Hello Doctor,
I have been experiencing recurrent headaches and heaviness in my head for approximately one month. Today, the headache became extremely severe (08/10), especially after prolonged exposure to sunlight and heat.
My symptoms:
- Headaches affecting sometimes temple head or back of the head.
- Severe headache today. Currently, I have heaviness at the back of my head without significant pain.
- The heaviness increases when I lie down, even with a pillow, and reduces somewhat when I sit or stand.
- I did not sleep properly last night.
- My BP today was 130/80 mmHg, and my pulse was 70 bpm.
Medical history:
- History of hypertension.
- Taking Met XL 25 mg for several years.
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.
Sir
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37M. I was fine until ~50 days ago. Since then I have intermittent head heaviness/fogginess, needing extra effort to concentrate/work, mild dizziness and a feeling that my head/body is not fully focused. I get random brief pin-prick pains in different scalp/head areas and occasional brief zap/electric sensations; these are now less frequent. I also have heaviness/tightness at the back of my head and lower neck. At times I feel internal shaking without visible tremor. Occasionally I feel subjective leg heaviness and positional finger tingling, but I can walk, work, drive and perform daily activities without persistent weakness or falls. Symptoms often reduce when busy. I have anxiety about brain disease and am seeing a psychologist. Video neurological assessment was normal. Eye examination, including fundus/optic discs, was normal. B12 was 219 and Vitamin D 7 four months ago. Could this be anxiety/migraine, vitamin deficiency, cervical spine/neck-related, or another deadly neuro conditi
