Head Discomfort: When to Worry About Neurological Issues - Neurosurgery

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Brain issues


Hello, Doctor.
One day, while washing my hair, the hot water ran out, so I had to use cold water.
After finishing, I felt a slight swelling and discomfort on the lower left side of my head.
I'm not sure if there's any issue.
Additionally, I would like to ask if the occasional swelling at the back of my head, along with sudden headaches, could be related to a brain tumor? The headaches are infrequent, and taking acetaminophen helps relieve them.
Sometimes, I also feel a sense of pressure in my brain (at the back).
Thank you for addressing these two concerns.

Nìmíng, 20~29 year old female. Ask Date: 2024/01/29

Dr. Zhao Shaoqing reply Neurosurgery


In general, if headache symptoms are mismanaged and do not improve, there is no need to worry unless they persist without improvement, in which case a neurosurgical evaluation should be considered to check for any abnormalities.

Reply Date: 2024/01/29

More Info


When it comes to understanding head discomfort, particularly in relation to neurological issues, it is essential to consider various factors that could contribute to your symptoms. Based on your description, you are experiencing a sensation of pressure or discomfort in the left lower part of your head after washing your hair with cold water, as well as occasional headaches that can be alleviated with over-the-counter pain relief medication like paracetamol (commonly known as Tylenol in the U.S.).
Firstly, the discomfort you felt after switching from hot to cold water while washing your hair may not necessarily indicate a serious problem. Sudden changes in temperature can sometimes lead to temporary sensations of discomfort or pressure in the head. This could be due to muscle tension or even a mild form of headache known as a tension-type headache, which is often triggered by stress, fatigue, or changes in routine.

Regarding your concern about the occasional headaches and the sensation of pressure at the back of your head, it is important to note that while these symptoms can be alarming, they are not definitive indicators of a serious condition such as a brain tumor. Headaches can arise from a variety of benign causes, including tension, sinus issues, migraines, or even dehydration. The fact that your headaches are infrequent and respond well to pain relief is a positive sign.
However, it is crucial to remain vigilant about any changes in your symptoms. If you experience persistent headaches, changes in vision, difficulty speaking, weakness in your limbs, or any other neurological symptoms, it would be advisable to seek medical attention promptly. A healthcare professional may recommend imaging studies, such as an MRI or CT scan, to rule out any serious conditions, including tumors or other structural abnormalities in the brain.

In general, if you are experiencing discomfort that is unusual for you or if your symptoms change in frequency or intensity, it is always best to consult with a healthcare provider. They can conduct a thorough evaluation, which may include a neurological examination, to determine the underlying cause of your symptoms.
Additionally, lifestyle factors such as stress management, adequate hydration, regular sleep patterns, and ergonomic adjustments while working or using electronic devices can significantly impact your overall head health. Engaging in relaxation techniques, such as mindfulness or yoga, may also help alleviate tension and reduce the frequency of headaches.

In summary, while your symptoms may not currently indicate a serious neurological issue, it is essential to monitor them closely and consult a healthcare professional if they persist or worsen. Taking proactive steps in managing your health and seeking timely medical advice can help ensure that any potential issues are addressed early on.

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