Throbbing pain near temple when heart rate gets up!

I know this may sound crazy, my brother has been getting severe throbbing pain near his right temple for the past few weeks.  He has never really had headaches before.  This comes on after doing something that gets his heart rate up.  I'm a bit embarressed to say this but I'm hoping someone else has experienced this and I can help him with your experience.  It happens only during intercourse with his wife.  He said something about getting his heart rate up and the position he is in (on top) brings on this "wicked" pain on one side of his head and it persists for 8-12 hous.  He went to the doctor today and they didn't seem concerned.  They said blood pressure is fine, corroted(sp?) artery sounds clear, we'll do some fasting bloodwork tomorrow and don't worry about it.  I am worried for him, any suggestions??? MRI?

Sorry if this was too much information for some...

Thanks,

Diana

Dear Diana,

Please don't feel embarassed by asking questions that might help your brother's condition.  It takes a truly caring sister to investigation this problem, since it is of a sensative nature. 

It could be that your brother's blood pressure is spiking during this "activity", which would not show up on any test run by a doctor (unless the doctor was testing his right during the activity, which is ridiculous to think about).  The closest test the doctor could do would be a stress test, the treadmill thing, and see how his blood pressure reacts under that kind of activity. 

For a long time, one of my PCP's, quite a few years ago, thought this was happening to me.  She thought my blood pressure might be spiking when I had a migraine(although my migraines didn't happen at any particular time).  I tried a several different blood pressure medications which have been successful for a lot of people.  Unfortunately, they didn't work for me, but they could be a good fit for your brother.

Hope this was helpful.  Let us know how things turn out.

Leigh Ann