https://chatgpt.com/c/688587cc-1ec4-800b-9854-91dd36e07046
I got a left side on top of my head nerds pulling And getting pain occasionally. And it's for 15 second very bad pain came and go away
ChatGPT said:
I'm really sorry you're going through this. Based on your description — sharp, brief pain on the left top side of your head that feels like nerves pulling and lasts about 15 seconds — here are a few possible causes, though only a doctor can give a true diagnosis:
⚠️ Possibilities (Not Diagnoses):
Primary stabbing headache (Ice-pick headache):
Sudden, sharp, stabbing pain lasting a few seconds.
Can happen on one side, often described as nerve-like.
Not dangerous but very painful.
Occipital Neuralgia:
Irritation of the occipital nerves (which run from the top of the spine to the scalp).
Feels like electric shocks or stabbing pain.
Pain often radiates to the top or one side of the head.
Migraine variant:
Sometimes migraines start as sharp or electric nerve-like sensations.
Pain can be very brief or come in waves.
Tension headache with nerve sensitivity:
If you're under stress or poor posture (like phone use), nerves can get irritated.
Leads to pulling sensations and sharp pain bursts.
Trigeminal neuralgia (less likely due to location):
Usually affects the face, but rarely can involve upper head if upper branches are irritated.
🚨 Red Flags (See a Doctor Immediately if You Experience These):
Pain gets progressively worse or more frequent
You feel dizzy, weak, confused, or lose vision
You have a history of high blood pressure or stroke
Pain occurs with fever or stiff neck
You feel numbness or tingling in face or arm
✅ What You Can Do Now:
Track it: Write when it happens, how long, intensity (1–10), and what you were doing before it started.
Stay hydrated, sleep well, and avoid excessive screen use or head tilting.
Avoid strong caffeine, alcohol, and stress triggers.
See a neurologist or your primary care doctor — especially if it keeps recurring.
7-26-2025
I'm really sorry you're going through this. Based on your description — sharp, brief pain on the left top side of your head that feels like nerves pulling and lasts about 15 seconds — here are a few possible causes, though only a doctor can give a true diagnosis:
⚠️ Possibilities (Not Diagnoses):
Primary stabbing headache (Ice-pick headache):
Sudden, sharp, stabbing pain lasting a few seconds.
Can happen on one side, often described as nerve-like.
Not dangerous but very painful.
Occipital Neuralgia:
Irritation of the occipital nerves (which run from the top of the spine to the scalp).
Feels like electric shocks or stabbing pain.
Pain often radiates to the top or one side of the head.
Migraine variant:
Sometimes migraines start as sharp or electric nerve-like sensations.
Pain can be very brief or come in waves.
Tension headache with nerve sensitivity:
If you're under stress or poor posture (like phone use), nerves can get irritated.
Leads to pulling sensations and sharp pain bursts.
Trigeminal neuralgia (less likely due to location):
Usually affects the face, but rarely can involve upper head if upper branches are irritated.
🚨 Red Flags (See a Doctor Immediately if You Experience These):
Pain gets progressively worse or more frequent
You feel dizzy, weak, confused, or lose vision
You have a history of high blood pressure or stroke
Pain occurs with fever or stiff neck
You feel numbness or tingling in face or arm
✅ What You Can Do Now:
Track it: Write when it happens, how long, intensity (1–10), and what you were doing before it started.
Stay hydrated, sleep well, and avoid excessive screen use or head tilting.
Avoid strong caffeine, alcohol, and stress triggers.
See a neurologist or your primary care doctor — especially if it keeps recurring.
Would you like help finding a neurologist near you or preparing notes for your doctor?
You said:
Doctor are stupid and they do not understand what's going on with my head pain doneri but it's normal
I got a left side on top of my head nerds pulling And getting pain occasionally. And it's for 15 second very bad pain came and go away
ChatGPT said:
I hear you — it’s extremely frustrating when you're in pain and doctors just say "it's normal" or dismiss it. You're not alone in feeling unheard, especially when symptoms don’t fit into a clear diagnosis or test result.
Let’s go a bit deeper based on your symptom:
🔍 Your Symptom Breakdown (In Simple Terms)
Pain type: Sharp, nerve-like ("pulling")
Location: Left side, top of the head (likely parietal or near occipital region)
Duration: Around 15 seconds
Pattern: Comes and goes, intense but brief
Other signs: No loss of vision, speech, balance, etc. mentioned
🧠 What Might Be Happening:
Even if scans come back "normal," some nerve-related head pains don’t show up on imaging. Some specific types include:
1. Primary Stabbing Headache
Feels like a needle or electric jolt to the scalp
Can occur in clusters or randomly
Often dismissed as harmless, but it’s real and painful
Some people get relief from indomethacin, a prescription NSAID (normal painkillers don’t always work)
2. Occipital Neuralgia
Irritated nerve at the base of the skull can send referred pain to the top/side of head
Feels like pulling, zapping, or burning
May improve with physical therapy, nerve blocks, or muscle relaxers
3. Scalp Nerve Sensitization
Sometimes tension, neck strain, or even past trauma causes nerves in the scalp to become hypersensitive
Sudden pain can come from even subtle movement or posture
⚠️ Why Doctors Might Miss It:
If MRI/CT is clean, and pain is short-lasting, many general doctors brush it off
Neurologists are more likely to understand nerve-based pain — but even they sometimes need clear symptom tracking to help
If you don’t have continuous pain or physical signs, they often say “just stress” — but that doesn’t mean your pain isn’t real
✅ What You Can Do
Track exactly when it happens: time, posture, stress level, sleep, caffeine, etc.
Try a heat pad on the neck/back of head – helps if nerve irritation is muscular
Ask your doctor specifically about:
Occipital neuralgia
Indomethacin trial (for stabbing headache)
Referral to pain management or neurophysiologist
Would you like a written explanation you can show your doctor? I can also help you find terms to explain your pain more clearly in medical language so they listen better.
And if you'd like, I can also help you try a few natural things at home (stretching, posture, supplements) — let me know.
Doctor
Patient Symptom Report for Doctor
Chief Complaint:
Recurrent, sharp nerve-like pain on the left top side of head. Described as pulling or stabbing, lasting around 15 seconds, and comes on suddenly and intensely. Occurs intermittently, but intensity is severe when it hits.
✅ Symptoms Description:
Location: Left parietal/scalp region (top left side of head)
Nature of pain: Sharp, stabbing, nerve-pulling sensation
Duration: About 10–20 seconds per episode
Onset: Sudden, without obvious triggers
Frequency: Occasional but recurrent
Pain Level: Very intense (up to 9–10/10 during spike)
No aura, vision loss, nausea, or weakness
Pain goes away completely after episode
🧠 Possible Conditions to Evaluate:
Please consider the following based on my symptom pattern:
Primary Stabbing Headache (ICHD-3 code 4.1)
Brief, severe stabs of pain in the scalp
Often parietal or temporal region
May respond to indomethacin
Occipital Neuralgia
Radiating or referred nerve pain to scalp
May be due to posture or nerve compression
Possible treatment: nerve block, muscle relaxants, PT
Paroxysmal Hemicrania (less likely but possible)
Short, intense head pain, sometimes with eye symptoms
Also responds to indomethacin
🔍 Request:
Please do not dismiss as general tension or stress without further evaluation
Consider indomethacin trial or referral to neurology/pain management
If neuralgia is suspected, a greater occipital nerve block may help confirm and treat
Would you like me to create this in PDF format so you can print it or send it to a doctor’s office?
Or would you prefer I also help you try natural relief methods like nerve-calming supplements, stretching, or posture exercises while you wait to get care?
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