pressure pain in temple

After reading, computor use, watching tv and I get up and start walking,  I experience  pressure pain  in the right side of my head near the temple.  The pain starts off mild then gets worse that I have to stop walking close my eyes I also need a wall or something solid to hang on to.  It feels like an icecream headache but worse, as it only last's a few seconds.  It also can happen when I laugh and then I feel dizzy.  It has been happening for about 2 years now and it is happening more frequently.
I do have Autoimmune disease, ie Rhuematoid arthritis, Hashimoto's and Sjogren's Syndrome,
Please help!!
Thank's all ideas would be wonderfull.
Hedkase

[Sara Khan]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.

Without the ability to examine you and obtain a history, I can not tell you what the exact cause of your symptoms is. However I will try to provide you with some useful information.

I do have limited information available, and the description you have given fits a long list of differential diagnosis.

A type of  headache which fits the description you have given, is what is commonly referred to as "Ice pick" headaches. These are usually severe, jabbing , knife like headaches, which come on suddenly and last only for a few seconds, but can happen several times one after the other. These headaches are extremely responsive to a medication called " Indomethacin", which is a Non steroidal anti inflammatory.

With your history of autoimmune disorders, I would be concerned for a condition called temporal arteritis. This is seen in older individuals ( I am not sure of your age). This could be a possible cause if you had pain when you pressed down on your temple, or pain with chewing or talking ( a sign called jaw claudication). I would be worried about this especially if you have had any episodes where you have had complete loss of vision in one or both eyes for a period of time. Diagnosis of this is usually with a biopsy of the temporal artery, and treatment is with steroids.

If you have other symptoms with these headaches, like nause, vomiting, aversion to light or sound, then one would think of more common things like migraines. However that does not seem true in your case.

I would suggest that you see a neurologist, so your headaches  can be assessed in the light of e a full neurological exam to make sure that there is no underlying problem. These headaches could be easily treatable, which improve your quality of life.

I hope this information helps. Wishing you the best of health.