Headaches / Migraines :: Headache And Blurred Vision For A Month


Apr 11, 2014

I don't know if im posting in the right place, but here it goes!! So this all started about a month ago, all I noticed was I was a bit more tired, no big deal I thought it was the change of season or something. I was like this for maybe a week before I woke up march 20th and felt very off. My normal routine is to go the gym in the morning, so I got myself up to get ready and realized I didn't think I could go, I felt very dizzy, lightheaded, pressure behind my eyes, stuffy nose, extremely heavy eyes, very fatigued, and a little spaced out. I drove to a walk in clinic by my house, they did routine blood work, checked my thyroid, checked for Epstein barr, and for mono, all negative. I did have a low grade fever if even that it was like 99.5. Now lets go back a few months...i have had a stuffy nose since November constantly blowing it with bloody discharge and i attributed it to the dry heat and the winter weather. I have also had many sinus infections in the past year. I didn't realize it until I thought about it. I also had a concussion, my third one back in August. Went to the ER and got a CT scan, everything was normal and they released me. 2 days later I went back to the ER, I was nauseas and it felt like my head was on fire and on CT scan they said I had inflamed nasal sinuses. Everything else was normal so they gave me antibiotics and i was released again. At that time I thought nothing of it and I got better in a few days. Now back to march 20th and the Dr. They knew of my previous sinus infection because I had went to them in December and they were surprised that since I saw them I was still stuffy, they gave me nasal spray and sent me home. A week later I still feel the same, exactly the same, maybe a little worse. I saw an allergist who tested me for allergies and of course everything was negative. I was so tired at work one day I had to lay down and close my eyes. Im just exhausted even after a full nights sleep and my eyes are so heavy. My headache lasted from march 20-27th and then subsided but still had all the other symptoms. Over that weekends I actually started feeling better everyday! I was sk happy and thought it was some sort of virus or something and it was going away. I still felt off but it started getting bad again April 3rd. This time it was all my symptoms but very exaggerated. Extreme fatigue, extremely heavy eyes, poor concentration, confusion, blurry vision in my right eye, spacing out, brain fog, sensitive to light, pressure behind my eyes, im forgetful, still a little stuffy but not nearly as bad, im a little pale and my headache is gone but my head still feels weird with weird pains that last a second. I went to my pcp on Monday and told him the whole story. He put me on a strong dose of antibiotics and some steroids. The next day I saw an optometrist and i am nearsighted and have an astigmatism in my right eye so i'm getting glasses. It was weird to me though because my vision just became blurry a few days before, unless i just didn't notice it before that and my eyes are always heavy, even as soon as I wake up which I think is weird. So the next day I saw my ENT and told him the whole story and he looked in my nose, flushed it, and took a sono of my sinuses and said my right paranasal sinus in very congested and I need a CT scan of my sinuses. I'm nervous about the CT scan because that will be the 5th CT scan I have had since my first in 2010 from my first concussion. I feel like that's a lot of radiation to my head and face i'm only 25 years old and I feel like that cant be the only reason I have all these symptoms. As soon as I got home from my ENT i noticed this painful hard lump next to my ear on my jaw. my dentist told me to come in and he said my TMJ joint was inflamed on my right side only and that it should go away in a few weeks, I do grind my teeth at night, but I think its weird that my right eye is now bad, my right paranasal sinus is very congested, and my right TMJ joint is inflamed! I see my neurologist. I have a neurologist in the first place because back in 2009 I had a what I thought was a vaccine reaction to the HPV vaccine. A few hours after I got it the room was spinning and I was so nauseous and weak. A week after that vaccine I was having trouble walking, tingling in my legs and arms, severe fatigue and weakness, severe headache. I got an MRI back then to rule out MS and did an EEG and an EMG all normal and after several months all the symptoms went away. So yesterday my neuro did a vertigo test which came back normal, now she wants me to get another MRI next week to rule out MS again and I'm terrified. I don't have any numbness or tingling or trouble walking but i'm so scared. My life was so normal and I was actually in the best place I've ever been in my life before this happened and now its all turning to ****. Im crying everyday because from the moment I wake up until the second I fall asleep I feel all the symptoms. They are getting worse, I am getting more frustrated, I am getting more scared that this is something serious because its not going away. Did this ever happen to someone else? Does anyone think this is really MS? I'm assuming my optometrist looked at my optic nerve and would have said something if it looked weird. I have also heard of silent migraines where u have all the symptoms of the migraines except the headache because I have also recently felt like im seeing flashing lights or its hard to explain but its like when im looking at a bright wall, its like I was just staring at static on a tv and then looked at the wall, except im always seeing it I find myself staring into space I have to like snap myself out of it. This whole experience is driving me crazy and i am so irritable and upset. I've also lost my appetite and i cant stop crying because this feeling wont go away it is affecting my life so negatively. I don't even know what to think i want to feel normal and I want my life back its affecting my job, my relationships with everyone, and myself and my happiness I want to do the things I used to. Im sorry for all the jumping around in the story and how long it is, I am very overwhelmed.

