Teeth grinding can also cause morning headaches. He said even mouth guards can stop him.

drug abuse Can also cause headache. This includes 15 or more days per month of over-the-counter pain medications such as aspirin, acetaminophen or nonsteroidal anti-inflammatory drugs such as ibuprofen, or 10 or more days per month of prescription pain medications. to like opioids or triptans. “Patients don’t realize that simple drugs like Advil, Tylenol and Excedrin are actually big culprits,” Dr. Mullin said. The best way to prevent these headaches is to cut down on medications if possible, taking them less than three times a week.

In rare cases, morning headaches are the result of brain lesions, such as tumors, that create pressure inside the skull, Dr. Mullin said. (On average, brain and spinal cord tumors are diagnosed in only about 24 out of every 100,000 people per year in the United States., Lying down increases this pressure, so these headaches often occur in the middle of the night or early morning. And the pain is usually so intense that it wakes patients from sleep. “A headache that wakes you up from sleep in the morning is something that, for most neurologists, sets off our ‘this is worrisome’ flag,” she said. Often an MRI is the next step to look inside the brain.

Migraines are also a common morning headache, said Dr. Merle Diamond, MD, president and medical director of Diamond Headache Clinics in the Midwest. In fact, for reasons unknown, she said, 40 percent of migraines begin in the morning, Many factors can trigger them, including alcohol, dehydration, lack of sleep, too much or too little caffeine, and eating too much or not enough at night. Other triggers are meats, chocolate, aged cheese, and artificial sweeteners, as well as stress, hormonal fluctuations, weather changes, and bright light. Even a change in routine can trigger a migraine, Dr. Diamond said, because “the migraine brain likes things to be really routine.”

Migraines are different from other headaches, Dr. Diamond said. They are often throbbing or pulsating, and they may come with nausea or sensitivity to light or sound. They often occur on only one side of the head, and if untreated they can last from four hours to several days, making it difficult for people to get on with their lives.

To prevent migraines, Dr. Diamond recommends keeping a headache diary — the triggers and patterns associated with their onset — and then avoiding those triggers. Depending on the frequency and severity of your migraines, a doctor may also recommend medications that can prevent or treat migraines. Since 2018, the Food and Drug Administration has approved A handful of new migraine drugsMany of which have fewer side effects than older drugs.

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