What Causes Ache And Heaviness In Head?

Posted on Sat, 6 Sep 2014

Question: Hello

I am having headache and heaviness in head from past 1 week, some time is mild, also sometime heaviness on only half side of head and sometime all over the head.

Answered by Dr. Anshul Varshney (55 minutes later)

Brief Answer:
Detail Follows.

Detailed Answer:
Dear XXXX
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
The way you are describing it seems to be Mixed Headache that is a combination of Migraine and Tension type headache.
I would like to know following:
1. Any throbbing associated?
2. Any nausea or vomitings?
3. Any photophobia or phonophobia associated?
4. Any band like sensation over head?
5. How is your sleep?
6. Any ongoing stress?
Revert with these details for a better help.
Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (6 minutes later)

Dear Dr XXXXXXX

1. Sometimes i feel low noise throbbing , but when i am in a very silent room.I feel my heart beat.

2.No Vomiting or nausea.

3.No Photo / Phono Phobia.

4.Yes I feel band like sensation , i feel my head tight.

5.My sleep is good, no issue in sleeping , but when i woke up i feel good.

6.I am a project Manager hence some stress is always there.

Also I was having a typhoid 3 weeks before, but now i am completely recovered.

Waiting for your expert guidance.

Thanks

Answered by Dr. Anshul Varshney (6 minutes later)

Brief Answer:
Its not migraine

Detailed Answer:
Dear XXXX
The further description given by you clears that this is not migraine.
This seems to be Acute Tension type Headache.
If on clinical examination and fundoscopy I find that my patient is absolutely normal I start treatment without any investigations.
In such scenario I advise to take a combination of Propanolol and Clonazepam in might for around 7 days. And in between try to reduce stress to minimum.
My patients respond very well to this.
You can discuss with your doctor about this.
XXXX if you have any further query please ask me.
Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (2 minutes later)

Dear Dr XXXXXXX

Thanks for your reply.

My last question is my eyes feels and forehead feels heavy.

Is there anything serious?

Thanks

Answered by Dr. Anshul Varshney (15 minutes later)

Brief Answer:
Detail Follows.

Detailed Answer:
Dear XXXX
Definitive answer can be given after clinical examination.
However with the available details the heaviness in eyes or forehead seems to be due to Tension type headache only.
I would advise you to take the medicine and revert back after a week with your current status
I wish you a speedy recovery.
If you have no further query please close the discussion and rate it.
Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar