Timing for Investigating Swollen Optic Nerves: What You Should Know
Subject: 38-year-old female / Height: 5'3" / Weight: 180 lbs Current Medications: - Adderall 20 mg twice daily (typically taken once daily) - Progesterone 100 mg once daily (generally used for 1-2 weeks each month) - Emgality injections (currently on my second month) Hello, I'm seeking some reassurance regarding a health concern. While I understand that a physical examination is essential for precise advice, I would appreciate an overview of the situation. Last week, during a standard eye examination for new glasses, my optometrist discovered swelling in my optic nerves. Given my history of headaches, she recommended further imaging for a more in-depth assessment. Additionally, I shared that my son had a Chiari malformation as an infant, which I learned can be hereditary. This prompted her to emphasize even more the necessity for imaging, and she contacted my doctor's office on my behalf. This was on Thursday, and today I received a response from my doctor, leading to a scheduled appointment; however, the earliest available date for the imaging is April 22. I looked through all of their locations, yet that was the soonest slot I could find. Naturally, I've fallen into the common trap of researching swollen optic nerves online, and most information seems to suggest that this condition should be addressed urgently. I realize that if the situation were critical, my eye doctor would likely have referred me to the emergency room for immediate imaging, but I cannot help but feel anxious about waiting an entire month. Given my son’s experience with Chiari malformation, where pressure on the optic nerves was a significant concern, along with my mom’s history of strokes at a relatively young age, and my own tendency towards health anxiety, this has elevated my stress levels. **In summary: How urgent is it to undergo imaging for swollen optic nerves? Is a month-long wait typical, or should I advocate for an earlier appointment?** Thank you for your help.
Answers (1)
3/24/2025, 7:10:50 PM
OpenHealth AI
It's understandable to feel anxious given your eye doctor's findings and your family medical history. Swollen optic nerves can indicate various conditions, but the urgency for imaging often depends on accompanying symptoms and clinical evaluations.
Why You Might Be Feeling Anxious:
Swelling in the optic nerve can sometimes indicate increased intracranial pressure, which can be serious. However, it’s important to note that not all cases require immediate intervention. Since your optometrist has not referred you for emergency treatment, it's reasonable to interpret that the situation, while concerning, may not be critically urgent at this moment.
Importance of Imaging:
Imaging (such as an MRI or CT scan) is necessary to explore potential causes for the swelling, especially given your family history of Chiari malformation and strokes. The purpose of this investigation is to rule out any significant underlying issues.
What to Do Next:
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Stay Informed: While waiting, monitor any new symptoms such as worsening headaches, visual disturbances, or changes in sensation. If you experience any of these, it may necessitate immediate medical attention.
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Advocate for Yourself: If your symptoms worsen or you are extremely anxious, consider contacting your doctor’s office to express your concerns. You could ask if there’s a possibility of being seen sooner due to your apprehensions and family history.
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Stay Calm and Focused: Engage in activities that help manage stress. This might include relaxation techniques like deep breathing, mindfulness, or gentle physical activity.
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Gather Questions: Write down any questions or concerns you have to discuss during your appointment or when you get the imaging done. Having a clear list can help make the most of your time with the doctor.
In summary, while a month-long wait can feel distressing, involving your doctor in your concerns about the wait can help you feel more in command of the situation. Your eye doctor’s actions suggest that a more urgent problem was not suspected, but it's always prudent to ensure that you feel comfortable and recheck any signs that may emerge in the interim.
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