welcome to Healthcare Magic.
There is following possibilities in your case, which need evaluation and treatment in following hierarchy:
-High blood pressure: Monitor your BP regularly. If exacerbation of pulsatile headache
is associated with high BP
, then it needed attention.
-Migraine: Need further assessment
-CNS pathology: You may need MRI
Brain to rule it out.
Your final treatment will depend on the cause. Till your evaluation got completed, monitor your BP and take you BP medicines regularly.
Wish you all the best.
Dr Ashish Kumar Mittal