[56F] Experiencing scalp pain and auditory symptoms

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Tension-Type Headache: This is the most common type of headache and can cause a constant ache and pressure around your head, tenderness of your scalp, and is often described as a tight band around your head. It can be triggered by stress, anxiety, poor posture, or skipping meals.

  • Treatment usually involves over-the-counter pain relievers, stress management, and lifestyle changes.

• Migraine: Given your history of migraines, it's possible that this could be a migraine attack. Migraines are typically characterized by moderate to severe headache pain that can be throbbing or pulsating and often occurs on one side of the head. Some people with migraines also experience sensitivity to touch on their scalp.

  • Treatment usually involves medications to relieve symptoms and prevent future attacks.

• Temporal Arteritis: This is an inflammation of the arteries in your head, specifically the temple area. It can cause severe, persistent head pain, usually on one side, and scalp tenderness. It's more common in people over 50.

  • Treatment typically involves high doses of a corticosteroid drug.

• Pulsatile Tinnitus: This is a condition where you hear a rhythmic pulsing sound, often in time with your heartbeat. It's usually caused by blood flow changes in the blood vessels near your ear or increased awareness of blood flow near your ears.

  • Treatment depends on the underlying cause, but can include medications, sound therapy, or surgery.

Please note that it's also possible that these symptoms could be related to your pacemaker/defibrillator or your medications, but this is less likely based on the symptoms you've described.

What you can do

1. Schedule an appointment with your healthcare provider as soon as possible to discuss these symptoms. They may want to perform some tests or refer you to a specialist.
2. In the meantime, try to rest and stay hydrated. Over-the-counter pain relievers may help with the head pain, but make sure to use them as directed and don't exceed the recommended dosage.
3. Keep track of your symptoms and any potential triggers. This will be helpful information for your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Sudden, severe headache pain
• Changes in vision
• Difficulty speaking
• Weakness on one side of your body
• Confusion or difficulty understanding speech
• Fainting or loss of consciousness

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.