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fludrocortisone.  I just don’t know what to do anymore.  My consultants saying I shouldn’t feel so unwell and im just so lost.

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i also cannot tolerate many carbohydrates because my blood glucose pikes very high at 1 1/2 hours post eating and drops every low by 21/2-3 hours.

I’ve now had to set up a backup carer to help when am unwell because i am on my own with 2 young children.  I am getting help with them now and also trying to get support for taking them to school…im slowly getting there

I have also done a month of blood tests looking at progesterone and  estrogen and have found a pattern in some of my symptoms..  I most definitely feel my worst when I am coming off my period, stopping bleeding where I start to feel cold and foggy and nauseous I then when ovulating feel at my worst and the 2 days when my estrogen was highest I had severe anxiety, tremor, agoraphobia, intense drowsiness after eating and these symptoms always disappear once I ovulate and start seeing progesterone mucous .  Apart from these symptoms which come on with my cycle I suffer with all my other symptoms throughout the whole month with increase and decrease throughout my cycle.

I have included a lot of tests below and anyone who feels they can help would be so much appreciated. Thank you for your time

These are my most recent blood test

June 20th 2014

Autoimmune profile – normal no action

Mitochondrial antibody level – negative

Anti-smooth muscle autoantibodies – negative

Panetta cell autoantibodies – negative

Reticulum antibody titre – negative

Anti-liver kidney micro ab lev – negative

Serum vitamin D – 71 nmol/l

Erythrocyte sedimentation rate – 9 mm/h (0-15)

Total white cell count - 6.5 10*9/L (3.5-10.0010*9/L)

Red blood cell count -  4.14 10*12/L (3.8-5.0010*12/L)

Haemoglobin estimation - 119g/L (115.00-145.00g/L)

Haematocrit - 0.360L/L (0.36-0.46L/L)

Mean Corpuscular volume (MCV)  - 87Fl (84-98)

Mean Corusc. Haemoglobin (MCH)  - 28.7pg (27.5-32)

Mean Corpusc. HB conc (MCHC)  - 331g/L (300-360)

Red cell distribution width - 15.1% (<14.50%)

Platelet count - 194  10.9/L (150-400 0010*9/L)

Neutrophil count 3.3 -  10.9/L (1-3.5010*9/L)

Lymphocyte count  - 2.0 10*9/l (1-3.5010*9/L)

Monocyte count 0.8   -  10.9/L  (0.31.0010*9/L)

Eosinophil count -  0.3   10*9/L  (<0.401089/L)

Basophil count  -  0.1  10*9/L (<0.1010*9/L)

Serum folate -  4ug/L  (3-20)

Serum ferritin  - 8ug/L (10-200)

Vitamin B12  - 632 ng/L (200-910)

TSH  - 3.04  mu/L (0.35-5)

Free T4  - 11pmol/L (9-22)

Liver function tests

Total bilirubin level  - 7umol/L (1-21)

ALT  -  9 U/L (1-50)

Blood calcium level  2.16 mmol//L

Corrected serum calcium level – 2.14 mmol/L (2.20-2.60)

Serum inorganic phosphate  - 1.44mmol/L (0.8-1.50)

Serum alkaline phosphatase – 54 U/L (30-130)

Serum total protein 69 g/L (60-80)

Serum albumin  - 40 g/L  (35-50)

Serum globulin  - 29 g/L(22-40)

Serum sodium   - 136 mmol/L (133-146)

Serum potassium  - 4mmol (3.5-5.3)

Serum urea level  - 3.8 (2.50-7.8)

Serum creatinine  - 49 umol/L (20-103)

Plasma C reactive protein   - 0.3mg/L (<5.00mg/l)









I paid for a whole series of blood tests.  They was taken on day 4 of my period, I had fasted for 12 hours. I was salt fasted for 24 hours and remained sitting up prior to the test and during the test so the aldosterone and renin tests were accurate. The bloods were taken at 9am. I take hydrocortisone 15mg a day and took my last dose of 2.5mg at 8pm the night before the test. I was taking no supplimenst or anything else around the time of the test.

