Head Pain and Body Tremors: When to Seek Neurological Help - Neurology

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Body shaking and headache?


Hello, doctor! Sometimes I suddenly feel a pressure in my head (on both sides of my temples) accompanied by a headache, and my body also shakes! Sometimes even when I am still, my body shakes.
Additionally, I have some difficulty breathing! What kind of doctor should I see for this? Thank you.

Dzz, 20~29 year old female. Ask Date: 2023/11/27

Dr. Jiang Junyi reply Neurology


Hello Mr.
Dzz: You mentioned that you are experiencing "pressure on both temples" accompanied by headaches and body shaking.
Your symptoms may suggest tension-type headaches, which are caused by muscle tightness in the head.
Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband.
Since this is caused by muscle fatigue, the pain typically begins in the afternoon and peaks in the evening or at night.
Taking a hot shower, getting a massage, or sleeping can provide relief.
Lack of sleep, stress, or anxiety can exacerbate the severity of the headaches.
I recommend discussing your condition and treatment options with a neurologist.
Thank you for your inquiry, and feel free to reach out for further discussion.
Wishing you good health, peace, and happiness.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2023/11/27

More Info


When experiencing symptoms such as bilateral temple pressure, headaches, body tremors, and difficulty breathing, it is crucial to seek medical attention promptly. These symptoms can indicate a variety of underlying conditions that may require neurological evaluation.

Firstly, the sensation of pressure in the temples, often described as a throbbing or pulsing pain, can be associated with several types of headaches, including tension-type headaches and migraines. Tension-type headaches are typically characterized by a tightness or pressure around the head, while migraines may present with additional symptoms such as nausea, sensitivity to light, and visual disturbances. The presence of body tremors and difficulty breathing, however, suggests that there may be more than just a headache at play.

Body tremors can be caused by a range of factors, including anxiety, neurological disorders, or even metabolic imbalances. For instance, anxiety can lead to physical symptoms such as tremors and difficulty breathing, often exacerbated by stress or panic attacks. On the other hand, neurological conditions such as Parkinson's disease or essential tremor may also present with involuntary shaking. Given your symptoms, it is essential to consider both psychological and neurological factors.

The difficulty in breathing you mentioned could be related to anxiety or panic attacks, especially if it occurs alongside other stress-related symptoms. However, it could also indicate a more serious condition, such as respiratory issues or cardiovascular problems. It is vital to differentiate between these possibilities, as they require different approaches to treatment.

In light of these symptoms, it is advisable to consult a healthcare professional, specifically a neurologist. A neurologist can conduct a thorough evaluation, which may include a physical examination, neurological assessments, and possibly imaging studies such as MRI or CT scans to rule out any structural abnormalities in the brain or nervous system. Additionally, they may recommend blood tests to check for metabolic or hormonal imbalances that could contribute to your symptoms.

Moreover, if your symptoms are acute or worsening, or if you experience additional concerning signs such as confusion, severe headache, loss of consciousness, or changes in vision, you should seek emergency medical care immediately. These could be signs of a more serious condition, such as a stroke or transient ischemic attack (TIA), which require urgent intervention.

In conclusion, your symptoms warrant a comprehensive evaluation by a neurologist to determine the underlying cause and appropriate treatment. Do not hesitate to seek help, as early intervention can significantly improve outcomes and quality of life. Remember, it is always better to err on the side of caution when it comes to neurological symptoms.

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