[65F] Experiencing head pain with pressure when leaning over or exerting

What might be happening

Based on your symptoms, possible causes include:

• Tension Headaches: These are often described as a constant band-like pain around the head and can be exacerbated by certain movements or straining. They are often associated with stress or poor posture.

  • Treatment typically involves over-the-counter pain relievers, stress management, and physical therapy.

• Sinusitis: Inflammation or swelling of the tissue lining the sinuses can cause pain that worsens with bending over or sudden movements. Other symptoms can include a runny nose, stuffy nose, and facial pain or pressure.

  • Treatment usually involves managing symptoms with over-the-counter medications, nasal irrigation, and sometimes antibiotics if a bacterial infection is suspected.

• Primary cough headache: A type of headache triggered by coughing and other types of straining—such as sneezing, blowing your nose, laughing, crying, singing, bending over or having a bowel movement.

  • Treatment for primary cough headaches often isn't needed, as they're usually harmless and improve on their own. However, if they are severe or become chronic, medication can help reduce the frequency and severity of headaches.

Please note, these are possibilities based on the symptoms you've described. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

In the meantime, here are some general suggestions:

1. Over-the-counter pain relievers: Non-prescription medications such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help reduce headache pain.
2. Rest and relaxation: Try to rest in a quiet, dark room. Stress management techniques such as deep breathing, yoga, and meditation may also help.
3. Hydration: Make sure you're drinking enough fluids, as dehydration can contribute to headaches.
4. Avoid triggers: If you notice certain activities or foods seem to trigger your headaches, try to avoid them.

What you should look out for

You should seek immediate medical attention if you experience:

• A sudden, severe headache like a thunderclap
• Headache with fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
• Headache after a head injury, especially if the headache worsens
• A chronic headache that is worse after coughing, exertion, straining or a sudden movement
• New headache pain if you're over 50

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.