Severe headaches and nausea diagnosis

Complaint

John, a 34-year-old male, has been experiencing severe headaches, especially in the mornings, along with nausea, occasional vomiting, blurry vision, and sometimes double vision for the past three weeks. He had a blood test done with some flagged values.

Main Possible Diagnosis

Intracranial Hypertension (70%) - Intracranial hypertension is a condition where the pressure inside the skull increases, leading to symptoms like severe headaches, nausea, vomiting, and vision problems.

Less Likely Diagnosis

Migraine (30%) - Migraines are severe headaches often accompanied by nausea and visual disturbances, but they usually do not cause double vision.

Diagnosis

John, your symptoms of severe headaches, especially in the mornings, along with nausea, vomiting, blurry vision, and double vision, suggest that you might be experiencing intracranial hypertension. This condition occurs when the pressure inside your skull increases, which can compress the brain and lead to the symptoms you're describing. The elevated CRP and ESR levels in your blood test indicate inflammation, which can be associated with this condition. Another possible diagnosis is a migraine, which can also cause severe headaches and nausea, but it is less likely to cause double vision. Intracranial hypertension can be serious and requires prompt medical attention. It is treatable, often with medications to reduce the pressure, and in some cases, surgical intervention may be necessary. You should see a neurologist as soon as possible for further evaluation and treatment. Expect to undergo additional tests such as imaging studies (MRI or CT scan) to confirm the diagnosis and determine the cause of the increased pressure. Treatment will depend on the underlying cause but may include medications like diuretics to reduce fluid buildup or surgical procedures to relieve pressure.

Medical Test Report

Your blood test shows elevated CRP (10 mg/L) and ESR (30 mm/hr) levels, which indicate inflammation in your body. The other values, including hemoglobin, white blood cells, platelets, glucose, and electrolytes, are within normal ranges.

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Disclaimer

This document is not intended as medical advice or a replacement for professional medical consultation. It provides general guidance for initial diagnosis and suggests questions to discuss with a healthcare provider. Always seek personalized medical advice from a qualified physician or healthcare provider. For questions contact us at hi@doctola.com