<s>[INST] Recently when I get mad or strain to have a bm I get pressure in my head andintense pressure in my neck, seeming to come from my jugular veins. No headachs. Female w/3 kids. Last was born feb 2014. Had problems w/ my hr getting to like 220 with ambulation. Was on corgard to control it. Went Way p birth. I don t know why but it makes it feel a little better if I tuck in my chin durring the episode. [/INST] Main use of cogard is hypertension and angina pectoris. Off label uses are arrythmia , Migraine, Aggressive behavior hepatic impairment and renal impairment etc. Pressu re sensation in neck is a symptoms to be evaluated with other findings and necessary tests must be done. If you can upload your health records then I can help you for sure. </s>