Head feels like it will explode daily. Severe cognitive difficulties

Posted by nathansmith7143 @nathansmith7143, Apr 10, 2025

I have been dealing with constant head pressure in the back of my head for over a year. It has gradually gotten worse over time, and with this negative development came decreased cognitive function as well. I am not as sharp as I used to be, and my memory is extremely poor. I also cannot seem to feel joy anymore no matter how positive my mindset is. Bear in mind that I am only an 18-year-old male, so I am still young. I often find myself zoning out in my own thoughts as the pressure and pain gets worse. I am hardly present in the current moment; therefore, I really struggle to be mindful and live in the present at all times. As I type this, I find myself struggling to sharply think of how to compose this message. Anyway, the symptoms don't stop with my head. I also feel like I'm out of breath when I talk, and I have on-and-off debilitating anxiety that really gets me down in the dumps. Also, my limbs will just feel restless and achy randomly without any clear explanation. I have seen many doctors and found no relief. Pain killers and supplements are futile. I have only had an MRI laying down, but no chiari malformation was spotted, nor were there any other abnormalities. This chronic pain I deal with in my head makes me deal with a huge mental challenge from day to day. I have gone through the psychiatric route and have found no relief either, despite numerous therapy sessions and numerous (5-6) antidepressant medications. Currently, I struggle mentally from day to day and dread each day. I go to bed as early as I can (8:00 PM) to escape the chronic symptoms. All in all, these symptoms make me feel like I am going insane. I am so desperate for my life back and I know living life is worth so much... that is why I am still here typing this message. However, I cannot live like this forever... this is UNBEARABLE and I need help. Any thoughts?

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My husband has been having very similar symptoms for 2 years now and it’s getting worse. His is on the left side of his head and they see “nothing”. He’s been turned down by Mayo Clinic for help 3-4 times with the latest being the MN facility. We live in Florida and were willing to travel out there 😞 Shands finally told us last week he has (CAA) Cerebral Amyloid Angiopathy. At least there’s a name for it. No cure for him. They typically use an auto-immune suppressant but after age 65 they won’t it’s too risky if he gets sick. You’re young fight for your health!! I’m so disappointed, but we move forward and live each day the best we can.

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Profile picture for kimandjoe @kimandjoe

My husband has been having very similar symptoms for 2 years now and it’s getting worse. His is on the left side of his head and they see “nothing”. He’s been turned down by Mayo Clinic for help 3-4 times with the latest being the MN facility. We live in Florida and were willing to travel out there 😞 Shands finally told us last week he has (CAA) Cerebral Amyloid Angiopathy. At least there’s a name for it. No cure for him. They typically use an auto-immune suppressant but after age 65 they won’t it’s too risky if he gets sick. You’re young fight for your health!! I’m so disappointed, but we move forward and live each day the best we can.

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How were they finally able to diagnose your husband? Maybe the test can help Nathan know what to ask for 🤔

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Profile picture for nathansmith7143 @nathansmith7143

As far as I can remember, I haven't considered a possible thyroid issue. As for seeing neurologists, I saw one today who proclaimed that this was solely a mental problem and that I needed to get on with life. No matter how hard I push through my symptoms, I never feel any better, so I really don't believe what the neurologist told me. I've already seen 2 different therapists multiple times with no success and have been on multiple antidepressants. I just don't understand how this can solely be a mind thing. Doctors tell me to try and push through these symptoms and achieve goals like other humans do but it is such a strain that it's not worth it. I don't feel any self-satisfaction from achieving anything... all I feel is my head feeling like it will explode.

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What has your general doctor say? You said you’re 18?(suffering still from my mysterious episode so cognitive impairment is thete$ do you get your regular annual lab work? I would request a full thyroid panel (depending on your insurance ect) maybe something metabolic I believe was mentioned early
Definitely get the thyroid
Do these symptoms come and go or are they consistent ? Since they started did it progress or did you get all of this in an instant?
Were you sick in any memorable way perhaps 4 months before this started?
So you have any family members even extended with any health problems,passed early? Stuff like that?

I’m asking because those types of questions can narrow things down a bit

I know not feeling right in your body and brain and people think our younger generation are all just dramatic and blah blah But I believe you. Just remember certain things can trigger or make your main health problem create more havoc or intensify everything that is going on
I’m 43 a mom of 5 biological and a few extra o kept along the way. My oldest is 27,24,17,twin14 year olds
We all have genetic conditions auto immune. Hereditary predisposition to cancers,most mental illness
Rare genetic disease that requires transplant (my daughter was 7 bone marrow transplant back in 2007. Children in New Orleans did it. She was the second child that was treated for her condition ever!
Detailed family history is your best friend
Sorry so long. Hopefully all this helps

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Profile picture for nathansmith7143 @nathansmith7143

Hello. The headaches do not go away when I lay down, but I do feel the need to lay down a lot in order to tolerate the pain and pressure. The headaches are the worst later in the day (typically in the evening). I am out of breath when I exercise and I cannot push through the headaches if the exercise is intense. I do walk from time to time which makes the headache harder to tolerate. I don't have a lot of pressure in my life that would act as stressors. I am primarily concerned with my health as of right now.

