shootin paines, pressure

hi all, im a 27 year old that suffers from i would say on a daily basis, shootin pains mostly on the right hand side of my head but are now spreadin 2 the left hand side and sometimes the back of my head.  i have been to the doctors and they say it is a type of neuralgia, ( the nerves going into a spasam) causing the sharpe shootin pain.  but i also get a pressure type feelin at the back of my head, not all the time. i also feel as if some times i am swayin but dont know if anybody else can see me.  the other day i felt as if there was something inside my right ear.  i dont know if i am being paranoid, but im waiting for something to happen, as if my head is going to pop.

please someone reassure me that its not anything serious?

tigger2507

[Dr Sharma]

Hi there. These headaches could be due to stress, anxiety, migraines or tension headaches, sinus headaches radiating to the ear, headache usually front of head, on one or both  the sides of temples along with nausea, vomiting, irritability, low blood pressure, sensitivity to lights, sound, etc. aura associated with migraines could include blind spots, blindness in half of your visual field, paresthesia, weakness or visual hallucinations. Your vision needs detailed testing by an ophthalmologist. Hypertension and hypotension need to be checked. An MRI brain is warranted to rule out any intracranial lesion particularly aneurysm and MRI spine for ruling out cervical spondylosis and degenerative disc disease.  Temporal tendinitis mimics migraines including TMJ pain temporal headaches, tooth sensitivity, neck and shoulder pain. Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered. If the neurologist and radiologist are suspecting a cerebral aneurysm, they can confirm with cerebral angiography and clipping of the aneurysm could be done. Hope this helps. Take care.