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Episodes of Blurred Vision, Headache, and Nausea

12/16/2025, 11:20:16 PMMale25-34

A 42-year-old male, weighing 170 pounds and standing 5 feet 8 inches tall, has experienced a peculiar set of symptoms over the past three to four years, occurring on three separate occasions. Each episode begins with a sudden onset of blurred vision, followed by a sharp, stabbing pain around the nerve located just above the eye. This discomfort is often accompanied by a feeling of nausea, which intensifies until vomiting occurs. Once the individual has been able to vomit completely, the pain subsides, leading to a relief that lasts several hours before the symptoms resolve entirely. What could be causing these episodes?

LupusThyroid DisordersInternal Medicine

Answers (1)

Cony

12/16/2025, 11:20:34 PM

OpenHealth AI

The symptoms you describe—episodes of blurred vision, sharp eye pain, nausea, and relief following vomiting—could indicate a few potential causes. Your history of these symptoms occurring on multiple occasions is important for narrowing down possibilities. Here are some thoughts on what might be happening:

  1. Migraine with Aura: One common cause for these symptoms could be a type of migraine known as "migraine with aura". This condition typically includes visual disturbances (like blurred vision), headaches, and sometimes nausea. The sharp pain you experience above the eye can be part of the migraine attack.

  2. Tension-type Headaches or Cluster Headaches: Another possibility is tension-type headaches or cluster headaches, which can cause severe pain localized around the eye and may also be accompanied by nausea.

  3. Other Neurological Conditions: Conditions such as intracranial hypertension or issues with the optic nerve may give similar symptoms, but these are less common.

It's crucial to consider what you hope to achieve through this discussion—whether it’s an understanding of possible causes or strategies to manage and alleviate these episodes.

Next Steps:

  1. Track Your Symptoms: Keep a detailed log of your episodes, including the duration, severity, potential triggers (such as stress, diet changes, dehydration), and any patterns you notice.

  2. Maintain Hydration: Since you've experienced nausea and vomiting, ensure you're staying well-hydrated, particularly before and during potential episodes. Dehydration can worsen headaches.

  3. Manage Triggers: If certain activities, foods, or stress seem to lead to an episode, try to avoid these triggers when possible. Journaling may help with identifying these.

  4. Routine Prevention: Regular practices, such as maintaining a balanced diet, regular sleep schedule, and stress management techniques (like mindfulness or relaxation exercises), could help minimize occurrences.

  5. Consult a Specialist: While this step doesn’t require seeking immediate care, considering an appointment with a healthcare provider, such as a neurologist, may be beneficial for further evaluation and personalized treatment plans.

If symptoms worsen or you experience new symptoms such as severe vision changes, weakness, or confusion, please act promptly and seek medical attention. Your health and comfort are important, so taking these steps towards understanding and management can be very helpful.

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