Is My Headache Getting Worse or Is It Drug Resistance? - Neurology

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Headaches can be a complex issue, and it sounds like you are experiencing a significant amount of discomfort. Based on your description, it seems that you have been dealing with tension-type headaches for about three weeks, with varying intensity. You mentioned that the pain feels like pressure on your head, and at times, it escalates to a sensation of your brain feeling like it is about to burst. You have also noted that medication has previously provided some relief, but recently, it seems to have become less effective.

First and foremost, it is essential to understand that headaches can arise from various causes, including tension, stress, dehydration, poor posture, and even underlying medical conditions. Tension-type headaches are the most common form of headaches and are often characterized by a dull, aching sensation all over the head, along with tenderness in the scalp, neck, and shoulder muscles. They can be triggered by stress, anxiety, or muscle tension, particularly if you spend long hours in front of a computer screen, as you mentioned you do.

The fact that you have been experiencing these headaches for three weeks and that they have worsened could indicate a few possibilities. One possibility is that the initial cause of your headaches has not been adequately addressed, leading to a chronic condition. Another possibility is that you may be developing a tolerance to the medication you are taking, which could explain why it seems to be less effective recently. This phenomenon is sometimes referred to as "medication overuse headache," where frequent use of pain relief medications can lead to rebound headaches when the medication wears off.

Given your symptoms and the duration of your headaches, it is crucial to follow up with your healthcare provider. You mentioned that you have already undergone a brain wave test, which is a good step in ruling out any serious neurological issues. However, if your headaches continue to worsen or if you experience new symptoms, such as visual disturbances, severe nausea, or changes in consciousness, it is essential to seek immediate medical attention.

In the meantime, there are several strategies you can implement to help manage your headaches:
1. Hydration: Ensure you are drinking enough water throughout the day, as dehydration can contribute to headache severity.

2. Posture: Pay attention to your posture while working at your computer. Ergonomic adjustments to your workstation can help reduce muscle tension in your neck and shoulders.

3. Stress Management: Consider incorporating relaxation techniques such as deep breathing exercises, meditation, or yoga into your daily routine to help alleviate stress.

4. Regular Breaks: Take regular breaks from screen time to rest your eyes and stretch your muscles.

5. Sleep Hygiene: Ensure you are getting adequate sleep each night, as poor sleep can exacerbate headache symptoms.

6. Medication Review: Discuss with your doctor the possibility of adjusting your medication regimen. They may suggest alternative treatments or preventive medications that can help manage your headaches more effectively.

In conclusion, while it is possible that you may be experiencing a form of medication resistance, it is equally important to consider other factors that could be contributing to your worsening headaches. A thorough evaluation by your healthcare provider will help determine the best course of action for your specific situation. Please do not hesitate to seek medical advice sooner rather than later, especially if your symptoms are impacting your daily life significantly.