Headaches Accompanied By Strained Neck And Increased Blood Pressure?
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Good afternoon, thanks for the question
From the results of the physical examination you mentioned, the abnormal results can be classified as blood pressure. Other tests such as vital signs and physical examination of the heart within normal limits.
While the headache to the nape of the neck that is complained about leads to a condition of primary headaches called tension type headache, then there are also anxiety complaints.
Tension Type Headache (TTH) is a form of headache that is often associated with an increase in stress. Stress conditions cause disturbances and dissatisfaction that generate reactions in the muscles of the head, neck, shoulders, and head vascularization resulting in headaches. This headache is more common in women than men in a ratio of 3: 1 and most attacks young adults.
Complaints of pain spread diffusely and with mild to moderate intensity. Tense headaches in muscles usually last for 30 minutes to 1 full week. Pain is initially felt by the patient in the back of the neck and then spreads to the back of the head and then spreads to the front. In chronic muscle tension tense headaches are usually a manifestation of underlying psychological conflicts such as anxiety and depression, so screening for psychological disorders may also be required.
There is no meaningful physical examination to diagnose this muscle tension headache. All checks generally give normal results. Diagnosis is based on symptoms and normal physical examination. Supporting symptoms are the underlying psychological factors and characteristics of headache symptoms (type, location, frequency and duration of pain).
Treatment should be directed to the underlying disease when there is clearly an anxiety disorder or even depression, with anti-anxiety or anti-depression medications in addition to headache treatment. Pain relievers that can be used are paracetamol, or non-steroidal anti-pain medications such as ibuprofen or ketoprofen.
In such cases the patient must be convinced that there are no significant abnormalities in the organs in the body, but rather the cause is a psychological disorder. The family must help reduce the patient's anxiety or depression, and assess the patient's anxiety or depression.
As for the case of increased blood pressure according to the literature there is no clear relationship between hypertension and headaches. In other words, not all hypertensive patients will experience headaches. Only in cases of severe hypertension, with values> 200/120 mmHg that can clearly cause headaches. Treatment of hypertension will be given by a doctor if in 3 times the examination at different times produces a constant blood pressure increase.
That's all, hope you can help
Wassalam, Dr. Farah