Patient's Query
Hello doctor,
I am a 27-year-old male. My height is 5.9 feet, and I weigh 165 pounds. I have been having migraines for over a year, every day. The symptoms of these migraines include fatigue, pulsating vision, tingling, impairment in judgment, and mood swings.
Thank you.
Hi,
Welcome to icliniq.com.
I would like to know some further details about your headache.
1. Since when have you started having these headaches? Did these start for one year only? Or were you used to it occurring intermittently before also? If before, since when?
2. In which part of your head do you feel headaches? (You can attach your photo, clicked from a little distance, with your hand kept over the part of the head where you feel a headache. Please attach two to three pictures from the front side if the headache area is large.
3. What kind of headaches do you feel - heaviness, bursting, squeezing, stretching, throbbing, or some other category?
4. Since the beginning, your headaches have been intermittent or persistent?
5. If intermittent, one episode of headache lasts for how long duration (without pain killer tablet)?
6. Do you feel any nausea or vomiting during headache episodes?
7. Is a headache associated with any redness in the eyes, watering eyes, or nasal blockage?
8. Have you noticed any specific trigger factor for this headache till now?
9. As you mentioned, these headaches have been daily for one year. Are these 24-hour seven days? Or it lasts a few hours in a day and then subsides.
10. Do you take any regular medicine for your headache? If yes, please tell us the name, dosage, and frequency.
11. How is your vision for distant objects or near objects?
12. I could not understand your symptom of pulsating vision. Please describe in detail.
13. Do you have any other significant medical history? If yes, please tell me.
Other information:
1. How is your sleep routine? Do you get sleepy soon after lying in bed, or does it take a long time? Once you get sleepy, do you have frequent awakenings during sleep? Do you feel fresh on awakening from rest in the morning?
2. How is your usual mood in day-to-day activities? Happy, sad side (thinking about past events), worried about future things, irritable, or something else?
Thank you.
Patient's Query
Hi doctor,
1. Migraines and headaches started around three to four years ago. The migraines and headaches over the last year and a half are debilitating, everyday occurrences where functioning is a struggle.
2. The site of the migraines can move, but it is mostly on my left side, above the eyebrow, to the temple. The exact location is the right side of the forehead. In some rare cases, the pain will spread down the neck.
3. Usually, they are heavy and squeeze like a rubber band wrapped around them.
4. They have been intermittent. Every day occurrences are usually worse in the morning and at night.
5. They usually will last about four hours, then a little relief or I get accustomed to the pain and try to ignore it.
6. Yes, nausea or dizziness is usually associated with headaches.
7. Occasionally, I will see redness in my eyes.
8. I have noticed a sensitivity to light and sound that can make them worse during the day or night, but there really is no trigger in the mornings.
9. I am still determining. Sometimes, they go all day; other times, I am either accustomed to the symptoms being there and try not to notice, or they go away.
10. I try not to rely on medication since I do not want to overuse or depend on it. I recently started trying Qulipta 60 mg, but the problems have not been resolved.
12. I wear glasses, and my vision is blurry and worse for distant objects.
13. The pulsating vision feels slightly blurry, and the objects almost blink or pulse with my heartbeat.
Other Information:
1. No problems with sleep. Feel rested usually. Sometimes it's harder to go to bed.
2. My life is becoming unmanageable with the symptoms in my day-to-day life and marriage. I would lean towards having more irritable mood swings and fatigue on the sad side. Signs have made it hard to perform cognitive functions like judgment, decision-making, and memory.
Thank you.
Hi,
Welcome back to icliniq.com.
With your description, possibilities can be:
If atonement (quality) is not working, you can try,
Investigations to be done: Ophthalmology consultation to look for refraction, intraocular pressure, and fundus.
Differential diagnosis:
Preventive measures:
I hope this information helps you.
Thank you.
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Answered byDr. Hitesh Kumar
Medically reviewed byiCliniq medical review team
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