Pain in the Back of the Head During Excitement: When to Seek Help - Neurology

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Experiencing pain in the back of the head, especially during moments of excitement or physical exertion, can be concerning and warrants careful consideration. Based on your description, it seems that you are experiencing a specific type of headache that occurs during sexual activity or when you are emotionally stimulated. This type of headache is often referred to as a "sexual headache" or "exertional headache."

Understanding the Symptoms
The pain you describe, particularly the sharp, stabbing sensation in the left back of your head, could be linked to several factors. Sexual activity and physical exertion can lead to increased blood flow and pressure in the head, which may trigger headaches in some individuals. These headaches can be benign, but they can also indicate underlying issues that may require medical attention.

The accompanying symptoms of dizziness and the duration of the headache (approximately 10 minutes) are also noteworthy. While many people experience tension-type headaches or migraines that can be exacerbated by physical activity, the specific nature of your pain—especially its association with excitement or exertion—suggests that it could be a form of primary exertional headache.


When to Seek Medical Help
It is essential to seek medical attention if:
1. The headaches become more frequent or severe: If you notice an increase in the frequency or intensity of your headaches, it is crucial to consult a healthcare professional.


2. You experience additional symptoms: If you develop symptoms such as visual disturbances, weakness, numbness, or confusion, these could indicate a more serious condition, such as a vascular issue or neurological disorder.

3. The headache is different from your usual headaches: If this headache feels different from any previous headaches you have experienced, it is worth discussing with a doctor.

4. You have a history of head trauma or other medical conditions: Given your history of head trauma or other medical conditions, it is advisable to consult a healthcare provider.


Where to Seek Help
You can start by visiting a neurologist, as they specialize in headaches and other neurological conditions. A neurologist can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly imaging studies like an MRI or CT scan to rule out any serious underlying conditions.

If you feel uncomfortable or have had negative experiences in the past with healthcare providers, consider seeking a second opinion or finding a doctor who specializes in headache management. It is essential to communicate your symptoms clearly and assertively, ensuring that your concerns are taken seriously.


Communicating with Your Doctor
When you visit a healthcare provider, it can be helpful to prepare a list of your symptoms, including:
- The nature of the pain (sharp, dull, throbbing)
- The duration and frequency of the headaches
- Any associated symptoms (dizziness, nausea)
- Triggers (sexual activity, emotional excitement)
Being clear and concise about your symptoms can help the doctor understand your condition better and provide appropriate care.


Conclusion
In summary, while your symptoms may be benign, they warrant further investigation, especially given their specific triggers and accompanying sensations. Seeking help from a neurologist is a prudent step to ensure that any underlying issues are addressed. Remember, your health is paramount, and it is essential to advocate for yourself in the healthcare system. If you feel dismissed or ridiculed, do not hesitate to seek care elsewhere. Your well-being is worth it.