Hello doctor,
I am a 31 year old male. I am 6 feet 2 inches tall and obese at 113 kg. The problem that I am describing below I have been experiencing for the past 10 days or so. I have a more or less constant headache. It is typically on the right part of the forehead, around the hairline and occurring at the center of my head. The pain is not very severe. It is not throbbing or pounding, though the intensity fluctuates at times, it is never very severe. I also experience a vague sensation of nausea, but no vomiting tendency. Sometimes, I get a subtle feeling of dizziness or light-headedness. I am unable to describe it more precisely. It particularly occurs during the head movement. This occurs hardly for a millisecond or so. Also, my eyes feel strained at times while staring at the computer or TV screen
About my past health history, I have sinusitis. This was detected two years ago. I had visited an ENT specialist for a throat irritation, for which he got me to do a CT scan of my entire head and neck area. I have not had any treatment for sinusitis except some medication for the first week or so after detection. However, I have not really felt a similar headache earlier. I also tend to catch a cold very easily. On several days, I wake up sneezing which resolves on its own as the day progresses or within a couple of days. In the past week also, I had experienced the same few times. I also developed eye styes on both eyes which were painful and watery.
I wear spectacles. The power is (–) 5.25. However, I do not experience blurry or double vision at present. I do not feel any difficulty or loss of balance while walking. I have a habit of walking, and even three days ago, I had walked non-stop for 4 km in about 45 mins but did not experience any difficulty or anything unusual during and after the walking. About a month ago, I had been experiencing for few days a strange stiffness in my lower left leg after walking a small distance, a non-specific back pain, and a vague breathing difficulty. My GP advised me to get a chest X-ray, PFT, echocardiography, and ECG done. All the reports were normal. The problems since then have significantly reduced.
I am forgetful by nature. Apart from that, I have not noted any memory loss as such. I have no unusual difficulty in concentrating or thinking clearly. I do not experience any speech problem, but I did notice on one occasion that after speaking continuously for few minutes, I was facing some difficulty in speaking more, but that I believe could have been due to psychological reasons. Exactly five months ago, I had got a CT scan of the brain done on the advice of my GP because I had a severe headache one night few days after accidentally bumping my head on a solid low-height door. However, the results were normal, and nothing was found.
Uric acid, blood sugar, creatinine, and TSH have been tested within the past eight months, and the reports were normal. However, lipid profile tests revealed high triglycerides (292) for which I took Rosumac 5 for three months, after which the triglycerides (152) were relatively normal. I have had high BP (140/100) for which I was prescribed Aquazide 12.5, which I am taking. One week ago, I got my BP rechecked, and it was found fairly normal (130/80). I tried steam inhalation yesterday and the day before, but it did not resolve.
What could be the possible cause for the headache and the other issues described in the first paragraph? Could this be something serious like a brain tumor? What are the chances of it being any such thing, given that I had a CT scan of the brain only five months ago and everything was normal then? Sorry for the lengthy post. Kindly help.