Intermittent Scalp Pain Above Left Ear: Is It Related to My Cold?

Intermittent sharp pain in the scalp above the left ear (parallel to the temple)?

Hello Dr.
Yeh, I experienced symptoms of a sore throat and cold on October 11.
That day, I prepared a cup of cold remedy, and the next day, I began to feel sharp pain in the scalp above my left ear (parallel to the temple but closer to the ear), occurring approximately every 2-3 minutes.
I have occasionally experienced similar sharp pains in the past, which usually resolve quickly, typically within half a day, so I didn't pay much attention.
However, this time the sharp pain has persisted for 4 days, with a high frequency, and there is also a slight tenderness upon touch.
My cold has not yet resolved, and I still have symptoms such as a sore throat and hoarseness.
I would like to know if this scalp pain is related to my cold.
I have a history of high cholesterol, but my uric acid levels are normal.
On the 11th, I did consume some crab roe; could this be related to the sharp pain? Thank you very much for your assistance.

Ru, 20~29 year old female. Ask Date: 2020/10/15

Dr. Ye Qianyu reply Family Medicine

Hello! Based on your description, it falls within the range of headaches and is likely related to a viral infection.
If you continue to feel unwell, I recommend seeking medical attention at a healthcare facility.

Reply Date: 2020/10/15

More Info

Intermittent scalp pain, especially localized above the left ear, can be concerning, particularly when accompanied by symptoms of a cold such as sore throat and hoarseness. While it is not uncommon for viral infections, like the cold you are experiencing, to cause various symptoms, including headaches and scalp discomfort, the specific nature of your pain warrants further exploration.

The pain you describe as "throbbing" or "pulling" in the scalp could be related to several factors. One possibility is that it is a tension-type headache, which can be triggered by stress, muscle tension, or even the discomfort associated with your cold. When you are unwell, it is common to tense up, especially around the neck and scalp, which can lead to pain in those areas. Additionally, sinus pressure from a cold can also cause referred pain to the scalp, particularly if the sinuses around the forehead and temples are inflamed.

Another consideration is the possibility of a condition known as occipital neuralgia, which is characterized by sharp, shooting pain in the scalp, often triggered by movement or touch. This condition occurs when the occipital nerves, which run from the top of the spinal cord to the scalp, become irritated or inflamed. It can sometimes be associated with viral infections, although it is more commonly linked to neck tension or injury.

Regarding your concerns about cholesterol and dietary choices, while high cholesterol can lead to various health issues, it is unlikely to be directly related to the intermittent scalp pain you are experiencing. Eating crab or crab roe, unless you have a specific allergy or sensitivity, should not cause such symptoms. However, if you have any underlying conditions that affect your blood vessels or nerves, it might be worth discussing with your healthcare provider.

Given that your cold symptoms are still present, it is essential to focus on recovery. Staying hydrated, resting, and possibly using over-the-counter pain relievers can help alleviate both your cold symptoms and the scalp pain. If the pain persists or worsens, or if you develop new symptoms such as visual disturbances, severe headaches, or neurological symptoms (like weakness or numbness), it would be prudent to seek medical attention.
In summary, while your scalp pain may be related to your cold, it could also be due to tension or irritation of the nerves in that area. Monitoring your symptoms and taking care of your overall health is crucial. If the pain continues for more than a week or significantly impacts your daily life, consider consulting a healthcare professional for a thorough evaluation.

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