Day 3 of Migraine and Eye Discomfort
I am a 37-year-old woman standing at 5 feet 1 inch and weighing 228 pounds. Currently, I am prescribed Synthroid at a dosage of 75, and I was previously taking hydroxychloroquine at 200 mg, though it has been nearly two weeks since my last dose. I have a connective tissue disorder, which I prefer to keep private. On Wednesday night, I experienced a severe migraine. I took my regular medication, enjoyed a hot shower, and managed to sleep. However, the following morning, while my headache had diminished somewhat, I was plagued by excruciating eye pain; it felt as though my eyes could burst from their sockets. Moving them side to side caused sharp discomfort, and quick movements resulted in flashes of light at the periphery of my vision. I chose to remain at home to rest, and as the day progressed, both my headache and the eye discomfort improved, though the issues were not entirely resolved. Later that night, I woke up due to my baby and noticed that my headache had returned. It wasn’t at migraine intensity but still quite pronounced, and the eye pain re-emerged, reminiscent of its initial severity. I should also note that since the onset of this discomfort, I've experienced some vision changes. It's nothing alarming, just a halo effect around light, akin to what one sees with astigmatism. I have an appointment scheduled with my ophthalmologist later today (Friday) and am contemplating whether it’s prudent to wait for that consultation or to seek emergency care. I’ve never experienced a prolonged migraine before, with symptoms lingering beyond 24 hours. Additionally, I've noticed my urine is clear even though I haven't been consuming a large amount of water lately.
Answers (1)
8/29/2025, 10:33:08 AM
OpenHealth AI
It's understandable to be concerned about your symptoms, especially since you've been dealing with a severe migraine and eye discomfort that have persisted for several days. Here are the main points to consider:
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Migraine Symptoms: Your prolonged migraine and the associated eye discomfort, particularly the sharp pain and visual changes, are significant and deserve attention.
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Eye Pain and Visual Changes: The eye pain you're experiencing, especially with additional symptoms like light halos, could indicate a need for further evaluation beyond a typical migraine.
Given that you have an appointment with your ophthalmologist later today, here are some specific steps to consider:
Explanation:
- Persistent migraines can sometimes lead to additional symptoms like eye pain, but the severity you're describing, especially paired with visual disturbances, suggests that it’s wise to take these symptoms seriously.
- Flashes of light and changes in vision could be related to migraine aura or potentially other issues that require immediate assessment.
Next Steps:
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Attending Your Appointment: Since you already have an appointment with your ophthalmologist, it is prudent to attend. They can assess your eye health and determine if there is any urgent issue.
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Monitor Symptoms: Keep track of any new symptoms or changes leading up to your appointment. Note if your headache worsens, if you experience any changes in vision, or if the eye pain becomes more severe.
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Hydration: Although you mentioned clear urine, which typically indicates good hydration, ensure you are drinking enough fluids as dehydration can worsen migraine symptoms. Aim for at least 8-10 glasses of water a day.
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Pain Management: In the interim, continue to manage your migraine pain with your prescribed medications. Consider using cool or warm compresses over your eyes (whichever feels better) and try to rest in a dark, quiet room to help alleviate your symptoms.
Warning Signs:
Should you experience severe worsening of eye pain, increased vision changes (especially loss of vision), or other alarming symptoms (such as confusion or severe headache), seeking emergency care would be warranted.
Your current symptoms are concerning, but attending your ophthalmologist appointment will provide you with the guidance and care needed. I hope you feel better soon and can find relief from these symptoms.
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