Pressure & strange sensations in head, Help someone.

[msinmars]

I'm 20 years old. I've been suffering with this constant head pressure for at least 5 years now. My ears always feel like they need to be popped. When I pop them it helps the head pressure for a couple seconds. Sometimes burning sensations and sharp pains occur in my head that last for a couple seconds. I have tingling mostly in the front of my head/ forehead. I had this strange vision where the double vision goes away when one eye is closed. My vision has been like this for years now. I have neck pain and sometimes I have pain in my right shoulder blade. I feel strange all the time, like this surreal feeling. My balance is thrown off. I feel out of breath a lot. I'm always tired and feel weak. I don't know if this has anything to do with it but my feet always hurt when I wake up in the morning. I would appreciate if someone can help me with all of these symptoms.

[msinmars]

Thank you for your help. Do you think this is a tumor? I've always been scared that it was.

[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.