Unusual Head Sensations: When to Seek Medical Advice - Internal Medicine

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I feel something strange in my head?


Hello Dr.
Hong: Since early August, I have been feeling a slight aching sensation in my head, although it is very mild and only occurs momentarily a few times.
However, afterwards, I feel a heaviness in my head and an overall discomfort, lacking the usual sense of lightness I used to have.
Sometimes, I also experience sudden feelings of discomfort that are quite noticeable, but they are not painful.
This has been going on for several days now, and I still feel a heavy and uncomfortable sensation, particularly in the frontal area of my head.
Since I am unsure about the underlying issue, I plan to observe my condition for a few more days.
If it persists, I will seek medical attention.
Could you please help me understand what might be happening? I am concerned that delaying could lead to a more serious problem.
Thank you, doctor.

Mr. Zeng, 20~29 year old female. Ask Date: 2017/08/12

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on your description, it is indeed difficult to determine the exact cause of your headache.
The most likely possibility is a migraine; however, other causes cannot be ruled out.
Therefore, I recommend that you consult a neurologist or a family medicine physician for further evaluation.
Additionally, I suggest maintaining a regular routine, managing stress, engaging in appropriate exercise, and avoiding tea, tobacco, alcohol, and coffee, as these can help improve your headache.
Thank you for your inquiry.

Reply Date: 2017/08/12

More Info


It sounds like you are experiencing some unusual sensations in your head, particularly a feeling of heaviness and discomfort in the frontal area. This can be concerning, especially since it has persisted for several days. Based on your description, there are a few potential explanations for your symptoms, and it is important to consider when to seek medical advice.

Firstly, the sensations you are describing could be related to tension-type headaches. These are often characterized by a feeling of pressure or tightness around the forehead or back of the head and neck. Stress, poor posture, and muscle tension can contribute to these types of headaches. Given that you mentioned a feeling of heaviness and discomfort, it might be worth examining your daily habits, such as your posture while sitting at a computer or any recent increases in stress levels.

Another possibility is that your symptoms could be related to sinus issues. Sinusitis, or inflammation of the sinuses, can cause a feeling of pressure in the forehead and may be accompanied by other symptoms like nasal congestion or facial pain. If you have had any recent upper respiratory infections or allergies, this could also be a contributing factor.

Additionally, it is important to consider the possibility of migraines, which can sometimes present with unusual sensations or a feeling of heaviness in the head. Migraines can be triggered by various factors, including stress, certain foods, or changes in sleep patterns. If you have a history of migraines, it would be prudent to monitor your symptoms closely.

Given that your symptoms have persisted for several days and are causing you discomfort, it is advisable to seek medical attention if they do not improve. A healthcare professional can perform a thorough evaluation, which may include a physical examination and possibly imaging studies like an MRI or CT scan, to rule out any serious underlying conditions.

In the meantime, there are some self-care strategies you can implement to help alleviate your symptoms. These include:
1. Stress Management: Engage in relaxation techniques such as deep breathing exercises, meditation, or yoga to help reduce tension.

2. Posture Awareness: Pay attention to your posture, especially if you spend long hours at a desk. Ensure that your workstation is ergonomically set up to minimize strain on your neck and shoulders.

3. Hydration: Make sure you are drinking enough water throughout the day, as dehydration can contribute to headaches and feelings of heaviness.

4. Regular Breaks: If you are working on a computer, take regular breaks to rest your eyes and stretch your neck and shoulders.

5. Sleep Hygiene: Ensure you are getting adequate sleep and maintaining a regular sleep schedule, as poor sleep can exacerbate headache symptoms.

If your symptoms worsen or you experience additional symptoms such as vision changes, severe headache, or neurological symptoms (like weakness or numbness), it is crucial to seek immediate medical attention. Your health is important, and addressing these symptoms early can help prevent potential complications.

In summary, while your symptoms may be related to tension, sinus issues, or migraines, it is essential to monitor them closely. If they persist or worsen, do not hesitate to consult a healthcare professional for a comprehensive evaluation and appropriate management.

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