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After reading this Have you had a classic neck to toe X-ray?
I really think you need to see a cardiologist. Do you have a smart ring or anything that will track your blood pressure/pulse oxygen? Get one asap. Get familiar and learn what’s healthy and not
They have this condition in kids your age group that has risen since Covid (regardless if your got Covid,the vaccine or got sick )
Please see your regular doctor. Or your parents.. nothing was mentioned so I’m not sure of if you do your health appointments or if your parents still do
O also think an X-ray for the breathing may be very important Your not crazy

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Profile picture for nathansmith7143 @nathansmith7143

This is my second post on this subject. I wanted to share some more details on the matter to see if I can get anymore direction/advice.For over a year, I have been dealing with constant head pressure in the back of my head. Sometimes my head aches along with the pressure, and my eyes frequently ache as well, thus weakening my vision. With these head issues come extreme cognitive setbacks. I feel like I have forgotten much of the past, and I can hardly think because I have to try and think through pain and this sludgy head pressure. My head feels like it will explode 24/7. In addition to head/brain symptoms are digestive issues, on-and-off anxiety with no rhyme or reason to it, breathlessness when I talk, and achy limbs. Another thing about the head pressure situation is that it just feels like I can't emotionally connect with anything (like depersonalization maybe?). It doesn't feel like I have the capacity to feel any joy whatsoever. I never experience a complete sense of relief or relaxation. In other words, life is hell and I cannot enjoy it. I can't really get out and do much either thanks to the extreme head symptoms. All in all, life is a huge mental struggle where I am fighting for the will to keep going. I WILL keep going, but it's impossible to ignore the hell I am currently dealing with.I have fallen on my back while wearing a drum once about 3 years ago. Other than that, no injuries. I have plans to see a neurology department somewhat near me (if they get back with me). I have already seen 2 neurologists who weren't of any help. Muscle relaxants, antidepressants, pain killers/migraine medication, and numerous supplements have already been tried and were little to no use. I have seen numerous other doctors (functional medicine, PCP, ENT, etc.) along with 2 ER visits and haven't gotten anywhere. A supine MRI of my brain showed no abnormalities either.I am just fearful of my life. I haven't considered a spinal leak issue yet, although I don't get any relief when I lay down. I could also consider pursuing a cardiologist for blood flow to the brain issues, but I don't really know where to go from here. I just wish my poor brain function (lack of emotions, poor memory, weaker vision) made sense. I don't know if there's anything else that could be contributing to my symptoms?

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Hello there,
I have been experiencing something kind of similar. I just came across your post in trying to find answers. I think I figured out what it was for me, I’m praying this helps you. Have you looked into whether your ears are clogged/plugged? It might feel like they’re not if you’re really used to it or you may just not notice it. It all has to do with the eustachian tubes which affect the pressure in your ears which can cause WAY more symptoms than what is listed online.

Please please look into it. Ears often look more normal than they are too.

healthline.com
/health/ear-barotrauma

healthline.com
/health/why-does-my-ear-feel-clogged

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Profile picture for earthlinggirl @earthlinggirl

Hello there,
I have been experiencing something kind of similar. I just came across your post in trying to find answers. I think I figured out what it was for me, I’m praying this helps you. Have you looked into whether your ears are clogged/plugged? It might feel like they’re not if you’re really used to it or you may just not notice it. It all has to do with the eustachian tubes which affect the pressure in your ears which can cause WAY more symptoms than what is listed online.

Please please look into it. Ears often look more normal than they are too.

healthline.com
/health/ear-barotrauma

healthline.com
/health/why-does-my-ear-feel-clogged

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There is one thing I want to add. Look into fluid in the ears, damage to ears or excess ear wax—can have a bigger impact than we might think.

