Long-Term Effects of Ice Water on Migraine and Cognitive Function - Neurology

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Several years ago, I drank ice-cold water during a migraine, and as a result, I immediately felt dizzy and have had difficulty concentrating ever since?


I have experienced migraines since childhood, typically located at the back of my head.
One day during my senior year of high school, the pain started again, and I remembered that drinking cold water seemed to relieve the tension in my head.
So, I took a big gulp from a bottle of ice water.
The sharp pain subsided, but I immediately felt very dizzy and unable to think clearly.
I initially thought it would pass, but my condition did not improve.
I struggled to concentrate, my memory worsened, and my thoughts became chaotic, even blank at times.

Previously, I could glance at a flower bed and count the flowers with my eyes closed, but now, while reading, I would forget what I just read as soon as I moved on to the next sentence.
Math formulas that I used to understand instantly now require multiple readings for comprehension.
I would read the same sentence several times, yet it felt like I hadn’t seen anything at all.
My balance also deteriorated, and the stress from this situation even led to fluid accumulation in my middle ear.

Now, many years later, my condition is not as severe as it was back then, but I am still far from a full recovery.
Reading remains difficult for me.
Could this indicate that there is some damage to my brain? If so, is it too late to seek medical attention now? Since that incident in high school, I have hardly experienced any headaches.

Mr. Lin, 20~29 year old female. Ask Date: 2023/03/20

Dr. Peng Shiwei reply Neurology


Hello, based on your symptoms, it is best to visit a hospital and consult a neurologist for a detailed assessment.
Thank you for your inquiry.

Reply Date: 2023/03/20

More Info


The long-term effects of consuming ice water, particularly in relation to migraines and cognitive function, can be complex and multifaceted. Your experience of drinking ice water during a migraine episode and subsequently feeling dizzy and experiencing cognitive difficulties raises several important points about the relationship between temperature, vascular response, and brain function.

Firstly, it is essential to understand that migraines are often associated with changes in blood flow to the brain. When you consume something very cold, like ice water, it can cause vasoconstriction, which is the narrowing of blood vessels. This reaction can temporarily relieve headache pain for some individuals, as it may reduce blood flow to the area of the brain that is experiencing the migraine. However, this effect can be transient and may lead to a rebound effect where blood vessels dilate again, potentially exacerbating headache symptoms or leading to other complications.

The symptoms you describe, such as difficulty concentrating, memory issues, and a sense of confusion, could be indicative of several underlying issues. One possibility is that the initial migraine episode and the subsequent consumption of ice water triggered a cascade of neurological responses that affected your cognitive function. Migraines can lead to a phenomenon known as "migraine aura," which can include visual disturbances, sensory changes, and cognitive impairments. If the migraine was particularly severe or prolonged, it could have contributed to lasting changes in your cognitive abilities.

Moreover, the experience of feeling dizzy and having trouble with memory and concentration could also be linked to other factors, such as stress, anxiety, or even dehydration. The brain is highly sensitive to changes in hydration status, and consuming ice water may not have adequately addressed your body's needs during a migraine episode. Additionally, if you were experiencing stress or anxiety related to your migraines or other life events, this could further exacerbate cognitive difficulties.

As for whether there is any lasting damage to your brain, it is important to note that while migraines can have significant effects on brain function, they do not typically cause permanent damage in most individuals. However, chronic migraines can lead to changes in brain structure and function over time, particularly if they are not managed effectively. The fact that you have not experienced migraines since that episode in high school is a positive sign, but it does not negate the cognitive challenges you are currently facing.

If you are concerned about your cognitive function and the possibility of lasting effects from that episode, it is advisable to seek medical attention. A healthcare professional can conduct a thorough evaluation, which may include neurological assessments, cognitive testing, and possibly imaging studies to rule out any underlying conditions. It is never too late to seek help, and addressing your concerns with a medical professional can provide you with strategies to improve your cognitive function and overall well-being.

In summary, while drinking ice water during a migraine may have provided temporary relief, it is essential to consider the broader context of your symptoms and experiences. Migraines can have complex effects on the brain, and cognitive difficulties can arise from various factors. Seeking medical advice is a crucial step in understanding your situation and finding effective ways to manage your cognitive health moving forward.

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