 HORMONE PROFILE

Aldosterone 399.0 pmol/L Upright 100 - 800 pmol/L Supine 100 - 8450pmol/L

RENIN 66.2 mU/L Upright 5.4 - 60 mU/L    Supine 5.4 - 30 mU/L

Aldosterone: Renin ratio 6    <80 Conn's Unlikely

FSH  6.1 U/L

LH 11.9

Oestradiol 106 pmol/L

Prolactin 144 mU/L 102 - 496

Cortisol (basal) 449 nmol/L (171 - 536) (BASAL 171-536, EVENING 64 - 327)

Free T3 4.8 pmol/L (3.1 - 6.8)

Thyroid stimulating hormone 2.310 mU/L (0.270 -4.200)

Free T4 14.0 pmol/L (12 - 22) 

FULL BLOOD COUNT

WBC 4.90 x10^9/L (4.0 - 11.0)

RBC 4.43 x10^12/L (3.80 -5.80)

Haemoglobin 135 g/L (120 - 150) R

HCT 0.41 ratio (0.36 -0.46)

MCV 93.0 fL (80.0 -100.0)

MCH 30.4 pg (27.0 -32.0)

MCHC 326 g/L (315 - 345)

Platelets 241 x10^9/L (140 - 440)

RDW 11.8 (0.0 - 14.0) **

MPV 9.3 fL

Neutrophils(Abs) 2.58 10^9/L (2.0 - 7.5)

Lymphocytes (Abs) 1.69 10^9/L (1.5 - 4.0)

Monocytes (Abs) 0.44 10^9/L (0.2 - 0.8)

Eosinophils (Abs) 0.22 10^9/L (0.0 - 0.4)

Basophils (Abs) 0.02 10^9/L (0 - 0.1)

CRP< 0.3 mg/L (0 - 5)

BIOCHEMISTRY

Sodium 139 mmol/L (133 - 146)

Potassium 4.2 mmol/L (3.5 - 5.3)

Urea 4.9 mmol/L (2.8 - 7.8)

Creatinine 56 umol/L (45 - 84)

estimated GFR (eGFR) >90 ml/min

LIVER FUNCTION TEST

Total bilirubin 5 umol/L (0 - 21)

Alkaline phosphatase (ALP) 65 Iu/L (30 - 130)

ALT 11 Iu/L (0 - 33)

GGT 8 Iu/L (UP TO 40)

Total Protein 78 g/L (60 - 80)

Albumin 49 g/L (35 - 50)

Globulin 29 g/L (18 - 35)

AST 16 Iu/L (UP TO 32)

Lactate dehydrogenase 171 Iu/L (135 - 214)

Serum Calcium 2.39 mmol/L (2.2 - 2.6)

Albumin 49 g/L (35 - 50)

Adjusted Calcium 2.30 mmol/L (2.20 -2.60)

Uric Acid 278 umol/L (140 - 360)

Glucose 3.8 mmol/L (4.2 - 6.1) **

LIPID PROFILE

Cholesterol 3.94 mmol/L (0.0 - 5.2)

Triglycerides 0.54 mmol/L (2.26) *

HDL cholesterol 1.41 mmol/L (> 1.68)

Cholesterol/HDL ratio 2.8 ( <5)

Low density lipoprotein 2.28 mmol/L (2.5 - 4.5) **

% HDL/Total Cholesterol 35.79 %

B12 687 ng/L (191 - 663) **

Folate (serum) 5.4 ug/L (4.6 - 18.7)

IRON AND UIBC

UIBC 60.0 umol/L

Iron 17.0 umol/L (6.6 - 30.4)

Total iron binding Capacity 77.0 umol/L (41-77)

Transferrin saturation 22.1 % (20-55)

Ferritin 13.1 ug/L (13 - 400)

Ferritin 13.1 ug/L (13 - 400)

Vitamin D 24.5 nmol/L Reported

<25 nmol/L: Severe Vitamin D deficiency

25-75 nmol/L:Borderline ranging to insufficiency

75-200 nmol/L: Optimally replete

>250 nmol/L:Possible toxicity, if sustained

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