So, it's not just pups that must be "hot", but peps as well, or Carolina Reapers, if ya wanna get specific. Jeez, I like two-three stars at the Thai place as much as the next manly-man, but I'm not planning to go to a hospital for the trophy. Darwin award nominee? https://www.npr.org/sections/thesal...he-super-hot-pepper-that-sent-a-man-to-the-er Thunderclap headaches are really no joke. "Folks will describe this as if they felt like something exploded in their head or they got hit in the back of the head," Schwedt says. "So it's really how quickly it becomes very severe that makes it a thunderclap headache." One can linger for weeks, he says. About 1 in 4 of these headaches is triggered by constricted blood vessels — typically caused by something other than a hot pepper. That situation usually resolves gradually on its own. But sometimes these headaches can be the result of a dangerous event, like a burst or torn blood vessel in the brain. "When someone has a thunderclap headache, it should be considered an emergency, and it needs to be evaluated urgently," Schwedt says. The pepper-eater's story had a happy ending. Five weeks later, the New York man returned to the hospital for another scan and the blood vessels in his brain were back to normal.