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Current issue: An Instant INTENSE throbbing headache during physical exertion lasting 3-4 minutes followed by dull non-throbbing headache lasting for days. Average (for past 6 months) systolic reading of 145 dropped to 116 at doctors visit following onset. Other Recent Issues: Lightheadedness to pre-syncope during physical exertion (fairly common during workouts for last 90 days, though progressively improving); Postural Syncope within minutes after physical exertion (one time occurrence approximately 30 days ago); Kink in neck to upper back limiting neck’s range of movement( 10 days ago till current most likely from weight lifting, progressively improving); Above average “shakiness” in legs during workout (Twice within last month) Prior Occurrences: Incident 1 Age: 15-16 Activity: utilizing leg press Symptoms: While straining, felt a “snap” at the base of my neck. This lead to an intense headache for a few minutes, and a stiff neck for a few days. Incident 2 Age: 17-18 Activity: Receiving fellacio Symptoms: Instant INTENSE throbbing headache lasting several hours followed by dull non-throbbing headache lasting for days. General Info Age: 26 Sex: Male Recent Changes: Changed diet for the better about 5 months ago, mostly eliminating junkfood and eating a more balanced diet. Increased workout routine about 3 months ago, both weightlifting and cardiovascular (crossfit). Started taking “Animal Pak” (multivitamin on steroids) and weightgainer (primarily a blend of Protein and 5 grams of Creatine Monohydrate)one month ago.

Although your symptoms are suggestive of migraines, your blood pressure readings after onset of symptoms appear to suggest that you have a variant of dysautonomia. Dysautonomia is a neurologic disorder where an excess of either sympathetic or parasympathetic neuronal signals overwhelms the the body.

All your reported headaches occur during activities where the normal response is an increase in sympathetic activity. Without the proper tests, it is difficult to say, but your reported history of a dropping blood pressure after onset of symptoms suggest that you are experiencing a parasympathetic dysautonomia.

In other words, it appears as if your parasympathetic nervous system is overwhelming your sympathetic nervous system. These parasympathetic signals cause your body’s blood vessels to dilate which manifests as a low blood pressure as your peripheral arteries dilate and intense headache as your intracranial vessels dilate as well.

Therefore, it may be warranted to suggest a diagnosis of dysautonomia to the physician who has been following your symptoms and be evaluated by a neurologist specialized in dysautonomia.