Hello. I'm a 28 year old man without a history of significant health problems. Rarely(if ever) had headaches. As far as I know, migraines don't run in my family. I'm 6'2 and 144lbs.
On may 5th(48 days ago) I had been drinking and was offered some cocaine, i did about .3 of a gram, I had been doing it occasionally for a year at that point, every other weekend. As of now, I have no interest whatsoever in continuing this habit. But on this eventful evening, I started feeling rather anxious and shortly after I began feeling pressure on the left side of my head(temple, and around the ear), in addition to very 'runny'-feeling veins. It happened well into the evening, and not promptly after the snorting of the drug. I was perfectly coherent throughout the incident.
Ever since then I've been bothered by this mildly irritating feeling, it feels like wearing a hat on the left side of my head(occasionally felt on the right). I want to say that it was more pronounced at the start of it, it's fairly constant, although I went a week with barley noticing it. I've developed a sensitivity to stimulants, though I managed to have one cup of coffee once without issue when taking ibuprofen. On another occasion I experienced something my neurologist said was perfectly consistent to a migraine with an aura(tingling in the left extremities, stiff left neck and shoulder) after a single cup of coffee. Now I'm entirely staying off it— which has been tough since I've enjoyed a morning and afternoon cup for the past 12 years. It's usually at it's best when I wake up. And gradually it gets a tad bit more pronounced as the day progresses.
A compounding effect is anxiety/stress, an anxious thought can considerably amplify the feeling. I'm well-able to distinguish this from anxiety, the pressure must be unrelated. The infrequent anxiety is a side-product of the uncertainty.
I got to my Primary care physician. The feeling was a bit amplified when the cuff of the blood pressure meter was inflated after being wrapped on my left arm, which made me suspect the vascular issue. I passed all of his motor skill tests(gross, and fine) and the usual checks, good blood pressure, blood test was good, and all that. He suspected artery issues and ordered an MRA of my head and neck, the scans were executed the next day, and no abnormalities were detected.
The next step was a neurologist. In this case I was more thoroughly examined, my eyes included, nothing out of the ordinary. He reckons I'm experiencing vasospasms, and what I'm feeling is a migrainous/vascular headache. I was told it could possibly be signaling the onset of migraine issues. I was instructed to take a supplement rich in Magnesium, Vitamin B-2, and feverfew for 90 days(been almost 30 days, feeling a bit more manageable). In addition to Tylenol in case the headache get worse. I could possibly carefully try caffeine again in a month. He said more imaging should be done if the symptoms intensify.
I told my PCP this, he agreed on the possible vasospastic cause, but believes chronic migraines to be unlikely. He adviced me to rest, and thinks the symptoms are chiefly due to stress.
Do you guys know of any comparable cases? Got personal experiences? Thanks in advance.
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