[67F] Experiencing severe headache and burning eyes
Patient Description
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Arora's Assessment
What might be happening
Based on your symptoms, there could be a few things going on:
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Migraine: This is a type of headache characterized by severe pain, often on one side of the head, and can be accompanied by other symptoms like sensitivity to light, nausea, and vomiting. Your description of a severe headache that worsens with light and looking down, along with your history of nightly headaches, could suggest this. Migraines can be triggered by various factors, including stress, certain foods, and changes in sleep pattern.
- Treatment typically involves pain relief medication and lifestyle modifications to avoid triggers. In some cases, preventive medications may be prescribed.
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Dry Eye Syndrome: This condition, which you've been previously diagnosed with, can cause a burning sensation in the eyes, as well as other symptoms like redness, a gritty feeling, and blurred vision. It's possible that your current eye symptoms are related to this condition.
- Treatment usually involves artificial tears, lifestyle changes, and addressing any underlying conditions that may be causing the dry eyes.
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Fibromyalgia: This is a chronic condition characterized by widespread pain and tenderness, often accompanied by fatigue, sleep problems, and mood issues. Your description of dull body aches in your shoulders, back, and neck could be related to this condition, which you've been previously diagnosed with.
- Treatment typically involves a combination of medication, exercise, stress management, and healthy lifestyle habits.
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Medication side effects: Some of the medications you're taking, such as Lyrica and Cymbalta, can cause side effects like dizziness, sleepiness, and fatigue. It's possible that some of your symptoms could be related to these medications.
What you can do
- Maintain a headache diary: This can help you identify any patterns or triggers associated with your headaches, which can be useful information for your doctor.
- Stay hydrated and maintain a healthy diet: This can help manage your symptoms and overall health.
- Regular exercise: This can help reduce stress and improve your overall well-being, which can in turn help manage your fibromyalgia symptoms.
- Regular eye care: Use artificial tears as needed for your dry eyes, and consider wearing sunglasses outdoors to protect your eyes from wind and sun.
- Regular sleep: Try to maintain a regular sleep schedule, as changes in sleep can trigger migraines and worsen fibromyalgia symptoms.
- Consult your doctor: Given the severity of your headache and the fact that it's worse than your usual headaches, it would be a good idea to consult your doctor. They can review your symptoms, consider whether any changes to your medication regimen might be helpful, and possibly refer you to a specialist if needed.
What you should look out for
Seek immediate medical attention if you experience any of the following:
- A sudden, severe headache that's different from your usual headaches
- A headache accompanied by a stiff neck, fever, confusion, seizure, double vision, weakness, numbness, or trouble speaking
- A headache that worsens after coughing, exertion, straining, or a sudden movement
- Any new or worsening symptoms
Remember, while I strive to provide accurate and helpful information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.
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10 mo ago