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Hello Doctor Just want to ask you about ice pick

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Posted on Mon, 25 Feb 2019
Question: Hello Doctor

Just want to ask you about ice pick headaches; I just want to ask about it because I have had it a couple of times for the past few years.

It comes out of nowhere, I remember I had them 3 years ago, they happend like 1-2 times a day for like 3 days and then they disappeared for weeks and months and then they didnt come back. And now years after I have experianced them again, just a sharp pain around the right eye or template for 1-2 seconds and then it dissapeared and leave no other symptom other than me being afraid :O ..

I have read a lot of this and I can remember when they happend 2-3 years ago; I was stressed and didnt sleep that much; and today when it happend again; I can say yesterday and the day before yesterday was stressful.

I have read about they are not dangerous and so on, but I still get scared sometimes, even they have only accoured a few times for a couple of years and long between them.

Is this something that happens just out of the blue and maybe because of stress or other triggers and do I have anything to worry about ?
Im a healthy and fit person and dont suffer from any serious disease.
doctor
Answered by Dr. Kaushal Bhavsar (27 minutes later)
Brief Answer:
This is also stress and anxiety related.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the detailed history you have given.
Possibility of stress and anxiety related headache, Migraine is more likely.
Your frequency is very less to start any prophylactic medication for migraine.
No need to worry much for this. Just avoid stress and tension, be relax and calm.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Kaushal Bhavsar (12 minutes later)
yes I understand and I dont think any medication is nessecary for me, the only thing I need to hear or feel is that someone is telling me where those sharp 1-2 seconds headache are coming from ? and why they feel so uncomfortable and leave me anxiety.

I never suffer from headaches or migraines and never take any pain-medication
doctor
Answered by Dr. Kaushal Bhavsar (0 minute later)
Brief Answer:
It is from sudden vaso constriction of brain involved vessels.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
This kind of momentory headache is due to the sudden vaso constriction of brain vessels.
You might be having tendency which causes this on exposure to stress.
There is no way for exact diagnosis of such momentory headache.
You can go for MRI and CT brain to rule out other causes for this headache.
These reports will come normal only.
So better to avoid stress and tension, be relax and calm.
Have you found any association between this headache and being thirsty or hungry or more sun exposure?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Kaushal Bhavsar (22 minutes later)
Not hungry no :) this happend short after eating this time; but maybe I havent been drinking enough water; that could be a reason. There is almost no sun exposure this time of the year here.

But I think this happening short after stressful days could be the reason why and maybe thats the symptom I should treat and avoid.
doctor
Answered by Dr. Kaushal Bhavsar (1 minute later)
Brief Answer:
Sinus related headache will not be momentory.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
Sinus related headache will not be momentory.
So I don't think it is related to Sinus.
You need to take proper sleep and keep your mind calm for this headache.
What kind of stress you have?

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Kaushal Bhavsar (1 minute later)
I suffer from nose sinus problems in the winter and must use a netipot to keep my nose clean and healthy; maybe this is a symptom from sinus pressure also, even it just a quick 1-2 second migraine jolt pain.
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Follow up: Dr. Kaushal Bhavsar (17 minutes later)
When it happened 3 years ago I had general anxiety and stress; I had a job I didnt like and I had hiatal henria and gerd and didnt sleep much.

2 years ago I did have hiatal hernia and nissan fundoplication; so I never had reflux again and I never suffered from this sharp headache again; until now few days ago and maybe once or twice since 3 years ago, nothing that felt alarming anyway.

The stress I had this past days was just arguing with my parents and my wife and this cold war thing between us. I didnt suffer any symptom while it was ongoing>; but now its resolved and everything is good again I just feel tired and I got this symptoms in the morning. But now they are gone and I just keep thinking about them. This what if what if.
doctor
Answered by Dr. Kaushal Bhavsar (38 minutes later)
Brief Answer:
Have you ever consulted psychiatrist?

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
By your history and description, I personally think that you still have background stress and anxiety which is causing this momentory headaches.
Please let me know
1. Have you ever consulted your psychiatrist or psychotherapist?
2. Is headache always on same site?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14659 Questions

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Hello Doctor Just want to ask you about ice pick

Brief Answer: This is also stress and anxiety related. Detailed Answer: Thanks for your question on Ask a doctor forum. I can understand your concern. I have gone through the detailed history you have given. Possibility of stress and anxiety related headache, Migraine is more likely. Your frequency is very less to start any prophylactic medication for migraine. No need to worry much for this. Just avoid stress and tension, be relax and calm. I will be happy to help you further. Wish you good health. Thanks.