Hello. I completely understand how frustrating these chronic headaches and eye twitching must be, especially with your demanding work as a software engineer. Yes, consulting a neurologist is a very wise and proactive step. Your triggers, like prolonged screen time and sun exposure, along with symptoms like head heaviness, suggest migraines or eye-strain-induced tension headaches. A neurologist can provide an accurate diagnosis and create a personalized plan to help you find relief. In the meantime, try taking regular screen breaks and wearing polarized sunglasses outdoors.

Since it hasn't responded to nimesulide or stretching, the pain might stem from conditions like Achilles tendinopathy, a chronic ligament strain, or plantar fasciitis, which commonly causes pain upon waking. Sometimes, deep pressure can actually irritate these sensitive tissues further. I highly recommend seeing an orthopedic specialist. They can evaluate your ankle and may suggest an imaging study, like an ultrasound or MRI, to pinpoint the exact cause and guide you toward a safe, effective recovery plan.

It is very common for COVID-19 to cause severe throat inflammation, which can make swallowing painful and cause referred pain in your brother's left ear. The feeling of something being stuck can happen due to intense swelling or if medications like cefuroxime (Ceftum) or nimesulide (Nise) slightly irritated his food pipe. Please reassure him that this is a recognized pattern. Taking his medications with plenty of water and sipping warm liquids can help. However, since swallowing liquids is extremely difficult, please consult his doctor promptly to ensure he stays hydrated and to see if his treatment needs adjusting.

Please consult a doctor immediately and stop taking Nise (Nimesulide), as it can cause a sudden, unsafe drop in temperature and severe weakness. An 8-day persistent fever requires proper medical evaluation. Since Widal and malaria tests are negative, your doctor may recommend further tests like a Complete Blood Count (CBC), Dengue test, or Urine Routine to find the exact cause. Avoid self-medicating with strong painkillers or antibiotics. For now, stick to Crocin (Paracetamol) only when your temperature exceeds 100°F. Use tepid water sponging to lower fever safely, and drink plenty of fluids (like ORS or coconut water) to recover from the weakness. Please seek immediate medical attention.

A sudden, week-long headache can stem from several common causes, including tension, sinus inflammation, or even rebound headaches from daily use of pain relievers like nimesulide. Because this is a new symptom for you, it is very important to consult a healthcare professional for a proper evaluation. They will likely perform a physical and neurological exam to safely determine the cause. Please seek immediate medical attention if you experience any 'red flags' like vision changes, fever, or neck stiffness.

Since your congestion hasn't improved with sprays, drops, or steam, the blockage is likely due to an issue inside the nasal passages, such as swelling of the lining, nasal polyps, or a deviated septum. I understand how frustrating this persistent blockage must be. Please consider seeing an ear, nose, and throat (ENT) specialist. They can gently examine both your nose and throat to find the exact cause and help you find relief.