I've had these headache/pain for nearly 4 months every day several times a day. If I sneeze, cough, bend over slightly (like to look a something, bend over to pick up something (worse pain), over head bright lights, computer screen light, bright sunlight. If I cough or sneeze several times consecutively the pain lasts any where from 10 to 45 minutes. All the other occurances usually last 5 to 15 minutes. I was diagnosed with Lupus in Sept. 2010. Very mild right now. Had a CT scan on April 11th and was told no evidence of intracranial hemorrhage, mass effect, or acute major vascular territorial infarct. Diffuse white matter hypodensity in both cerebral hemispheres is nonspecific but may represent chronic microvascular change in this age group. On June 29th I had an MRI which said: 1. No evidence of acute or chronic intracranial hemorrge, masses or mass effect. No abnormal parechymal or leptomeningeal enchancement. 2. Moderate presumed sequela of small vessel ischemic changes within the subcortical white matter. Take baby aspirin daily and exercise. I do not have high blood pressure or chloesteral. Should I seek a second opinion?