What could be the reason for discomfort in the right temple?

Hi,

Welcome to icliniq.com.

I understand your concern.

Please answer the following questions that help me give you a better consult.

1. What is the frequency of your bad feeling in the temporal area of your head? (multiple times per day, daily, weekly).
2. How long it lasts in each episode?
3. Does the severity change by your position? For example by changing the position from sitting to reclining on a bed.
4. Do you smoke?
5. Have you had any trauma to your head recently?
6. Have you noticed any weight loss recently?
7. Have you had a red eye or tearing at the side of discomfort, simultaneously with that initiation of the bad sensation?
8. Do you experience any nausea or vomiting when you have that discomfort?
9. Do you have any first-degree relatives who suffer from chronic headaches?

Please revert with the answers, so that I can guide you accordingly.

Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Your problem is called 'new onset daily headache'. However you said that it is mainly a bad feeling or sense of palpitation, such problems are regarded under this category. The feature of your problem is that it is not a clear or typical form of primary headaches, such as migraine, tension, cluster headache, or other forms of unilateral autonomic cephalalgias. Encountering a new onset daily headache with positional changes and without response to simple analgesics, the first needed evaluation is brain imaging, including sequences that show the brain vessels also. In your case, you need to undergo a brain MRI (magnetic resonance imaging) and brain MRA (magnetic resonance angiography). The result directs the treatment approach. For instance, if we see a special problem in the brain or it is the vascular system, the treatment plan will be in that direction. If the imaging result turns out to be normal (which occurs in the majority of cases), then the treatment plan will be in the direction of managing other benign causes. For example, muscle twitches, or benign fasciculation, of the temporalis muscle can cause similar symptoms that you have. Finally, as a physician, I cannot reassure you without doing the essential para-clinic imaging studies. Nevertheless, regarding your descriptions, the possibility of a benign problem is higher than a malignant one. It would be very beneficial if your family physician request brain MRI or MRA for you, along with an appointment with a neurologist. I also suggest you reduce the dose and taper off the nicotine consumption.

I hope this information will help you. Please revert in case of further queries.

Thank you.

Hi,

Glad to have you back!

I am here to help you get the best medical advice.

I understand your concern.

I have reviewed the attached image (attachment removed to protect the patient’s identity). It is not similar to the red eye that typically accompanies certain headaches, known as autonomic cephalagias or cluster headaches. In such cases, the entire sclera turns a light red or appears congested temporarily during the headache, and it quickly resolves afterward. Moreover, these red eyes often come with other symptoms like a droopy eyelid and tearing. What happened to your eye is a small subconjunctival hemorrhage, resulting from a broken small blood vessel. It is harmless and can occur from very light trauma, such as rubbing the eye, sneezing, coughing, straining, or similar actions. Just ensure you check your blood pressure, as sometimes high blood pressure can lead to such hemorrhages.

I hope your query got resolved. For further queries, you can consult me at icliniq.

Thank you.