Head pressure

Patient : Last night I was sleeping on my back. I rolled over on to my left side. When I did, it felt like everything on the right side of my head poured into the left side. It hurt enough that I yelled and woke my wife up. All day my head has been pressured. Also the back of my head hurts when I cough. It usually happens when I cough those deep, gagging coughs that sound like I'm gonna puke. But this cough is coming mid-throat. Should I be worried? Should I go to the ER? I've also felt groggy all day. I'm starting to get a slight headache.
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