Dr. Hitesh Kumar
Neurology
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Patient's Query
Hello doctor,
I am 26 years old male, for the last month and a half, I feel a pressure on the back of my head. It sometimes causes mild pain in different parts of my head, like the sides of my head. It makes me feel hot sometimes as well. I also have some neck pain, but it is not much. This headache is not very painful, but it is just an annoying pressure that has not gone away in six weeks. When I wake up in the morning, I do not feel anything, and then around 11 AM, the pressure is, there, and it will get worse until I lay down in the evening. And it pains a lot at night. I think about it all the time, so I am sure that does not help with the feeling. I think that I have a brain tumor. Should I see a doctor? I do not want to waste my time and have them say do this or try this without doing an magnetic resonance imaging (MRI). I have only taken Ibuprofen a few times to help with the pain, and that seems to work.
Hello,
Welcome to icliniq.com. I would like to know some details about your problem. 1. Since when you started to have these headaches? Did it start 1.5 months back or you had these headaches previously also? 2. Which parts of the head do you have pain? 3. How long does one episode of this headache last? 4. How frequent are the headache episodes? How many times in a week? 5. Do you have any vomiting, nausea, redness of the eye, watering from the eye, or nasal congestion, during a headache? 6. How is your day to day mood? How is your sleep? 7. Have you noticed any trigger factors for your headache? Investigations to be done are. 1. Magnetic resonance imaging (MRI) of the brain. 2. Ophthalmology examination to check for refraction, intraocular pressure, and fundus, to look for papilledema. I suggest you try taking tablet Amitriptyline 10 mg at bedtime daily and tablet Naxdom (combination of Naproxen and Domperidone) 500 mg in case of a severe headache. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Revert with investigations mentioned above and response to this medication.
Patient's Query
Hi doctor,
Thank you for replying. I have never had headaches like this before, just minor ones that go away the next day. This headache started a month and a half ago, then went away for a few days, and then started again. For the first couple of weeks it felt like a pressure on the top of my head, but from the last few weeks, it has been a tension like feeling directly on top of my head. Sometimes I feel some other minor jolts in other spots, and in front of my head. But 95 % of the time, it is felt on the top of my head only. This tension starts around 10 to 11 AM and gets more severe through the day. When I workout from 4 to 5.30 PM every day, I hardly feel, this tension. It then becomes worse every night. It is not severe by any means, but it is noticeable. This has been a constant daily thing for the past 1.5 months. I have had absolutely no other symptoms like vomiting, vision loss, memory problems, etc. I feel hot when the tension is more than moderate. My day to day mood is good, and I sleep just fine. I have a slight neck pain at the time of these headaches, but it is not a constant pain.
Hello,
Welcome back to icliniq.com. Your description of your headache gives an impression of it being a tension headache. I suggest you get an magnetic resonance imaging (MRI) of the brain and ophthalmology evaluation as described before. Along with the above medicines, do daily meditation, yoga, and exercises. Keep your daily schedule regular, like the meal times and sleeping time. After taking medicine regularly for about 3 to 4 weeks, you will gradually notice some decrease in the intensity and frequency of your headaches. After that period, I would like to review your symptoms.
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Neurology
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