Head issues
In the past two to three weeks, I have noticed that my head doesn't feel the same as usual.
Normally, it feels light, but recently it feels like there is something in my head, a foggy sensation.
When I focus on a task, I don't notice it, but after finishing, I feel briefly dizzy and then experience the foggy feeling.
In the last two to three days, I've also noticed pain when pressing on the left back of my head, but there doesn't seem to be any swelling or bumps.
This morning, the painful area has shifted to just above my ear, and I feel a slight dizziness accompanied by a sore throat.
I would like to ask what these symptoms might indicate and whether I need to seek medical attention or how I can improve my condition.
Recently, I have also noticeably felt a decline in my vision, but I'm not sure if it has suddenly worsened or if it has been gradually declining, and I just became aware of it due to the recent brain issues.
Xiao Zhu, 20~29 year old female. Ask Date: 2023/03/29
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "pressing on the left back of your head is painful, but there is no swelling or pimples." This may indicate issues related to the neck and cervical fascia.
Maintaining an improper posture for extended periods can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder pain.
The tenderness may be due to myofascial inflammation.
The noticeable decrease in vision could be attributed to eye strain, which is often caused by refractive errors or strabismus.
If refractive issues are ruled out, it may be necessary to consider structural problems in the brain.
I recommend that you consult an ophthalmologist for a vision examination, followed by a visit to a neurologist.
Thank you for your inquiry, and feel free to discuss further.
Wishing you good health, peace, and happiness.
Dr.
Jiang, Taoyuan Medical Center, cares about you.
Reply Date: 2023/03/29
More Info
Based on your description of recent neurological symptoms, including a feeling of pressure in your head, dizziness, localized pain in the left occipital area, and changes in vision, it is important to approach this situation with caution. These symptoms can be indicative of various underlying conditions, some of which may require medical attention.
Firstly, the sensation of pressure or a "foggy" feeling in your head can be associated with several types of headaches, including tension-type headaches or migraines. Tension-type headaches often present with a feeling of tightness or pressure around the head, which can be exacerbated by stress, fatigue, or poor posture. Migraines, on the other hand, can cause more severe pain and may be accompanied by visual disturbances, such as blurred vision or aura symptoms.
The localized pain you are experiencing in the left occipital area, which has shifted to above your ear, could suggest a few possibilities. It may be related to muscle tension in the neck and scalp, especially if you have been under stress or have poor ergonomics while working or studying. However, it could also indicate a more serious issue, such as a pinched nerve or, in rare cases, a neurological condition that requires further investigation.
The dizziness you mentioned, particularly if it occurs after concentrating on tasks, could be a sign of vestibular dysfunction or even a form of migraine-associated vertigo. This type of dizziness can be disorienting and may lead to feelings of unsteadiness or lightheadedness.
Changes in vision, especially if you are noticing a decline in your ability to focus or see clearly, should not be overlooked. Vision changes can stem from various causes, including refractive errors, eye strain, or neurological issues. Given that you have also reported a sore throat, it is worth considering whether you might be experiencing a viral infection, which can sometimes lead to systemic symptoms that affect both your neurological and visual systems.
In light of these symptoms, it is advisable to seek medical attention. A visit to a neurologist would be beneficial, as they can perform a thorough evaluation, which may include a neurological examination and possibly imaging studies like an MRI or CT scan to rule out any serious conditions. Additionally, an eye examination by an ophthalmologist can help determine if there are any underlying issues with your vision that need to be addressed.
In the meantime, there are several strategies you can employ to help alleviate your symptoms. Ensuring you maintain good hydration, managing stress through relaxation techniques such as deep breathing or meditation, and ensuring you get adequate rest can be beneficial. If you find that certain activities exacerbate your symptoms, it may be wise to take breaks and avoid prolonged periods of concentration without rest.
In summary, while some of your symptoms may be related to common conditions such as tension headaches or eye strain, the combination of head pressure, localized pain, dizziness, and vision changes warrants a thorough medical evaluation to rule out any serious underlying issues. Please prioritize seeking medical advice to ensure your health and well-being.
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