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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Eye
Satisfied Customers: 63757
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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Double vision, I had two episodes a week apart lasting no

Customer Question

double vision
JA: Thanks. Can you give me any more details about your issue?
Customer: I had two episodes a week apart lasting no more than 10 seconds. I had an eKG and blood work all normal. My BP was a bit elevated but I was really scared at the time. I am on Lisinorpil 20mg for bp
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Submitted: 9 months ago.
Category: Eye
Expert:  khagihara replied 9 months ago.

Can you tell me more about your double vision? Eye pain? How old are you? Are you male or female? How tall are you? How much do you weigh? Any weight change? Any other symptoms? Are you aware of anything which might have triggered it? Any other medical problems? Any surgeries? Any other medications including over-the-counter pills and herbs? Any family medical history?

Customer: replied 9 months ago.
I am 50 years old 5'4" 210 lbs, female, no weight change, only medical issue is high bp, no surgeries, I take lisinopril 20 mg for bp, I have sinus polyps, My PCP indicated on exam my sinus are very swollen, My labs all normal and EKG normal. It happened twice again for only about 10 seconds. I could feel it coming on. my eyes felt tight before the episode. family history of lung cancer, copd, storkes. I had a blood clot in my main artery after a leg brake about 7 years ago. Was on warfin for 6 months
Customer: replied 9 months ago.
A few days later I had a strange sensation of getting really hot from the bottom of my neck up to the top of my head. It lasted about 5-8 seconds. I could feel my hear beating but I got nevervous as well.
Expert:  khagihara replied 9 months ago.

How was the double vision like? Is your stress increased lately? Are you worried that it is due to a blood clot? Could you see when you had the double visions?

Expert:  Dr. Thomas, MD replied 9 months ago.

Hello

You need further work up

This could be a mini stroke

A hormonal problem , either adrenal or thyroid.

I would see an internal medicine doctor and neurologist if needed.

Ask your doctor specifically about pheochromacytoma, which is an adrenal problem that causes these symptoms.

Serum metanephrines is the blood test to do

Along with thyroid studies.

OK, so that is an initial answer….

Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Customer: replied 9 months ago.
I am under a ton of stress at work and at home. I'm not worried about a blood clot more a brain tumor to be honest. I have pressure near my eyes, ears and nose has off and on sharp pains on the right side of the bridge of my nose. The dizziness starts with a tightness on my bottom eye lid then a bit dizzy then things get foggy/ a bit double and it all last about 10 seconds. This happened to me one other time about 13 years ago but I never saw anyone for it.
Expert:  Dr. Thomas, MD replied 9 months ago.

I don't think you read my answer.

This is still consistent with either an adrenal problem or thyroid problem.

Please read my answer above again.

You need

serum metanephrines

thyroid studies

neurological exam

sed rate

all routine labs

urinalysis.

please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Customer: replied 9 months ago.
Dr. Thomas I saw my PCP labs all good, ekg good. They did some neuro testing all good. They didn't think it was a stroke..should I still be concerned. I am being seen again tomorrow to check blood pressure, but I do have sinus polyps an
Expert:  Dr. Thomas, MD replied 9 months ago.

They did not check serum metanephrines

and probably not thyroid

and probably not sed rate

these are not routine.

Yes you should still be concerned.

Ask about serum metanephrines.

please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.