Avatar universal

fitness and unruptured aneurysm

Hello,I am a 37 years old man,sport regulary,no drugs,i dont smoke,i dont drink alcohol.I have quite much stress in my life in the past 2 years.I am not overweight.Few months ago I had a full heart check up including ECG both at effort and relaxed.Everything ok.
When I get under much stress,I have kind of pressure in my temporal area ,right side,above my ear.I do not feel it like pumping,but like a hand touching me.In several occassions I had my hands tingling,and my face as well.Sometimes pain in my eyes,but not too often.My blood pressure is very good,115/75 when I am relaxed.Sometimes when I got angry I had 141/87.I have headaches but normal ones,however I feel always very sleepy when I am under much stress.When i wake up after a good sleep,the pressure in my temporal area is gone,but it might come back during the day if I get upset again.
I spoke to my doctor,I told him that my grandfather died when was in his 30's because of a brain aneurysm.I was told that my symptoms do not suggest a brain aneurysm,but over stress...and I was sent to a physiotherapyst.Iwanted to have anMRI with contrast done,he told me thatI worry too much.
My question is,since everywhere I read that there are not symptoms for an unruptured brain aneurysm,and it might happen that during effort it might suffer a rupture,then how can one sport and exercise safely?Perhaps one has aneurysm ,perhaps not,but since exercise can be risky ,and since there are no symptoms,how can one be on the safe side?
Is the light fitnes,like push-ups and stuff like that,be risky as well?I would apreciate any advice,many thanks in advance.
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351246 tn?1379682132
As you already know there is no way you can know if there is a brain aneurysm or not unless you have a symptom related to either rupture or pressure of the aneurysm. The only other possibility is a MRI.
Your doctors are right! The symptoms do not sound like brain aneurysm. However, since you grandfather had a burst aneurysm at a very young age, this increases your risk of an aneurysm compared to general population. However, this risk is not very high and also having a risk factor does not mean you have aneurysm.
Even if you went for an investigational MRI, and found out that you have brain aneurysm, then it may cause more apprehension as not all brain aneurysms need treatment (surgery or stenting). The treatment is dependent on location, size, pressure symptoms etc. Some locations are too risk to operate upon.
So, you need to consult a therapist to get over your anxiety for aneurysm. Also, you need to find out the cause of temporal headache. If the cause of headache is found and treated, this will reduce your anxiety. Headaches and pain in temple area can be due migraine. Tension headaches due to stress too affect the temple area. Temporal arteritis, internal ear infection, TMJ and tooth decay can all cause a temple pain.
Infection in the eye, glaucoma, near and far sightedness and sinusitis are the other causes.
A comprehensive investigation is required keeping all the points in mind. Please consult your doctor regarding this.
Also keeping a track of your blood pressure, eating healthy and exercising, maintaining a healthy weight, avoiding smoking and drinking alcohol in moderation and occasionally helps a long way in reducing the risk of aneurysm and of an aneurysm bursting if you have one. You could ask your doctor about exercises suitable for you, but yes you could do moderate exercises like push-ups, tread mill, walking, cycling, swimming etc. However, since I cannot access your general fitness, heart and BP status on ne, please ask your doctors regarding this.

I sincerely hope you will find this information useful in your journey towards better health.

Hope you get well soon! Good Luck and take care!
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Avatar universal
Thank you so much for your answer.
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