REPLY
Profile picture for nathansmith7143 @nathansmith7143

This is my second post on this subject. I wanted to share some more details on the matter to see if I can get anymore direction/advice.For over a year, I have been dealing with constant head pressure in the back of my head. Sometimes my head aches along with the pressure, and my eyes frequently ache as well, thus weakening my vision. With these head issues come extreme cognitive setbacks. I feel like I have forgotten much of the past, and I can hardly think because I have to try and think through pain and this sludgy head pressure. My head feels like it will explode 24/7. In addition to head/brain symptoms are digestive issues, on-and-off anxiety with no rhyme or reason to it, breathlessness when I talk, and achy limbs. Another thing about the head pressure situation is that it just feels like I can't emotionally connect with anything (like depersonalization maybe?). It doesn't feel like I have the capacity to feel any joy whatsoever. I never experience a complete sense of relief or relaxation. In other words, life is hell and I cannot enjoy it. I can't really get out and do much either thanks to the extreme head symptoms. All in all, life is a huge mental struggle where I am fighting for the will to keep going. I WILL keep going, but it's impossible to ignore the hell I am currently dealing with.I have fallen on my back while wearing a drum once about 3 years ago. Other than that, no injuries. I have plans to see a neurology department somewhat near me (if they get back with me). I have already seen 2 neurologists who weren't of any help. Muscle relaxants, antidepressants, pain killers/migraine medication, and numerous supplements have already been tried and were little to no use. I have seen numerous other doctors (functional medicine, PCP, ENT, etc.) along with 2 ER visits and haven't gotten anywhere. A supine MRI of my brain showed no abnormalities either.I am just fearful of my life. I haven't considered a spinal leak issue yet, although I don't get any relief when I lay down. I could also consider pursuing a cardiologist for blood flow to the brain issues, but I don't really know where to go from here. I just wish my poor brain function (lack of emotions, poor memory, weaker vision) made sense. I don't know if there's anything else that could be contributing to my symptoms?

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I made this account to say I have many of the exact symptoms as you. Depersonalization, constant head pressure emanating from the back of the head, medicines being useless, cognitive difficulties, nothing showing up on MRI, memories fading away, etc.

However, I don’t have a couple of your symptoms. I don’t have breathlessness when I talk or achy limbs. My limbs instead feel like they’re distant, not really numb but less sensitive than before.

School used to be so easy for me, but now it’s a living nightmare. It doesn’t help that I also have ADHD. I find myself only able to focus on my head issue. I’ve spiraled into a deep depression and I don’t know how long I can keep going.

The only thing that helps is getting massages. It seems to calm the pressure down a little. There was one time I got a painful massage (note, the massage didn’t include the head, only the spine up to base of skull), woke up the next morning feeling normal for 3 hours. It was beautiful. I didn’t realize how depersonalized this issue made me feel.

The fact that the massage helped and didn’t include the head makes me think it’s a spinal issue, possibly CCI. Another thing to note is that my issue started soon after I got a phone, so my issue could be due to my head hanging low (but remember, correlation does not mean causation). Maybe try getting a deep massage and see if it helps.

I don’t think CSF leak could be it, as most brain MRIs can tell that. Also, All my blood tests turned out normal, so I don’t think it’s a serum-based deficiency.

If you find anything out about your issue, please let me know. I think I’m struggling with the same issue, and even an ounce of relief would be amazing.

REPLY
Profile picture for matthew9324 @matthew9324

I made this account to say I have many of the exact symptoms as you. Depersonalization, constant head pressure emanating from the back of the head, medicines being useless, cognitive difficulties, nothing showing up on MRI, memories fading away, etc.

However, I don’t have a couple of your symptoms. I don’t have breathlessness when I talk or achy limbs. My limbs instead feel like they’re distant, not really numb but less sensitive than before.

School used to be so easy for me, but now it’s a living nightmare. It doesn’t help that I also have ADHD. I find myself only able to focus on my head issue. I’ve spiraled into a deep depression and I don’t know how long I can keep going.

The only thing that helps is getting massages. It seems to calm the pressure down a little. There was one time I got a painful massage (note, the massage didn’t include the head, only the spine up to base of skull), woke up the next morning feeling normal for 3 hours. It was beautiful. I didn’t realize how depersonalized this issue made me feel.

The fact that the massage helped and didn’t include the head makes me think it’s a spinal issue, possibly CCI. Another thing to note is that my issue started soon after I got a phone, so my issue could be due to my head hanging low (but remember, correlation does not mean causation). Maybe try getting a deep massage and see if it helps.

I don’t think CSF leak could be it, as most brain MRIs can tell that. Also, All my blood tests turned out normal, so I don’t think it’s a serum-based deficiency.

If you find anything out about your issue, please let me know. I think I’m struggling with the same issue, and even an ounce of relief would be amazing.

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Hello @matthew9324 and welcome to Connect. As I read your post, I see that you have thought about this problem and have tried to come up with an answer on your own. I'm glad that you had some relief with the massage.

