Hi guys/girls,

Hope this is correct place to ask.

I am having this headache since December/January and initially it was just slight pain like get hit by niddle.
I went to a normal clinic to do checking and doctor said i am having HBP (153/95) and doctor ask me to do diet plan.
I went from 80+ KG to 72KG within 2-3 months and my BP now is around 120+/70+

However my headache is still there and additionally, i am having chest pain.
I went to do a full body checkout, heart stress test and found nothing.

I went to a neurologist and doctor and the pain can be stop by taking some pain killer, doctor suggest that it was not a tumor.

My headache from niddle pain, becoming different now. within the day, the pain come and go. every time the pain last like only a few second and the feeling was like someone pressing your head real hard.

I am not sure what to do next as I am already suffer for more than half years d. Now my chest pain gone, left this headache and sometime neckpain. and if I use PC for more than 1 or 2 hour, my shoulder will pain.

I need some suggestion now. What should I do next? Go direct to do MRI scanning for both brain and spine? or anyone having such symptom before?

If it might be a spine, can suggest me? I have spend more than RM2k for this thing, i am drying soon i really need some help

Age: 27/Male



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This post has been edited by dejiar: Sep 15 2018, 07:16 PM

Fullbody check no xray no mri?
Better do mri i think

MRI is when u sure somethig wromg inside body then u go for it

In this case go

Go for mri bro

if u can afford MRI, u can go for it.

But your symptoms have changed since onset, and your weight has gone down.
Several parameters have also changed - ur diet habit, ur vitals, etc.
Thus, it is very inconclusive to provide useful advice without knowing ur current conditions.

Neck/shoulder pain: if it is stiffness with pain, it is likely due to ur posture, and prolonged sitting.

Headache: ur initial onset is likely due to the high BP. Right now, without knowing the pattern of your onset or the details of the pain, i can only speculate few causes: stress, caffeine, hypoglycemia, migraine, insufficient sleep.

if i were u, i would go for full blood test first. Also monitor the timing pattern of the pain, the location and extent of the pain, which would help the Dr to zoom down to most likely cause.

Hi,

For the time being, you can reduce the screen time first and it could trigger similar response too.

I will suggest you to try QEEG brain mapping as it is to understand the functions of the brain.
It is a useful tool to understand your underlying issue.
You may google search and get more info about it.


What is QEEG brain mapping?
A QEEG brain map (or 'Q' for short) enables us to see your unique pattern of mental strengths and weaknesses - areas of the brain where there is too little or too much activity, and areas that are not coordinating their activity the best they could. We use QEEGs for our initial assessment, to design your neurofeedback training programme, and to track your progress over your sessions. It involves nothing more than wearing a sensor cap so we can listen to what your brain is doing. Once we can see the reason for your struggles on a brain level, we can create a neurofeedback training programme to help resolve it.
We use software analysis tools, but software cannot make human judgements or put the map in context of you and your goals. As with most fields, there is an art to it that only comes with experience. Most people find their QEEG fascinating. There are seldom any surprises in the brain map; it is a measure how you feel and function, and presumably you already know how you feel. Still, most find real comfort and validation in getting a measure on those feelings or challenges, and relief that they can be shifted.

IS BRAIN MAPPING RELIABLE?
Brain mapping is a means to measure brain function. It has become a primary tool in neuroscience. QEEGs are used in research centres all over the world to study ADHD, autism spectrum disorder, depression and bipolar disorder, PTSD, anxiety disorders, learning disabilities, and emotional conditions of every sort. It is a recognized diagnostic tool for some medical conditions in Germany and the USA.

Are you wondering why your healthcare professional hasn’t conducted a brain map or recommended one for you?
Most psychiatrists and mental health professionals don’t utilize brain mapping because it’s not part of their conventional tools. Conducting a QEEG involves a huge learning curve and is very technical. They also may not know enough about brain mapping to feel comfortable recommending it.

How is a qEEG brain map conducted?
Conducted in our office, the entire process takes about 60 minutes. It’s comfortable and painless but does result in a “bad hair” day. During the recording you sit in a comfortable chair wearing a cap with electrodes that record 19 sites on your head. The brain mapping process looks very similar to what a neurologist does when conducting a conventional EEG. However, a QEEG brain map analyzes very different information than what the neurologist does.


Source:
http://www.newmindcentre.com/2018/04/qeeg-...assessment.html

This post has been edited by zeropoint9: Jul 29 2018, 09:14 PM

xray not included, i only do chest xray at tat time. and ultrasound on kidney and liver. kidney ok liver fatty.

jus go hospital and say want do mri? usually spine and brain can do togather rite? plan to do it and usr ez payment, if not i cnt afford in one time payment.

i have done 2 full blood test in last 6 month, everything normal. i am thinking of get hurt during gym especially sit up. also, i spend lot of time playing phone and pc (my work require to use pc much). just not sure which doctor to proceed next or maybe i jus go mri or xray

if full blood test is normal, than most likely body is ok.

depends on how severe is ur headache, there is probably no rush to see a Dr.
I have suffered different types/extent of headache, and none of the Dr can diagnose me properly.

