I started practising spoken English recently, and I experience neck tightness followed by tightness at the back of my head and throughout my head, only when speaking English with people over the phone for about 20 minutes.
I feel pressure to speak correctly and find words quickly during conversations.
When I avoid English conversations, I don't experience this problem, but I need to practise speaking English regularly to improve my fluency.
I am concerned about relying on painkillers or avoiding English practice instead of addressing the underlying cause.
I have a history of high blood pressure currently 130/90 and was previously prescribed telmisartan 40 mg.
Please help identify the cause and advise me on safe treatment and how I can continue learning English without triggering these symptoms.
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