A 15-year-old healthy male ingested a Carolina Reaper pepper on a dare. While localized symptoms such as mouth burning, mouth numbness, and even vomiting are the main risks of eating these peppers, recent case reports have revealed more serious complications of these potent foods. “The Carolina Reaper pepper is one of the spiciest edible peppers in the world. The title of the article:įear the reaper: reversible cerebrovascular vasoconstriction syndrome after hot pepper ingestion The authors describe what happened and offer advice: An article in the journal Radiology Case Reports (April 5, 2020) describes another horrible headache story. The case we cite above is not the only case of hot pepper headache after eating a Carolina Reaper. “Given the development of symptoms immediately after exposure to a known vasoactive substance, it is plausible that our patient had RCVS secondary to the ‘Carolina Reaper.’ Treatment is observation and removal of the offending agent.” Sh0uld You Fear the Carolina Reaper? As they dug into the medical literature they discovered one case where cayenne pepper pills were linked to constriction of coronary arteries and a heart attack ( International Journal of Emergency Medicine, January 20, 2012). Over the next several weeks the arteries gradually returned to normal. The authors of the BMJ Case Reports article discovered that their patient had severe narrowing in four brain arteries. The Carolina Reaper and Hot Pepper Headache: And other vasoconstrictors like amphetamine and cocaine may trigger a thunderclap headache. Decongestants have also been linked to RCVS. So can some antidepressants (SSRIs like fluoxetine or sertraline). Migraine medicines such as ergotamine or triptans can do it. Because a thunderclap headache is often triggered by constriction of brain arteries, they need to determine what else could cause this sort of arterial spasm?ĭrugs can sometimes be the culprit. Once a stroke or other life-threatening source has been ruled out, emergency physicians start looking for other contributing factors. The medical term is reversible cerebral vasoconstriction syndrome ( RCVS). They made a presumptive diagnosis of “thunderclap headaches” brought on by severe constriction of brain arteries. Once the physicians ruled out a stroke or other life-threatening crisis, they considered other possibilities. Needless to say, the ER doctors were worried. Other possibilities could have been a blood clot in a vein in the brain or an artery breaking apart (artery dissection). They were concerned that he might have had a brain bleed (subarachnoid hemorrhage). The doctors performed a CT scan and a complete neurological workup. What Happened After the Hot Pepper Tasting? This kind of headache can be brought on by an accident that causes injury to the head and/or neck. It is thought the pain follows the occipital nerves that run from the top of the spinal cord to the scalp area behind the head. The medical definition for this kind of headache goes something like this: It is major pain behind the eyes, in the back of the head and up the neck. The pain was excruciating and thus he came to the ER.” What is Occipital Head Pain?
During the next few days, on at least two occasions and in retrospect he thought probably more often, he experienced brief intense thunderclap headaches lasting seconds. He then developed intense neck and occipital head pain that became holocephalic. “His symptoms began with dry heaves but no vomiting immediately after participation in a hot pepper contest where he ate one ‘Carolina Reaper,’ the hottest chili pepper in the world. The doctors who saw him in the ER related the following story: He had been participating in a hot pepper contest. In this description, we learn about a 34-year-old healthy man who ended up in the emergency room after developing a severe headache. That’s the conclusion from the medical journal BMJ Case Reports, April 9, 2018. Some vegetables need to be treated with kid gloves. It did some serious damage to one taster. One hot pepper, the “Carolina Reaper,” is considered the hottest chili pepper in the world. Each one seems to try to outdo the others for hotness.
There are now products like Crazy Jerry’s Brain Damage, Mad Dog Inferno, and Blair’s Mega Death Sauce. Craving for hot sauce has taken off over the last couple of decades. That is the active ingredient in hot chili peppers that lights up our taste buds, makes us sweat and brings tears to our eyes. Those of us who love hot peppers cherish the experience of pain and pleasure brought on by the chemical called capsaicin.
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