Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am 44. I have had a more or less constant pressure in my head that can go away sometimes for couple of hours. Two or three times it intensified like a migraine , did not respond to Acetoaminophen. At times I feel slight lightheaded and my vision gets slightly blurry. No fainting , no nausea , no vomiting. Seek ER on Monday this week, did a CT scan of head (no contrast), appeared normal, did a neurological exam appeared normal as well. Five years ago when I lived in Europe, they did an MRI for headache (it was different than the pressure I am feeling now) and found a spot back of my head. Was under follow-up there, did 3 more MRIs which did not show any progression, was told that is nothing I should be concerned about.
[|AI|]  Hi, Thank you for posting your query. I appreciate the detailed information provided. I agree with your doctors that there is no need to worry about the finding of a spot in your brain MRI. It is common to find such spots in cases of migraine. So, I feel you have a mild migraine, which leads to intermittent headaches and blurring of vision.  If the headache frequency is more than two per month, you would benefit from preventive medications such as beta blockers, topiramate, divalproex, etc. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/