<human>: i have had a severe headache with eye pain for over 2 weeks now.  i am also twitching alot (my whole body)  and it hurts to have my eyes open. also fatigued.   went to ER 5 days ago, he didnt examine me, said probably a virus.  but its not going away, its constant and painful
<bot>: Hello! Thank you for asking on Chat Doctor! After carefully reading your question, I would explain that your symptoms could be related to different causes: - multiple sclerosis-temporal arthritis- chronic anemia-thyroid dysfunction- epilepsy seizures, or a brain lesion. If I were you doctor, I would recommend performing some tests to investigate for the possible underlying causes: - a brain MRI- an EEG - thyroid hormone levels-blood electrolytes- complete blood count- PCR, ESR for inflammation. If all these tests result normal, you should consider anxiety as the main cause of your troubles. Hope to have been helpful! Kind regards, 