I have been having a tension headache and migraine. I have pressure while standing. Why?

Q. Does tension-type headache cause pressure while standing?

Answered by
Dr. Hitesh Kumar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 18, 2023

Hello doctor,

I have had a tension headache for a full day. When I lay down I can hear my heartbeat in my ears. Almost like my hearing is pulsating. I do have pressure in my head. Is this normal? I feel pressure in my head when I stand and I am suffering from migraine. Kindly suggest.

Thank you.



Welcome to icliniq.com.

I have read your query and understand your concern. I would like to know some details of your problem:

1. Since when have you started to have headaches?

2. Do you feel that headache in which areas of your head?

3. Does this headache happen persistently or episodically? Was it episodically before and now turned into a constant headache?

4. If episodically, how long does one episode last? (from onset to complete relief without medication)

5. How frequent are these headache episodes? How many times in a week?

6. Do you feel any vomiting or feeling of vomiting or redness in the eye or watering from the eye or nasal congestion during a headache?

7. How is your day-to-day mood?

8. How is your sleep? How is your vision?

9. Have you noticed any trigger factors for his headache?

11. For what problem are you taking Metoprolol (Calcium Stearate and Cellulose) and Losartan (Titanium Dioxide and Hypromellose)? Is it for high BP (blood pressure)?

Please answer these for further suggestions. Thank you.

Investigations to be done:

MRI (magnetic resonance imaging) brain, Ophthalmology examination to look for intraocular pressure and fundus, T3, T4, TSH (thyroid stimulating hormone).

Regarding follow up:

Revert with the above-mentioned details for better understanding and judgment.

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