Q. I have pain and pressure in head with weakness and dizziness in legs. Why?

Hi,

Welcome to icliniq.com.

I would like to know some further details about your symptoms. Please mention about the duration of headache, kind of headache whether it is heavy or stretching or squeezing or throbbing, part of the head where you feel headache, do you have nausea or vomiting during headache, do you have a headache with redness in eyes or watering from eyes or nasal blockage, any kind of physical activity that triggers your symptoms, how frequent you have a headache, the intensity of headache whether it is mild, moderate or severe.

Please mention about the chest pain. Please mention whether you have chest pain with heaviness or pricking or tightness, do these pain present with fast heartbeats, do these chest pain occur along with headache and dizziness episodes, mention the reason for taking Prozac (Fluoxetine) and its dose, do you take medicine for headache, how is your vision at this condition. Please mention about your sleep whether it is routine, or do you take a long time to sleep, do you have frequent awakening during sleep, or do you feel fresh on awakening from sleep in the morning. Please mention about the usual mood in the day to day activities and appetite.

You need to do T3 (triiodothyronine), T4 (thyroxine), TSH (thyroid-stimulating hormone), serum Vitamin B12, and serum Vitamin D3.

As you mentioned, many of the tests pertaining to the heart and brain are normal. There may be a possibility that headache can be a primary headache and chest pain symptoms can be due to non-organic or psychological factors associated.

Please revert with detailed information about your symptoms.

Please revert with above mentioned information for better understanding and further judgement.

Hi,

Welcome back to icliniq.com.

Along with symptoms and MRI (magnetic resonance imaging) brain, you might be having migraine headache or tension-type headache or a mixture of both. Along with this, you can have depression and anxiety issues and it may trigger your headache.

You can take some regular medications for prophylaxis of these headaches. You can get migraine prescription online which includes Propranolol sustained release 20 mg twice daily. For anxiety issues, you can take Etizolam 0.25 mg twice daily. For the depression issue, you are already taking Prozac 40 mg once a day, but it is not sufficient and you can try adding Amitriptyline 25 mg once at bedtime and Prozac (Fluoxetine) 40mg once daily. For getting relief from pain, you can take a simple NSAID (instead of Tramadol), you can take a tablet Naproxen 500 mg once in the morning and one in the evening when you have severe intensity headache. You can discuss these with your treating neurologist or psychiatrist.

You need to do T3, T4, TSH, Serum Vitamin B12, Serum Vitamin D3, ANA (antinuclear antibody) IFA (indirect fluorescent antibody) Method, ds-DNA (double-stranded DNA), and ENA (extractable nuclear antigen antibodies) profile.

You can have a tension-type headache or migraine Headache or mixed anxiety and depression

You need to do T3, T4, TSH, Serum Vitamin B12, and Serum Vitamin D3.

You can take some regular medications for prophylaxis of these headaches. You can get migraine prescription online which includes Propranolol sustained release 20 mg twice daily. For anxiety issues, you can take Etizolam 0.25 mg twice daily. For the depression issue, you are already taking Prozac 40 mg once a day, but it is not sufficient and you can try adding Amitriptyline 25 mg once at bedtime and Prozac (Fluoxetine) 40mg once daily. For getting relief from pain, you can take a simple NSAID (instead of Tramadol), you can take a tablet Naproxen 500 mg once in the morning and one in the evening when you have severe intensity headache. You can discuss these with your treating neurologist or psychiatrist.

Along with this, you can meet a psychologist for counseling sessions for your mental health.

Also, start doing some physical exercise like simple jogging in the morning daily for 20 to 30 minutes. Exercise is very helpful in all these issues (anxiety, depression, tension headaches, and migraine headache. It helps in sleep.

You can try the above-mentioned medicines (after discussing with your treating neurologist & psychiatrist), meet a psychologist for counseling sessions and start jogging exercises and update me after two weeks of it. We will discuss further based on the response to the above measures.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar

Experience: 22 + Yrs

Neurology

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