A BP of 220/54 does not sound right. The 220 is extremely high. The 54 is extremely low. What was your starting BP? How was your head ache at that high BP?

What is your normal resting BP?

Mine is about 115/65 to 120/75, give or take.

When my BP spikes, it can hit 195/155.

I was asking what your BP is when you have a head ache as compared to resting. That will help you understand if your head ache is BP caused.

If the diastolic was accurate at 54, it says that your vessels stretch and dilate well. That is usually a sign of good vascular health. This vascular dilating can cause head aches.

MdotDdot's comment about a calcium channel blocker to stabilize vascular size may be worth a question to your Doctor.

Maybe you need to exercise more often so your fluid pressure in your brain normalizes to the BP effects.

I exercise and a lower heart rate and BP for 45 minutes or more. I don't know my pulse or BP but my respirations are probably around 25 to 30 per minute.