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What Causes Nausea And Pressure On Top Of The Head With Headache?

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Posted on Mon, 19 Sep 2016
Question: History of migrane....have headache near left temple over one week. Head is not "blowing off" but at the moment feeling slightly nauseated and top of head feels pressure.I'm becoming concerned.
doctor
Answered by Dr. Klarida Papaqako (2 hours later)
Brief Answer:
Possible migraine because of history

Detailed Answer:
Hello,
Thank you for using HCM to post your question.

It seems like your headache is longing more than normal and you are right to be concerned.

Even though, with your history of migraine, it can justify being just a migraine episode that has not been treated completely. From what I understand you are getting relieved a bit from the use of Ibuprofen. This is a good new, because if it was a tumor or something more serious, you wouldn't be better by using it.

I would say add a tylenol between the Ibuprofen that you are using, for more relieve, and give it one more week time. If not better then consult a neurologist .

Hope this is helpful.
Let me know if you have other questions or concerns. Otherwise please kindly close and rate the answer.

Regards
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Klarida Papaqako (9 hours later)
yes...I am taking ibuprofen. Headache, it mostly is affecting the left temple area, but it also moves to the front of my head and the back. Also, my head seems to be radiating heat...both sides and back intermittently. My left eye feels like a migrane, and I have had headaches that have endured a weeks time. I had an mri of brain without contrast earlier this year....I have lesions on my brain that show possible demylenating..or MS... There has been no change in several years. This current headache is not excruciating , but because of the location, I was concerned. In your best opinion then, you don't think it's a clot or anything other than a migrane?


I submitted another question about 4 hours ago...did you receive it?
doctor
Answered by Dr. Klarida Papaqako (12 hours later)
Brief Answer:
Expect the pain to get better. If not better then consider seeing a doctor

Detailed Answer:
Hello dear,

Thank you for the follow up question.

If nothing has changed, in terms of duration and intensity, and if Ibuprofen is helping you, then I expect for the pain to go away in a couple of days.
The location is not specific because migraine can change location.

-- If the area in the temples is sensitive and painful when you touch it, then you should go to doctor asap. You may need Steroids and Antibiotics if it is a Temporal Arteritis, and it is urgent.

-- If it was a clot in the brain, the pain would be much worse and it wouldn't get better better by Ibuprofen. You would also have other neurological symptoms that can be ruled out by a neurological examination.

-- About your brain lesions, I would say that you need to follow those up with another MRI, once/year or earlier depending on how they look on the MRI. This fact makes your headache more serious and you should be more careful if changes happen. No need to worry if you say that things are the same that they have been and there has been no changes.

-- So to summarize: Take Ibuprofen for couple of more days, don't let the pain aggravate before taking the next dose (so take them regularly every 6 hours), try to rest in a quiet with no much light place. It not better in 2 days then consider seeing a doctor so he can perform a neurological exam (its necessary and we cannot do it from here), maybe another MRI (that may be necessary to0 to understand what is happening with those lesions), and take treatment according to the results of those steps.

Hope this is helpful.
Regards.
Above answer was peer-reviewed by : Dr. Priyanka G Raj
doctor
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Follow up: Dr. Klarida Papaqako (32 hours later)
Thank you for your heip! I am feeling a bit better today..
doctor
Answered by Dr. Klarida Papaqako (4 hours later)
Brief Answer:
Happy to have been of help.

Detailed Answer:
Hello,

Glad to know you are feeling better.

Happy to have been somehow of help.

Please don't forget to close and rate the answer.

Regards and all the best.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
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Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

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What Causes Nausea And Pressure On Top Of The Head With Headache?

Brief Answer: Possible migraine because of history Detailed Answer: Hello, Thank you for using HCM to post your question. It seems like your headache is longing more than normal and you are right to be concerned. Even though, with your history of migraine, it can justify being just a migraine episode that has not been treated completely. From what I understand you are getting relieved a bit from the use of Ibuprofen. This is a good new, because if it was a tumor or something more serious, you wouldn't be better by using it. I would say add a tylenol between the Ibuprofen that you are using, for more relieve, and give it one more week time. If not better then consult a neurologist . Hope this is helpful. Let me know if you have other questions or concerns. Otherwise please kindly close and rate the answer. Regards