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These visual disturbances or ophthalmic migraines (visual disturbances/auras without an actual migraine) are common. The triggers are varied from hormonal, stress, food, etc. They are very annoying and in some patients unpredictable. The only thing you can do is establish your triggers and limit them. Since anxiety/stress is one of them, you were prescribed Paxil. Have you began taking it yet to see if it improves or decreases the frequency of your visual symptoms? If you are against medications, there are other stress relieving methods including meditative breathing exercises, regular massage, etc. It's a matter of finding what works for you personally. It can be an exhaustive journey finding what works for each individual, but it's a process. They may never fully stop but hopefully decrease in frequency.
Constant is not as common - But everyone's body is different and processes differently. There are people that have actual migraine migraines chronically/daily because those nerves are in overdrive. Similar thing here but only visually. You have done all the necessary tests to rule out the scary things and that is great. Continue regular dilations and MRIs to ensure no changes going into the future. Monitor your blood pressure daily, as well. Stress can make blood pressure wax and wane and also contribute to the visual disturbances for some patients...both too high and too low blood pressures! Hopefully they will subside with time and improve, but there is no way to fully stop them on command. Once you finish Breast feeding, trial the medication. It will be trial and error and hopefully you will find something that helps you. You may not be able to stop stress and anxiety completely, but we could all benefit by lessening it in some way. =)
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