Dear Sir/Madam,

We extend our sincere gratitude for choosing Pantai Hospital Malaysia for your healthcare requirements.

We understand that you have been experiencing a tingling sensation on the top of your head, occasionally spreading to your cheeks — particularly on the left side — and that the sensation intensifies during straining, such as when relieving yourself.

While we are unable to provide a definitive diagnosis without a physical examination and appropriate investigations, we would like to share that your symptoms may be related to several possible causes. These may include nerve-related issues such as occipital neuralgia, cervical spine conditions, or even vascular or pressure-related causes that become more pronounced during physical strain.

In some cases, such sensations can also be linked to stress, anxiety, or sinus-related conditions. However, given the persistence and pattern of your symptoms, we strongly recommend that you schedule an in-person consultation with a medical practitioner for a comprehensive evaluation.

If you wish to see one of our specialists, we would be happy to assist you in arranging an appointment with our Neurology team at your convenience.

Any advice, recommendations, or information provided by the Company, its affiliates, employees, moderators, medical practitioners, and representatives within the Forum is not to be taken as conclusive advice. It is intended as a suggestion and not a substitute for consulting with qualified medical practitioners. Users are encouraged to seek professional advice tailored to their specific circumstances.