Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

155 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Having headache with extreme pressure. Could this be from anxiety or sleep apnea?

Answered by
Dr.
Dr. Srikanth Reddy

Psychiatrist

Practicing since :2007

Answered : 2770 Questions

default
Posted on Sat, 19 Jan 2013 in Headache and Migraines
Question: headi have been having headaches off and on in the back of my head for going on two years now. When they come on thw back right corner of my head feels hot and extremley pressured. i have anxiety and it scares me when it comes on. i am fearful that it is a brain anureysum or somthing that could pop. have seen my dr and even been seen in an er before. both drs state that i do not show any symptoms nor do i have any risk factors for a brain tumor or anureysum so there is no need to run an mri or ct scan. i was told that i have anxiety and that these headaches are from anxiety and sleep apnea. i have also seen an chiropractor and he said that i have a misalignment in my neck that it is most likely cqusing my headaches. i do not have any pupil issues...dizziness.....vision problems.....facial issues.....the headache feels more like its a pressure and located in my scalp and neck. i have had multiple bp checks and physical examinations and all said was anxiety. with no risk factors....no serious physical symptoms....and multiple dr visits coukd it still be possible that i have a brain anureysum that is causing these headaches? my doctor says there is nothing to worry about bc anureysums generally after this much time woukd have already caused serious complications or would have produced very concering symptoms that woukd have warranted a ct or mri scan in which none of thisnhas happened. should i still bw worried? or shoukd i just take three drs andvice and accept it is anxiety?
doctor
Answered by Dr. Srikanth Reddy 5 hours later
Hello XXXXXXX
Thanks for sharing your concerns with us.
Its very obvious that you are very much concerned about the cause of the headache. The Headaches can occur due to "n" number of reasons and as you rightly feel, if there is a history of frequent headaches, it always warrants a imaging (at least a CT scan).
But there are a few questions which I would like to ask:
1) Is it only on one side or it changes sides?
2) Is it accompanied with nausea, visual disturbances or vomiting along with the headache during the episodes.
3) How long does the head ache last and how frequently does it occur?
4) What do you do when you have an head ache?
5) Do you have these palpitations and other anxiety symptoms before the start of headache or afterwards?
6) Is your headache having any relationship with a stressful event in your life?
I would be glad if you can provide me with these details so that I can serve you in a better way. Please add more details if you think they would be pertinent.
Hope to hear from you soon.

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
default
Follow up: Dr. Srikanth Reddy 1 hour later
have beem diagnosed with anxiety......mostly right side....no nausea or vomiting....no vision issues or dizziness...pupils are normal.

headches last probably an hr and are ofd and on throught day ...sometimes go away for days or week then come back. when headache comes on i generally take motrin or rub neck. palpqlation happen before and after headcahe. headaches qre worse when i worry about them or i am under stress. the headache feels like intense pressure and heat and i have been seen by an er dr and told anxiety
doctor
Answered by Dr. Srikanth Reddy 24 minutes later
Hello XXXXXXX
From your description of your headache it appears that the head ache you are having is a tension head ache and is mostly caused by anxiety and stress. Amitriptyline is a good drug for such symptoms. However its not available over the counter and you will be requiring a psychiatrists prescription for that. Meanwhile if the headache is bad, you should take paracetamol for the pain relief. You can take Tablet Tylenol 1 tab 3-4 times daily. Biofeedback therapy and cognitive behavioral therapy can also help you in reducing your distress. Paroxetine and benzodiazepines and propranolol are also good drugs for anxiety symptoms.
All said, you should still go for a CT scan of head, just to be cautious.
Diet and exercise always help.
Hope I am able to solve your concerns. If you need any further clarifications, I will be happy to help you.
Thanks.
Wish you good health.

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
default
Follow up: Dr. Srikanth Reddy 42 minutes later
my main worry is tumor or anureysum....with seeing drs and being told anxiety should i be still nervous.....even though headaches come and go and have no major symptoms could it still be a yumor or anureysum?
doctor
Answered by Dr. Srikanth Reddy 5 minutes later
Hello,

I understand your concerns. The tumours and aneurysm can present with a sole symptom of headache. The only 100% guaranteed way of answering your question is to get yourself scanned by an MRI. If your MRI brain come normal, it will reduce your anxiety about the cause of headache. It will also improve your anxiety symptoms and even headache as well. In your case MRI is not only diagnostic, but therapeutic as well. I suggest you should insist your doctor for an MRI the next time you see him.

Hope I am able to solve your concerns.

If yes, you can close the discussion and then you can rate the answer.

Wish you good health.
Above answer was peer-reviewed by : Dr. Mohammed Kappan
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,  
Drug/Medication
Lab Tests ,  
Medical Topics

Recent questions on  Aneurysm

doctor1 MD

I have a problem that is not resolving. I have right eye ptososis, strabismus, the eye no longer moves to the left and lately constant weeping/tearing from the eye. In the cavernous sinus, I have greater ectasia on the right vs left carotid on MRI and a vascular blush on a cerebral angiogram, suggestive of inflammation, tumor or fistula. Currently, there is no identified aneurysm, no inflammation or infection in CSF or blood, no identified fistula, and no tumor on MRI. High dose steroids are not resolving the problem. What other things could be assessed/examined?

doctor1 MD

on 4/21st, I had an Endostent abdominal aortic aneurysm repair. Came home on (22nd), a light red rash in appearance started in the hospital, within 24 hrs of surgery, it has become increasingly expanding legs, (1/2 down thighs), waist, arms, underarms, Saw primary care doctor, he thought it probably was a drug reaction, however, it has intensified. to very bright reds. it appears to not breaking through the skin. Do not see the doctor that did the surgery for 2 weeks.

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...I have an aneurysm in my ascending aortia. It is a 4.2. I found out in May of last year and the last few weeks I have woke up with my heart racing and pounding. I also have have had fluttering which I have had for awhile but have noticed more lately.

doctor1 MD

Dear Dr. Keerthi. I have been having weird spells in my brain for almost 5yrs. now. I had MRI s with and without contrast that showed nothing. I had an EEG performed for 48 hrs. and was told I have left frontal lobe seizures. My Dr. wanted me to have more extensive tests done at the Cleveland Clinic hospital last week. I had another MRI and that detected 2 aneurysms. One on each side of the brain. Then I also had a video EEG done. During my stay of a week, I did not have any of these spells while on the EEG. However, the Dr. said she seen what they call sharps on the left frontal lobe and said I am epileptic. Could these spells be caused by the aneurysms and would the sharps shown up on the EEG really be epilepsy?

doctor1 MD

Hi I have chest pain after I eat or when I lay down and it's so painful them my neck starts throbbing and I went to the er the other night and they said it's probably GERD . this happens almost every day/night. Mainly after I eat

doctor1 MD

I am feeling pulsing in my left foot only. I have felt this pulsing for two days now.

doctor1 MD

My husband has an abdoiminal annurism 5.7 centermeters and his blood pressure is 116.over67 Is this too low