Pulsating Head Vessels: Causes and Concerns

Often feel pulsation in the blood vessels of the head?

Hello, doctor.
As the title suggests, I have recently been feeling pulsations in the blood vessels in my head, especially when I lie on my pillow at night; this sensation is most pronounced during that time.
I also dream every night, and I often experience headaches, particularly after waking up in the morning.
What could be causing this? Thank you!

ANAN, 20~29 year old female. Ask Date: 2017/05/26

Dr. Chen Taicheng reply Family Medicine

Headaches can have many causes, with common types including migraines and tension-type headaches.
Migraines are characterized by moderate to severe pain that can last from 4 to 72 hours, often unilateral, and may be accompanied by pulsating pain, nausea, vomiting, and exacerbation due to light, sound, or routine activities.
Some migraines may have an aura, which can include sensations such as tingling.
Tension-type headaches are typically mild to moderate and persistent, sometimes related to stress or poor sleep, often presenting as a feeling of tightness around both sides of the head, and can occasionally lead to neck pain.
Your symptoms sound like they could potentially be migraines or tension-type headaches.
For more information on migraines, you can refer to this article: https://goo.gl/dEH3ie.
It is advisable to consult a family medicine or neurology specialist for further evaluation.
Wishing you good health, Dr.
Chen Tai-Cheng from Taoyuan Hospital Family Medicine Department cares about you.

Reply Date: 2017/05/26

More Info

Pulsating sensations in the head, particularly when lying down, can be concerning and may stem from various underlying causes. Understanding these sensations requires a comprehensive approach, considering both physiological and psychological factors.

Firstly, the sensation of pulsating blood vessels in the head is often linked to the normal functioning of the cardiovascular system. When you lie down, especially on a soft surface like a pillow or blanket, the position can affect blood flow and pressure in the head. This can lead to heightened awareness of the pulse in the blood vessels, particularly in the temples or forehead. This phenomenon is usually benign and can be exacerbated by factors such as anxiety, stress, or fatigue.

Another common cause of pulsating sensations is tension headaches. These headaches can result from muscle tension in the neck and scalp, which may be more pronounced when lying down. Stress and poor posture, especially if you spend long hours in front of a computer or in a fixed position, can contribute to muscle tightness and subsequent headaches. Additionally, if you are experiencing dreams frequently, it may indicate that you are entering deeper sleep stages, which can sometimes lead to increased awareness of bodily sensations, including pulsations.

Moreover, migraines can also present with pulsating sensations, often accompanied by other symptoms such as nausea, sensitivity to light, or visual disturbances. If you notice that your headaches are recurrent, severe, or accompanied by other neurological symptoms, it is essential to seek medical advice. Migraines can be triggered by various factors, including hormonal changes, dietary habits, dehydration, and stress.

In some cases, pulsating sensations may indicate more serious conditions, such as increased intracranial pressure or vascular issues. If you experience additional symptoms such as persistent headaches, visual changes, or neurological deficits, it is crucial to consult a healthcare professional for a thorough evaluation. Diagnostic imaging, such as an MRI or CT scan, may be necessary to rule out any underlying conditions.

To manage your symptoms, consider the following strategies:
1. Stress Management: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help alleviate tension and reduce the frequency of headaches.

2. Posture Awareness: Maintain good posture, especially when sitting for extended periods. Ergonomic adjustments to your workspace can also help reduce muscle strain.

3. Hydration and Nutrition: Ensure you are adequately hydrated and maintain a balanced diet. Certain foods and dehydration can trigger headaches in some individuals.

4. Sleep Hygiene: Establish a regular sleep routine, ensuring you get enough restorative sleep. Avoid screens before bedtime and create a comfortable sleep environment.

5. Consultation with a Specialist: If your symptoms persist or worsen, consider consulting a neurologist or headache specialist. They can provide a tailored treatment plan, which may include medication or lifestyle modifications.

In summary, while the sensation of pulsating blood vessels in the head can often be benign and related to normal physiological processes, persistent or severe symptoms warrant further investigation. By addressing lifestyle factors and seeking professional guidance, you can better manage your symptoms and improve your overall well-being.

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