Chronic headaches for many years

Dear Ask The Doctor: Hi Doc ive had headaches for past 20yrs The headaches makes me feel tired uncordinated and there's times i cant think or talk or respond to a question ive got this pressure pain and fizzy small bubbles popping feeling im my head and jaw i feel like im always in a dream world and its extremely difficult to focus ive become really quit and dont like noise or talking please help

Dear Mark: Usually most headaches are due to tension type or stress headache. When  a cause of a headache cannot be found, it is termed primary headaches. Migraine, cluster, tension, and rebound headaches are types of primary headache. However, in some cases the headaches may be the result of an underlying disease. These are termed secondary headaches and are caused by underlying structural or organic disease. Since your headache is longstanding, I would suggest that you see your doctor for further evaluation. Blood-work, CT scan of the brain may be needed to rule out any underlying pathological problem.