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Pressure on top of head, heaviness, tightness with headache. Reason ? - Online Doctor Chats

Date : 30-Jun-2013
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:Dr. XXXXXXX here
Doctor:How can I help you?
User:Sometime pressure on top of my head, heaviness around the head, sometime tightness in the head, sometime headache – don’t know why ?
User:I had MRI scan nothing found as it was normal
User:MRI of my brain
User:and EEG test -
User:all are normal
Doctor:May I know your age?
Doctor:Since when do you have these headaches?
User:i m 29 years old
Doctor:Can you describe the pain - is it throbbing or a dull ache?
Doctor:Do you have nausea/vomiting/vision disturbances along with the headaches?
User:no nausea/vomiting/vision disturbances along with the headaches
Doctor:Can you describe the pain - is it throbbing or a dull ache?
Doctor:How long does the headache last?
Doctor:Is there any factor that causes/precipitates these headaches?
Doctor:And how is it relieved.
User:i had this in Nov, Dec, XXXXXXX 2012
User:then i met with one nuro doctor
Doctor:I need these information to understand the condition better. I hope you do not mind answering the questions.
User:that doctor said that I have no problem
User:i just need to do disk walk for 40-50 min in the mornign
User:and i should not take tension
User:id followed it and i was 0000% OK
User:but again i had some personal issues so i was in deep tension and it started again
User:last week
User:when i sleep in the night
User:and wake-up in the morning - i feel OK
User:I am not going for morning walk for the past two months
Doctor:Do you have any other medical illness such as diabetes, high blood pressure?
Doctor:Are you on any regular medications?
User:Also constipation problem I have I checked my BP y’day it was 142
Doctor:Let me brief you.
User:i had those medicine for around two months
User:in Feb and march
User:and i became 100% OK
Doctor:From your description, the headache seems to be due to tension headache which are a form of chronic headache.
User:i think whenever i take too much of tension it creates problem
Doctor:It is good that you have undergone MRI scans. Brain aneurysm can mimic such severe headaches and normal scans rules this out.
User:even my TFT test was OK
User:Do u know MIOT hospital in Chennai
User:i did my MRI scan in MIOT only
User:and EEG also
Doctor:Tension headaches are treated with life style changes. Avoiding tension and staying stress free prevents such headaches. So I suggest you to practice the exercise given to you earlier.
User:in March. April, May - I was 100% OK
Doctor:At times of severe headache, you can take pain relievers such as Tab. Dolo 650mg.
Doctor:Other medications will be needed, if the headaches are very frequent.
Doctor:So keep a note of the date and time of headache occurrence in a dairy.
Doctor:These measures will be sufficient to help you live healthy and headache free life.
Doctor:Have you followed what I suggested?
User:i don't know the medicine names as it is at my home now however i asked in pharmacy and they said that one is for vitamin, and one for nerves related, and last one for also nerves and sleep related medicine
User:Ok I will follow your instructions
Doctor:I understand that those are preventive medications which kept you off the headaches.
Doctor:I would prescribe similar medications if the headaches occur frequently.
User:i think i should re-start my morning fast walk
User:yes please
Doctor:You can keep a stress free life, with healthy exercise and regular meals.
Doctor:They will prevent the headaches.
User:and thats true that i take too much of tension for even small thing and it's my minus point
User:i have a doubt - can i ask u/
Doctor:Keep yourself stress free with early morning walks, breathing exercise, regular meals, meditation, yoga, soft music and so on.
Doctor:They will help you.
Doctor:Please proceed with your doubt.
User:one of my friends told me that the nerves become tight in your head and that's the reason you have this kind of issue? and nerves becomes tight because of my too much of worry/ tension
User:is my friend's words right ?
Doctor:The exact pathogenesis that occurs to cause this headache is unknown.
Doctor:However it is believed to be due to some neurochemical changes.
Doctor:These changes can also produces muscular contractions causing the pain.
Doctor:So your friend is partly right.
Doctor:Do you have any other questions?
User:one more very important question i have
User:i went to ENT doctor also
User:i went to three ENT doctors
User:and three of them said the same thing
User:that inside my nose
User:some skin has grown and that makes me difficult to breach sometime
User:i had a surgery in 2007
User:in my nose
User:ENT doctor said that my nose is a little band
User:so he did the operation
User:and i was really free to breath but after sometime again this problem started
User:even another ENT said that operation was not done properly
User:so imgot confused
User:one thing, when i am too busy at my work - i dont feel any headache
Doctor:The headache and nose problems are not related.
Doctor:Do you have any other query?
User:No sir,
Doctor:Thanks for consulting me.
User:I will follow your insturctions
Doctor:Bye for now.
User:So I have no any major problem?
User:last qustion
User:So I have no any major problem?
Doctor:However if you do not practice a proper life style, tension headaches can be troubling.
Doctor:Hence make sure you manage stress properly.
Doctor:Hope it is clear.
Doctor:Do you have any more questions?
User:no sir and Thank you very much for your time
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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