Since you have had severe headaches for 8 years with anxiety and a feeling of pressure in the head, it is important to see a doctor or neurologist for a proper evaluation. Long-term headaches can have many causes, like migraine, tension, sinus issues, or other neurological conditions, and the right treatment depends on the cause. A doctor can recommend safe medications, lifestyle changes, and tests to find relief.

It sounds like you may be experiencing a severe sinus headache due to frontal sinusitis, which can cause pressure, pain, and a feeling of fullness in the forehead. Rest, stay hydrated, and use steam inhalation to help clear the sinuses. Over-the-counter pain relievers may ease discomfort. If the headache is very severe or persistent, see a doctor promptly.

Headaches in the evening are often caused by fatigue, eye strain, dehydration, or prolonged periods without food. Try to take regular breaks from screens, drink enough water, and avoid skipping meals. Maintaining good posture and getting adequate sleep can also help reduce such headaches. You may use a simple pain relief medicine if needed, but not regularly. If the pattern continues or worsens, consult a doctor to rule out other causes.

You should seek medical attention if headaches are severe, frequent, worsening, or different from your usual pattern, or if they are accompanied by symptoms such as fever, vomiting, vision changes, weakness, numbness, dizziness, speech difficulties, confusion, seizures, or occur after a head injury. These warning signs may indicate an underlying condition that requires prompt evaluation, and early medical assessment helps prevent complications.

Yes, your headaches worsening with exercise and lack of relief from painkillers strongly suggest Intracranial Hypertension (IH). Additionally, frequent use of Saridon and Combiflam can cause "medication overuse headaches," worsening your pain. The sleep jerks and nighttime panic could indicate sleep apnea, which is closely linked to IH. To confirm IH, you need an eye checkup to look for optic nerve swelling (papilledema) and a lumbar puncture to measure spinal fluid pressure. If confirmed, treatments include medications like Acetazolamide (Diamox) to reduce brain pressure, lifestyle/weight management, and tapering off daily painkillers. A sleep study is also recommended for your sleep symptoms. Please consult a neurologist.

Headaches can be triggered by stress, dehydration, poor sleep, hormonal changes, eye strain, and certain foods or drinks. They can also be a sign of an underlying medical condition. To help prevent headaches, stay hydrated, maintain a regular sleep schedule, manage stress through relaxation or exercise, limit caffeine and alcohol, and avoid foods that seem to trigger them. Frequent or severe headaches should be evaluated by a doctor to identify the cause and receive proper treatment.