I had sharp pains on head with frequent memory loss. Do I have any brain tumor?

Hello doctor,

I wanted some opinions. I had an MRI about a year and a half ago that came back clear. It was for sharp pains in my head prior to that my last MRI was back in 2013 due to headaches which also came back clear. I am now 24 years old. I have been physically active my whole life. I have been concerned since November 2019 with my memory not being as sharp. My long term and short term memory I feel have declined. I misplace my phone and keys a lot. I sometimes forget mid-conversation what I was discussing. I have mentioned this to my neurologist and he chalks this down to anxiety. I had a recent eye exam about three weeks ago which the eye doctor said everything looks normal and no intercranial pressure form his end.

I feel as I have been struggling to find the right words. I do know, I probably do have a good degree of health anxiety. I never feel anxious to the point of having panic attacks and if I do feel that way they are very short lived. I am always focusing on if I can remember things and I seem to feel like im in a dream almost. My life as of lately has been wake up play video games, eat, video games and repeat. I have spoke to multiple GP's and they all seem to come to the same conclusion that this is anxiety. My neurologist tells me I need to see a psychiatrist but I feel as if my symptoms are not taken seriously. Headaches are on and off I have been diagnosed with migraines they also run in my family. With all these symptoms, is this likely a tumor? I have had about 5-7 CT scans in the last three to four years. All came back normal. I am truly concerned as my memory never used to be this bad. Can anxiety cause this even when not feeling anxious? Can this be a constant loop of focusing on my memory not remembering well and repeat of checking my memory?

To add on, I have increase my alcohol intake in the last year as well drinking multiple drinks throughout the week. I would say averaging five to seven drinks per week. I never used to drink nearly that amount prior to this year. I have remained physically active lifting weights and doing cardio. I have asked my neurologist for an MRI again multiple times and he says this is anxiety he seems to be very adamant about this being anxiety only. He says that memory problems in young adults is due to anxiety almost always. I can tell he is growing more and more frustrated with me.

I am concerned because I have been feeling nauseated as well. I mentioned this too much most recent GP visit around three weeks back and he said we should go to psychologist. I feel as if my memory is terrible. I play video games alot and outside of staring at the computer screen I feel like I live in a fog/different world. My sister has been diagnosed with a prolactinoma about two to three months ago. I feel since my sibling has it and I am experiencing memory issues this could be a frontal lobe brain tumor. I feel as if I am on auto pilot. I also somtimes just feel like I do not know what words mean but then it comes back to me. Should I push for an MRI or just got get another CT scan at the ER?

Thank you doctor,

All in all, you would not recommend repeating imaging? In your professional opinion, this is not a brain tumor, right?

Thank you doctor,

Last question, I had a couple of random facial twitching near my chin, and a little on my upper lip may be one to four times a day. This started a week ago. I have been worried about a tumor. This does not indicate a tumor, correct?

Thank you doctor,

I have consulted a bunch of neurologists. All came to the same conclusion as you say, but this last one says get another MRI. Would you disregard that? Do you think I need imaging due to this being a brain tumor?