical symptoms?

Panic disorder can manifest in physical symptoms such as palpitations, shortness of breath, chest pain, dizziness, and nausea. These symptoms can occur suddenly and may feel similar to a heart attack.


What causes vertigo and how is it treated?

Vertigo is often caused by problems in the inner ear or brain, leading to a sensation of spinning or dizziness. Treatment may include medications, physical therapy maneuvers like the Epley maneuver, or addressing the underlying cause.


What are the signs of a cardiovascular condition that should not be ignored?

Signs of a cardiovascular condition that should not be ignored include severe chest pain, shortness of breath, palpitations, dizziness, and fainting. These symptoms warrant immediate medical attention.


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