Head Pain: Symptoms and When to Seek Medical Help - Neurology

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When experiencing persistent head pain, especially if it lasts for more than a week, it is crucial to consider seeking medical attention. The symptoms you describe—pressure in the head, pain when applying pressure to specific areas, and the location of the pain—can indicate various underlying conditions.
Headaches can be classified into several types, including tension headaches, migraines, cluster headaches, and secondary headaches caused by other medical conditions. Tension headaches are the most common type and are often characterized by a dull, aching sensation all over the head, along with tenderness in the scalp, neck, and shoulder muscles. Migraines, on the other hand, can cause severe, throbbing pain, often accompanied by nausea, vomiting, and sensitivity to light and sound. Cluster headaches are less common but can be extremely painful, typically occurring in cyclical patterns or clusters.

Given your symptoms of a "pressure" feeling and localized pain when pressing on specific areas, it is essential to consider the possibility of tension headaches or even migraines. However, other causes must also be ruled out. For instance, sinusitis can cause pain and pressure in the forehead and around the eyes, while more serious conditions like intracranial hypertension or tumors can also present with similar symptoms.

It is important to note that if you experience any of the following symptoms, you should seek immediate medical attention:
1. Sudden onset of a severe headache (often described as a "thunderclap" headache).

2. Headache accompanied by neurological symptoms such as weakness, numbness, or difficulty speaking.

3. Changes in vision or consciousness.

4. Headache following a head injury.

5. Persistent headache that worsens over time or changes in pattern.

In your case, since the headache has persisted for a couple of days and is accompanied by pressure and pain upon touch, it would be advisable to consult a healthcare professional. They may conduct a thorough examination, which could include a neurological assessment, imaging studies like a CT scan or MRI, and possibly blood tests to rule out infections or other underlying conditions.

In the meantime, there are some self-care strategies you can employ to alleviate your symptoms. These include:
- Rest: Ensure you are getting adequate sleep and taking breaks from screens and stressful activities.

- Hydration: Drink plenty of water, as dehydration can contribute to headache symptoms.

- Over-the-counter medications: Non-prescription pain relievers such as ibuprofen or acetaminophen can help reduce pain.

- Cold or warm compress: Applying a cold pack to your forehead or a warm compress to your neck may provide relief.

- Relaxation techniques: Practices such as deep breathing, meditation, or yoga can help reduce stress and tension, potentially alleviating headache symptoms.

In summary, while some headaches can be managed with self-care, persistent or severe headaches warrant a medical evaluation to rule out serious conditions and to determine the most appropriate treatment. Your health is paramount, so do not hesitate to seek help if your symptoms persist or worsen.