I have had mild tinnitus my whole life (with no obvious lifestyle cause), and my migraines do often manifest as pain / pressure behind the eyelid. But I don't have any of the myriad other symptoms listed for Flammer syndrome - I sleep fine, my blood pressure is fine, I'm pretty solidly built (not underweight), I don't get cold easily, etc.
It is interesting to consider I might some sort of related disorder, though!
Glaucoma is the condition that matters and if you don't run the (fast, cheap, painless) check you can miss a serious issue.
Since I was a kid, I've thought I was "prone to migraines", and ascribed various triggers to them - sun exposure, heat, physical exertion, mental exertion, etc. I'd get a migraine sometimes after a long hike on a weekend - and also a long business meeting entirely indoors in an air-conditioned space.
Only when I was around 35, did I figure something out. All these situations lead to me getting dehydrated without any obvious accompanying feeling of thirst. Hiking all day will do it - walking around an outdoor shopping mall on a hot afternoon - or sitting in an all-day business meeting focused on the work at hand and forgetting to drink. And all these situations lead to a migraine - my only "migraine" trigger is simple dehydration, nothing more complicated.
The weird thing is, it took me a long time (decades) to put this together, because I just figured that I couldn't be dehydrated if I wasn't thirsty, and I had no association between "feeling thirsty" and getting a migraine.
I get what I consider normally thirsty in other circumstances, but somehow there's a failure mode where my body doesn't warn me. So now I just remember to chug lots of water (and electrolytes) if I'm exerting myself even if I don't really feel thirsty, and I can systematically avoid triggering migraines.
Now that I understand it the association is quite clear and obvious in retrospect.
Afaik it's pretty harmless in general but it is associated with certain vision issues (normal tension glaucoma). Glaucoma is irreversible but has many treatment options especially if caught early. But you MUST go in for a (fast, cheap, painless) screening to catch it, it's really hard to detect unless there are issues otherwise. Please consider this if you really are showing a lot of these symptoms.
I strongly encourage people to read the post and not give up because of the unrelenting cynicism in these comments.
The two times that ChatGPT got a situation even somewhat wrong, were:
- My kid had a rash and ChatGPT thought it was one thing. His symptoms changed slightly the next day, I typed in the new symptoms, and it got it immediately. We had to go to urgent care to get confirmation, but in hindsight ChatGPT had already solved it. - In another situation my kid had a rash with somewhat random symptoms and the AI essentially said "I don't know what this is but it's not a big deal as far as the data shows." It disappeared the next day.
It has never gotten anything wrong other than these rashes. Including issues related to ENT, ophthalmology, head trauma, skincare, and more. Afaict it is basically really good at matching symptoms to known conditions and then describing standard of care (and variations).
I now use it as my frontline triage tool for assessing risk. Specifically ChatGPT says "see a doctor soon/ASAP" I do it, if it doesn't say to go see a doctor, I use my own judgment ie I won't skip a doctor trip if I'm nervous just because AI said so. This is all 100% anecdotes and I'm not disagreeing with the study, but I've been incredibly impressed by its ability to rapidly distill medical standard of care.
You can get irritated about pricing systems that soak price-insensitive customers, but remember that the big price-insensitive customers pay for the price-sensitive customers, which is why this kind of segmentation is practically universal.
Previously, on this, from me:
https://news.ycombinator.com/item?id=29892664