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Pressure on the sides of neck and forehead due to stress - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   For the past two weeks I have had recurring rushes of pressure that I can feel in the sides of my neck and forehead. its like a wave of pressure comes over me for a few seconds, much like what sometimes happens when standing up too quickly, only this sensation now happens regularly, even when just sitting. It happens repeatedly in short surges. I am concerned that it is connected to my heart, though I had my heart checked a year ago and all is normal except for PVCs which I have daily, sometimes more than others (2-5 PVCs an hour, usually) I have noticed that sometimes the pressure rushes and PVCs conicide, with the PVC coming first, though usually the two seems unconnected. I mentioned the pressure rushes to my primary care doctor. He checked my BP in each arm, which was fine. I am 38 and only began having these feeling two weeks ago.
Doctor :   Hello.
Doctor :   Let me read your query.
User :   Hello
Doctor :   Are you on any medications?
User :   Yes, currently synthroid (200 mcg) and nexium (40mg)
Doctor :   Since when are on this medications?
User :   Syntroid for 11 years, thought recently I dosage has been reduced and nexium for 2 years
Doctor :   When did you reduce the dose?
User :   Rduced from 250 to 200 two weeks ago, when I last saw my primary care. This is a couple of days after the sensations started.
Doctor :   Ok.
Doctor :   Has the reduced dose helped in improvement of your symptom?
User :   Unfortunately it has had no effect on them.
Doctor :   Ok.
Doctor :   Do you have any other associated symptoms like.
Doctor :   sweating , breathlessness, etc
Doctor :   during the episode pressure wave.
Doctor :   'of
User :   No. Although, and this could be anxiety, when this happens it is sometimes accompanied with what seems like a tightening of the airway in my nose/sinus cavities.
User :   But the pressure is the main symptom
Doctor :   Ok.
Doctor :   How much was the last measure BP?
User :   I think it was around 110/80 or so. The dr checked both arms. I should also mention that last year, due to PVCs, I had complete heart exam with stress test, etc, that turned out fine.
Doctor :   Ok.
Doctor :   It could probably due to anxiety,
Doctor :   Do you smoke or consume alcohol?
User :   No smoke or alcohol.
Doctor :   Ok.
Doctor :   Are you facing any stressful situations recently?
User :   I don;t feel anxious at all. Could anxiety be there to that extent without my feeling it?
Doctor :   You may have not noticed it.
User :   Lots of stress, yes.
User :   My Cardiologist seems to think that it is not my heart causing it
Doctor :   Try to avoid stressful situations for some time now.
User :   It scares me a little though and its uncomfortable.
Doctor :   See if it shows any improvement.
User :   I tried for the past three days to avoid stress and its still there.
User :   Maybe I need more time
Doctor :   Try stay calm.
Doctor :   'to
Doctor :   Try meditation or yoga.
Doctor :   and stop worrying about the situation.
User :   Also worried that my PVCs will get worse with age. This has been stressing me lately. That could make me anxious.
Doctor :   Yes,
User :   So probably not a heart defect
Doctor :   It doesn't look like for time being.
Doctor :   But if there is no improvement
User :   Thank You. I will try my best to deal with it in the coming month. I have an appt. with my cardio in two months.
Doctor :   after trying avoiding stress, yoga, meditation.
Doctor :   you can revert back to your cardiologist.
User :   Ever heard of this before from anyone?
Doctor :   Yes.
User :   Thanks, that helps
Doctor :   Is there any thing else i can help you with?
User :   No, thank you.
Doctor :   Thanks for consulting,
Doctor :   bye for now.
User :   Thank you doctor
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