You do not mention how long you have had these symptoms. Has it been a long time? Also, have you consulted with any doctors yet?

I look forward to hearing from you again. Will you continue to post as you look for answers?

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Profile picture for Teresa, Volunteer Mentor @hopeful33250

Hello @matthew9324 and welcome to Connect. As I read your post, I see that you have thought about this problem and have tried to come up with an answer on your own. I'm glad that you had some relief with the massage.

You do not mention how long you have had these symptoms. Has it been a long time? Also, have you consulted with any doctors yet?

I look forward to hearing from you again. Will you continue to post as you look for answers?

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Thank you for responding. It means a lot. Being able to talk to someone who actually listens really helps.

The symptoms started out as occasional brain fog around a year ago. It was odd, as I could sometimes tell the brain fog came from the back of my head. Eventually, the brain fog became constant. I thought my ADHD meds stopped working, so I started keeping track of those.

This summer the symptoms advanced, now the back of my head often feels under pressure with the constant brain fog. Then I knew there was no way this was my meds (since I wasn’t taking them during summer).

I have only been able to talk to my doctor once about the issue, as he retired. He believed it to be depression. I believe the issue caused that, but that it’s separate from my issue. I’ve started therapy around a week ago.

I’ve talked with a nurse practitioner three times. They order multiple blood tests and refer me to different people (neurologist, hematologist, and a rheumatologist for some reason).

I have been to a neurologist twice. They tell me it’s just migraines. The meds they give me don’t work. Nurse practitioner agrees it’s just migraines. I feel my opinion + symptoms is disregarded by both.

I’ve gotten several blood tests checking for possible headache causes. Magnesium, testosterone, vitamin B, vitamin D, Iron, thyroid, and a couple others I can’t recall. My brain MRI comes up negative.

I tried a chiropractor, but I only went for a couple meetings since I’m rather skeptical of chiropractors. No change in my symptoms.

Next thing I plan on trying is occipital nerve blocks from the neurologist. Since my symptoms seem to come from the back of the head, it could be some weird case of Occipital Neuralgia (weird in that it isn’t painful, only feels like pressure). I’ve talked with someone online who has ON and ADHD. Just like me, they experienced brain fog first and thought their medication stopped working before they got any other symptoms. Also, they could tell their brain fog came from the back of the head too.

If the nerve blocks work, I’ll consider further steps. If they don’t work, I might try to get imaging of my cervical spine and, if any issues are spotted, get them solved through physical therapy or other means.

Thank you. I will try to give updates as best I can.

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Profile picture for matthew9324 @matthew9324

Thank you for responding. It means a lot. Being able to talk to someone who actually listens really helps.

The symptoms started out as occasional brain fog around a year ago. It was odd, as I could sometimes tell the brain fog came from the back of my head. Eventually, the brain fog became constant. I thought my ADHD meds stopped working, so I started keeping track of those.

This summer the symptoms advanced, now the back of my head often feels under pressure with the constant brain fog. Then I knew there was no way this was my meds (since I wasn’t taking them during summer).

I have only been able to talk to my doctor once about the issue, as he retired. He believed it to be depression. I believe the issue caused that, but that it’s separate from my issue. I’ve started therapy around a week ago.

I’ve talked with a nurse practitioner three times. They order multiple blood tests and refer me to different people (neurologist, hematologist, and a rheumatologist for some reason).

I have been to a neurologist twice. They tell me it’s just migraines. The meds they give me don’t work. Nurse practitioner agrees it’s just migraines. I feel my opinion + symptoms is disregarded by both.

I’ve gotten several blood tests checking for possible headache causes. Magnesium, testosterone, vitamin B, vitamin D, Iron, thyroid, and a couple others I can’t recall. My brain MRI comes up negative.

I tried a chiropractor, but I only went for a couple meetings since I’m rather skeptical of chiropractors. No change in my symptoms.

Next thing I plan on trying is occipital nerve blocks from the neurologist. Since my symptoms seem to come from the back of the head, it could be some weird case of Occipital Neuralgia (weird in that it isn’t painful, only feels like pressure). I’ve talked with someone online who has ON and ADHD. Just like me, they experienced brain fog first and thought their medication stopped working before they got any other symptoms. Also, they could tell their brain fog came from the back of the head too.

If the nerve blocks work, I’ll consider further steps. If they don’t work, I might try to get imaging of my cervical spine and, if any issues are spotted, get them solved through physical therapy or other means.

Thank you. I will try to give updates as best I can.

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I do look forward to hearing from you again, @matthew9324. I hope your search for answers yields results!

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