Hi, thanks for asking from HCM. I can understand your concern. Your friend is having symptoms which might be due to : Chronic subdural hematoma(SDH) : Non-specific headache : Hypertension Chronic SDH is gradual collection of blood and its products around brain. It usually affects elderly, alcoholics, patients taking anticoagulants (blood thinners) It starts after minor trauma and symptoms appear over a time. Diagnosis can be confirmed by neurosurgeon by getting CT/MRI brain. It will detect its amount and brain damage. Treatment may be surgical evacuation or serial observation with CT head only. Non specific headache could be stress headache/tension/migraine. It can be confirmed if all investigations are normal and he is having symptoms only after fatigue/stress. You have to consult doctor. Treatment will include bed rest painkiller like Diclofenac sodium after proper prescription Proper 8 hours sleep Head massage Avoid bright light/late night work or TV Hypertension can also cause headache/nasal bleeding/visual blurring/tremors in hands. It can be confirmed by monitoring his BP while having symptoms. For management, kindly consult physician Ask him to avoid fatty/heavy food Salt intake should not be more than 2 gm per day Morning walk is must Avoid mental or physical stress If overweight, reduce weight Start medication if still BP not controlled. Hope it will help him. Do not ignore symptoms and consult doctor. Thanks. Take care.. Dr Ishu Bishnoi