Anisocoria, hypertension and fatigue

Posted , 5 users are following.

Over the last year I have become increasingly fatigued. Prior to this I was pretty fit doing around 3 hours of heavy CV exercise a day either cycling, gym work or running.

Around a year ago I had a collection of migraines after exercising that I put down to mild dehydration or lack of calorific intake. These were the type of migraine where I would lose my central vision for a couple of hours as there would be a swirling mass of colours in that area of my vision. it had been around 20 years since I last had one but it wasnt too bad.

Then one day at work I had a really bad one which wiped me out for a week. The fatigue was very intense and my peripheral vision was very sparkley.

I tried to continue exercising at a reduced rate but would end up randomly being disprortionally fatigued every few weeks. I would have to spent a weekend in bed asleep every month or so which wasn't me at all.

My GP was stumped and I had more tests than I knew existed.

Then 3 weeks ago I felt very strange at work and felt like I was going to pass out followed by extreme fatigue. My usually normal BP screamed up to 180/120, heart rate went from 40bpm to 70bpm at rest and my left pupil became enlarged compared to my right and there was a pain in my eyes. This happened again yesterday.

My GP is thinking this might be a form of migraine and I have been reffered to a neurologist. We are also thinking that the fatigue I was experiencing after exercise could be a form of silent migraine.

Has anyone else suffered with the pupil changes and noticed a large rise in BP / RHR during an attack?

Anyone else with transient fatigue associated with silent migraine?

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5 Replies

  • Posted

    I have had these migraines several years ago whilst at work but only on 3 -4 occasions and never following exercise though I felt wiped out and needed to rest. I had no attacks for years until I had viral tonsillitis and I think you need to speak to your gp ASAP .
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    • Posted

      Thanks Liz.

      Do you have normal migraine still? I almost feel as though my eyes don't move in a synchronous way when I am feeling like this and thats what make me dizzy.

      I saw GP on Monday hence the refferal to the neuros. I have a real dislike of taking meds but get the feeling they are going to try starting me on something which will have worse sode effects than the migraine.

      Do you take anything?

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  • Posted

    Matt.. did you read my vitamin list? I used to get one right pupil dialated. I don't know about the blood presure. Ask your doctor if it would hurt to try these vitamins: b12 in the for of methylcobalamin, b6 in the form p5p, folate never folic acid, ferrous gluconate no substitute, a good probiotic and cod liver oil in the pill form. Cod liver oil had vitamin d and a in it. Vitamin A is most likely your problem. Take a high quality daily vitamin, too, if you can afford it. A few months.. you'll most likely be better if you have the same problem I had. All these vitamins should come form a vitamin shop. The B vitamins should be the methylated form and the folate should not be swaped for folic acid. Do not ever ingest anything with artificial sweetener. Ever!
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  • Posted

    Hi matt2015:

    I suffer from several of the symptoms you listed (except not one pupil larger than the other). But my BP and RHR go off the charts whith severe migraine pain. My dr said that's very typical when you're in pain. Please post a follow up once you figure out what's going on, many of us may benefit from your research. Thanks!!

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    • Posted


      Thanks for the reply. I have now done a little work with the neurologist and strangley I seem to suffer from transient autonomic dysfunction! A bunch of tests ahead to find out why but the photo I captured of my eyes being different sizes also showed flushing to one side of my face only too.

      The heart rate thing is also related and there is a marked elevation when going from sitting to standing as you would see in PoTS which I beleive is also known as an autonomic dysfunction!

      May be worth checking next time you have one?

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