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- Visual disturbances: these are not as dramatic as in migraine sufferers, but they can .occur in tension headaches, usually in the form of blurred vision or, if it is severe, there can be altered perception. In a hallucination the person sees something that is not there - for example a pink elephant. In altered perception the person sees what is there - for example, a flower on a curtain may appear like a face.
- Pain in the neck, shoulders and back.
- Bloating of the stomach or bowel and wind. Often the passing of wind is the first sign that the headache is abating. Nausea and loss of appetite are often part of the symptom picture, or craving for foods not normally a part of the sufferer’s diet.
- Shakiness and lack of muscular coordination: for example,ifficulty gripping a pen or clumsiness and regularly dropping things. '
- Fatigue and lack of interest in things normally enjoyed.
- Wobbly legs: feelings of not quite knowing where the ground is or of walking on eggshells.
- Dizziness, especially when turning the head.
- Irritability, anxiety, depression and feeling of unreality; for example, walking into the kitchen and it being unfamiliar; or depersonalization - when a person looks into the mirror and they know intellectually it IS their image they see but somehow they look different, rather 'like a distorted image in a mirror at a funfair.
- Difficulty in breathing through the nose - mild hyperventilation.
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Some of these symptoms might seem rather remote from the site of pain, but because they happen with such monotonous regularity, most people are very accurate about their symptom picture; and the same symptoms crop up again and again in large numbers of people.
The pain is less disabling than migraine. Most sufferers continue working through these headaches and rarely retreat to bed during the day. Many people accept their headaches almost as a way of life.
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