Hello! Thank you for asking on HCM! I read your question carefully and understand your concern. Your symptoms may be related tension type headache. But a secondary headache like temporal artheritis could also explain this clinical scenario. I recommend consulting with a neurologist for a careful physical examination and some blood lab tests (complete blood count, inflammation tests like fibrinogen, sedimentation rate, PCR, fasting glucose, blood electrolytes, etc). In case of abnormal inflammation tests (indicative for temporal arteritis or any other inflammatory disorders, further tests may be needed). Hope to have been helpful! Best wishes, Dr. Aida