Conversation: The conversation between human and AI assistant.
[|Human|] Yesterday I was having a bm and I was straining then all of a sudden I felt a sharp pain in my head almost like something burst inside my head. Well afterward I had a headache all day, I took aspirin and ibuprofen but it still hurt. When I woke up this morning it didn t hurt but when I would cough it would, and now sometimes it comes and goes. Could I have done some kind of damage, I ve had a stroke back in 07 from a blood clot. Thank you
[|AI|]  Hello dear, Please accept my concerns for you. Abrupt onset headache, which increases on any form of straining(including coughing) can be a symptom of some structural intracranial pathology like a mass lesion inside the brain or an aneurysm(even subarachnoid hemorrhage).Also, it can also be a part of benign headache like primary cough headache(which is episodic and increases on coughing and other forms of straining like urination). You should, get a Computerized tomographic scan(CT scan) of head, without much delay. Please get in touch with a neurologist as soon as possible. I hope it was of help.