Neurological Symptoms: Head Pressure, Nausea, and Mood Issues - Neurology

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... I don't know how to face it @@


I feel a heaviness in my forehead and a sensation of blockage in the back of my head.
There are specific areas in my shoulders and neck that are sore.
My vision is slightly blurred, and I feel fatigued.
My mood is not great, and sometimes I feel quite irritated.
Additionally, I experience nausea and a slight urge to vomit when I walk.
I'm worried that I might be developing depression.
Whenever I think about negative things, I become anxious.
Am I overthinking?
I previously consulted a doctor at Chang Gung Memorial Hospital, who said my issues were due to having an irregular sleep schedule (for about two years) and excessive computer use with poor posture (during that time, I spent about 15-20 hours a day playing shooting games).
He advised me to relax and exercise more, but I haven't followed through.
However, I wonder why many other computer users don't seem to have these problems.
It's really frustrating.

The discomfort in my neck, head, and shoulders definitely affects my mood and thought processes.
Recently, whenever I feel anxious, I become even more upset.
Sometimes it feels like my mind is overloaded with thoughts.
Please help me, doctor.
I'm studying in Hsinchu, and I will seek your assistance again when school starts.
Thank you.

Mini Zhu, 20~29 year old female. Ask Date: 2006/08/22

Dr. Ye Boshou reply Neurology


Hello: Normal hyperuricemia can improve with increased physical activity.
It's important to first enhance your current exercise routine for improvement.

Reply Date: 2006/08/22

More Info


Your symptoms of head pressure, nausea, mood issues, and physical discomfort are indeed concerning and warrant a comprehensive evaluation. It sounds like you are experiencing a combination of tension-type headaches, possible migraine symptoms, and anxiety-related issues, which can all be exacerbated by lifestyle factors such as poor posture, excessive screen time, and irregular sleep patterns.

Firstly, the sensation of heaviness in your forehead and the feeling of pressure in the back of your head could be indicative of tension-type headaches. These headaches are often characterized by a tight band-like sensation around the head and can be triggered by stress, poor posture, and prolonged periods of sitting, especially in front of a computer screen. The discomfort in your shoulders and neck further supports this, as muscle tension in these areas can contribute to headaches.

The nausea and feelings of dizziness you describe could also be related to your headaches or could indicate vestibular issues, especially if you are experiencing these symptoms while walking. It's important to note that nausea can sometimes accompany migraines, which may also explain your symptoms if they are indeed migraine-related.
Your emotional state is also a significant factor. Anxiety and mood disturbances can manifest physically, leading to symptoms such as headaches, fatigue, and gastrointestinal discomfort. The fact that you feel overwhelmed by negative thoughts and experience increased anxiety when thinking about unpleasant situations suggests that your mental health could be impacting your physical health. Chronic stress and anxiety can lead to a cycle where physical symptoms exacerbate emotional distress and vice versa.

The advice you received from your doctor regarding your lifestyle is crucial. Irregular sleep patterns, particularly staying up late and using screens excessively, can significantly affect both your physical and mental health. The blue light emitted from screens can interfere with your sleep cycle, leading to fatigue and cognitive difficulties during the day. Additionally, a sedentary lifestyle can contribute to muscle tension and exacerbate feelings of anxiety and depression.

To address your symptoms, consider the following strategies:
1. Establish a Routine: Try to maintain a regular sleep schedule, aiming for 7-9 hours of quality sleep each night. This can help regulate your mood and improve cognitive function.

2. Limit Screen Time: Reduce the amount of time spent on screens, especially before bedtime. Take regular breaks during prolonged computer use to rest your eyes and stretch your body.

3. Physical Activity: Incorporate regular physical activity into your routine. Exercise is a powerful tool for managing stress, improving mood, and alleviating physical discomfort. Even simple activities like walking or stretching can make a significant difference.

4. Mindfulness and Relaxation Techniques: Consider practicing mindfulness, meditation, or yoga to help manage anxiety and improve your overall mental well-being. These practices can help you develop better coping strategies for dealing with stress.

5. Seek Professional Help: If your symptoms persist or worsen, it may be beneficial to consult with a healthcare professional, such as a neurologist or a mental health specialist. They can provide a more thorough evaluation and recommend appropriate treatments, which may include therapy, medication, or lifestyle modifications.

In conclusion, while your symptoms are concerning, they are not uncommon among individuals who experience high levels of stress, poor posture, and irregular sleep patterns. By addressing these lifestyle factors and seeking appropriate medical advice, you can work towards alleviating your symptoms and improving your overall quality of life. Remember, it’s essential to take care of both your physical and mental health, as they are closely interconnected.

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