U should go to Dr if u suffer the following:
a. pain always arrive as sharp pain (not a background dull pain)
b. pain intensity above level 4, on a scale of 10 (10 being your maximum tolerable pain)
c. frequent episode, affecting your sleep
d. ur vision is affected
e. ur logical thinking process is affected (like u cannot drive properly)

if ur conditions not as above, u can take ur own approach to eliminate the following causes one by one:
1. hypoglycemia
2. caffeine/cigar
3. stress
4. spectacles too tight
5. wisdom tooth growing
6. migraine

to help u in diagnosing the cause, consider the following:
i. when does the headache happen? any specific time?
ii. how frequent?
iii. will something u do/not do (before meal? after meal? wearing spectacles? after sleep? etc.), lead to headache?
iv. type of headache (pulsating? sharp? dull? background? etc.)
v. any specific location?
vi. does pressing any area induce the headache?

Not sure is though, i just change my spec due to doctor advice, but the new spec make me feel uncomfortable, so i wear back my old spec. both spec does not give me clear vision.
My memory are abit bad recently such as cnt remember the name who i meet 3 month ago (meet for 1 month or 2) until ppl remind me.

my migraine is bad, if i walk under hot sun for more than 3 minute, the whole day i will have headache until i sleep and wake up.

i) whole day, but better at night, and is not constantly, is like someone come to me and press my head once than run away. like very 10 min or so.
ii)refer to i, usually 7 days a week.
iii)wake up than headache, feel worse if i driving (observe it recently, still yet to confirm), other than that, anytime oso will trigger unless i lay down
iv)like u something pressing from inside? i not sure how to describe tat, but is not sharp pain level is like 3/10 i think
v)feel better if i am doing others thing or chatting with someone. (my job mostly home base)
vi)not really, but sometime if my head was laying on some place, will have slight pain. but just sometime. (i have back pain, near kidney area and neck pain, moving my neck always produce sounds crak crak)

does ur headache improve, when you not wearing specs and not watching/reading (ie. relaxed state)?
do u feel headache intensify with each heartbeat, ie. u can feel the heartbeat pattern in ur head?
do u have enough sleep?
when did ur headache begin? after changing specs? after having back pain? after changing PC monitor? chair?

My personal opinion is that it is ur lifestyle - bad habits accumulated, till ur body cannot take it.
This is on the assumption that ur xray is clear, and ALL blood parameters (except your fatty liver) are within normal range.
This is supported by the fact that u have back pain, neck pain, stiff neck, poor memory, etc.

I presume u have very little sleep, maybe insomnia, and sit long time (1hr or more) without moving around?
I also suspect your blood pressure monitor (BPM) not accurate, because ur blood pressure seems too good, if u really have such symptoms.

if my speculation is true, paracetamol doesn't work well on u, not even muscle relaxant.
in fact, to recover, u merely need to change ur lifestyle - 8hr continuous sleep, move around every 30 mins, bring your BPM to ur Dr for calibration or get an accurate BPM, drink plenty of water, etc.

not yet try that, but base on my experience, usually if i cover my eye and try to lay down, i feel better
For the heartbeat pattern of headache, it usually after staying under sun for a period. and for the whole day after that.
yes, i have enough sleep.
my headache just happen like that, nothing was change, but it become worst after i diet+exercise (jog, sit up).

I think it cause by my bad habit too. Thats why i try to change it now, but seem not much improvement. My bp taken from multiple place and multiple doctor, it seem accurate for me.
yup, pain killer does not work well, unless the one given by doctor. the pain reduce but u still can feel it

your blood test, Triglyceride level, is normal?
and the good cholesterol vs bad cholesterol ratio, is normal?
and ur blood glucose reading? before and after meal?
u dun have a wisdom tooth problem currently? wisdom tooth, when growing, is known to cause headache as well.

lifestyle-induced symptoms, do not go away fast.
The body needs time to heal.
Although some medications can improve the symptoms to certain extent, they should be used as acute measure, not long-term dependence, otherwise u could suffer more problems due to side-effects.
Give ur body time to heal, when you revert back to healthy lifestyle.

if u still worry or u can afford further diagnosis, then u can consider MRI also (go to ur Dr, ask referral to brain specialist who can prescribe MRI).
if ur conditions dun improve (may not be cured, just improvement) in 3 months, or conditions worsen, go further diagnosis.

i have high bad cholestrol, but is reducing now cause of my exercise and oat meal, others is normal. maybe i will jus wait for a month or 2 for now since most of the ppl include doctor said is not a big issue.

This post has been edited by dejiar: Jul 30 2018, 03:16 PM

Get a second neurologist opinion and request for MRI.

ah, just as i thought. i was suspecting potential blockage in your blood vessels, which would explain why u so prone to dizziness after ur exercise.
and this is reflected in ur cholesterol level.
but well, it has not reached critical level, and as long as u continue ur current diet and exercise, it will be controlled.
so keep up ur efforts, and all the best.

sitting posture problem? December change nwe job? new desk? recently kena blunt force trauma on the head or not? can recall what trigger?

my advice is careful of stroke... always get someone to be around you...

i moved to new house on 2016, change a new job on 2017 april.
no idea

The neuro doctor is quite good and recommended.

this 2 day seem okay je. Will keep monitor.

Maybe cause by my bad move on badminton also. Cause last time every time after my badminton session, i will get extreme headache. but now okay d

This post has been edited by dejiar: Jul 31 2018, 10:36 AM

1. Get the spec eye issue sorted out.
2. If spec or eye issue sorted but still having persistent headache, time for a scan of the head.

just change my spec but seem the new spec is more worst.
and is too expensive for me to change another one..

yup

I think you got brain tumour