Chronic daytime fatigue and pressure on right side of head

[haiall]

This is regarding my husband who has been suffering from head ache (a kind of dull pressure over his forehead and back of the head for a quite long time from now) which is on and off and does not have any impact on his daily activities or have a defined time/activity which may trigger it.
Before few months he was suffering from chronic day time fatigue where he used to fall asleep/feel tired when he sits idle in a place for some time. We thought it was related to his work and did not bother much about that. Before a month he was complaining about the muscle twitching all over his body, his right side arm & right side of face getting numb (not to an extent that he could not feel anything but a weird feeling of little weakness in arms and a very little stiffness in face which was not present all the time)
As my husband was previously suffering from hypertension, with the above symptoms showed up we consulted a general physician who has ordered all the regular blood tests including liver, renal and thyroid function test and everything came to be positive. Later he has put him on BP medication and did not bother much about the feeling of pressure on the right side of the head. Recently he has been experiencing a series of muscle twitches over his left eye brow as well.
As the pressure on the head was bothering us we had consulted a neurologist and he has checked him for basic things like speaking, vision, movement, etc (which all were normal) and checked the eyes and joints and informed that it is a nerve problem and put him on a medication for 10 days and adviced a MRI if the symptoms persists. We have completed the course, presently the symptoms have come down (face stiffness, arm weakness is very less but the pressure on the head is still there but not the occurrence is less). In between we have taken the vitamin D tests for him and it came to be 16.4 ng and he was put on 50000 iu capsules for 7 weeks. Please advice us  whether the symptoms which were presented before could be because of vitamin D deficiency  and should we wait for some time after taking the vitamin D supplement or should we have to take the MRI scan to investigate further.

[Paxiled]

I'm afraid you'd have to be a medical expert to be able to offer an answer.  Vitamin D deficiency is quite common nowadays because people just don't go out in the sun at peak hours anymore--a half hour in it is all we need absent some problem the body has in synthesizing the stuff.  The D dosage is a lot higher than he needs, but it's for a set time period.  D deficiency can cause a lot of symptoms.  The fact he was getting tired in the daytime might suggest sleep apnea, which the neurologist apparently failed to consider, bit if that has gone away, that might explain it.  It could be a magnesium deficiency, which is also quite common nowadays as people eat a lot dairy but not as many green leafy veggies as they should, which leads to too much calcium and not enough magnesium, as they can leach one another out of the body if they're not in the proper electrical balance.  Magnesium plays a very large role in nerve health.  I could be a neck problem, with discs or bone spurs pinching on nerves that go up into the head -- I have this problem.  It could be a side effect of medication, but you don't mention that he's on anything until the doc did what docs do and instead of recommending lifestyle changes just gave him a drug for BP.  Those can have lots of side effects, but this happened before he was it.  Also, the thyroid test he was given probably wasn't a thyroid test, it was probably just a TsH test, which measures nothing in particular.  Only a test of his T3 and T4 and how they interrelate would answer that.  Could be a B vitamin problem, as some people have a problem converting B12, folate, and B6 to all the forms the body uses them for.  For us amateurs on here, we can only hope your docs are doing all the right things and not just moving patients in and out of the office.  As for the MRI, if your husband has no problem taking them, they aren't harmful, so if he's got no phobia about them it's not going to hurt him any.  But if he's going to do that, he'd probably want to make sure the MRI doesn't just look at the brain but also the neck just in case.  Most of us just do what the docs tell us to do because we usually only really learn things once we get a good diagnosis -- you can't just research symptoms but you can research best treatment once you have a diagnosis.  So I guess you do what the docs are trying until you get to the point where you think they're not doing enough, and then you find better docs.  Best of luck.