If you have a headache in the evening, this greatly reduces the quality of life. Neither relax after a working day, nor enjoy the tranquility of the home environment will not work. Sometimes the pain is so severe that it is not possible to fall asleep for a long time, so a person in the morning feels overwhelmed and tired. If severe headaches bother you, you should consult a doctor and find out what caused them. Consider the common causes and common problems.
Where does trouble come from?
It’s quite difficult to immediately understand why every night my head hurts. The reasons can be very different. Sometimes it’s a lot of stress. Possible pain due to strong feelings and physical fatigue. Overworked, a person feels different symptoms of this condition. One possible headache. Various external and internal factors aggressively affect the human body, leading to discomfort.
Sometimes, if your head hurts in the evening, it’s enough to have a good rest. You can even take sick leave or leave to eliminate all harmful external factors. If the pain is not very severe, a cup of warm tea, drunk in silence, alone with yourself, will relieve it. Sometimes it is worth taking anesthetic medicine - however, it is better to consult a doctor first. But in some cases, such simple measures are not enough.
About the scale of the problem
Sometimes a person comes to the doctor because his head hurts in the morning and evening. It is a reasonable decision to consult a specialist in such a situation, because it is difficult to diagnose the condition yourself if the pain is severe and recurs often. Complication is observed due to anxiety, anxiety provoked by pain. A vicious circle is formed: because of experiences, pain appears, intensifying due to anxiety due to pain. To determine the root cause, the doctor will refer the patient for examination. Based on their results, they will formulate a diagnosis and determine how to deal with the disease.
Types of pain
At the stage of diagnosing the condition, a precise description of the syndrome will help the doctor. If the head hurts in the evening and makes you sick, while the sensations are localized in only one half of the head, the root cause is probably migraine. If the attacks are strong, intense, often repeated, inflammatory processes in the nervous system, trauma can be suspected.
If the pain comes in seizures, one of the explanations is considered low blood pressure. In the case of atherosclerotic vascular lesions, vascular diseases localized in the head, the pain appears regularly, is relatively stable in sensations.
Hypertension
If an adult or a child has a headache in the evening, the cause of this may be high blood pressure. Manifestations can be not only in the evenings, but also at other times of the day. It used to be that sharp pressure drops are characteristic only of people over the age of forty, but in recent years, pathology has been increasingly detected in young people, children, and middle-aged people. The intensity of pain varies from case to case. Some feel as if whiskey, the back of the head is pulsating, the sensations are localized in the forehead. Others characterize the condition as acute soreness that spreads to the eyes.
It is possible to suspect that the cause is high blood pressure, if blood comes from the nose, the rhythm of heart contractions is broken, the person is sluggish, he is sick and vomits. High blood pressure due to genetic factors, overweight, and diabetic disease. Often, hypertension is observed due to bad habits or against the background of gout. This condition cannot be ignored, since there is a possibility of serious complications (including stroke and death).
Low pressure
If your head hurts every day in the evening, it can be assumed that the cause is hypotension. This condition is fixed if blood pressure drops in the arteries. In this case, pain can cover a variety of areas of the head. Some note the severity of sensations in the temples, while others suffer from the back of the head. Most often, the pain pulsates. Additional symptoms of the condition: darkening, flies in the eyes, especially noticeable if you sharply move, turn or bend. The limbs may go numb. The condition of a person is close to fainting. A person suffering from low blood pressure is generally weak.
A variety of pathologies can be the cause of hypotension. The VSD is quite common. To cope with the problem, you need to consult a doctor to select the appropriate medical course. Often prescribed "Heptamyl" or "Citramon." Medicines are used in long courses. The dose is determined by the doctor, starting from the severity of the condition, weight and age of the patient.
Migraine
If the head begins to hurt in the evening, we can assume migraine. The condition occurs quite often, characterized by intense, strong sensations. Long duration is possible - several hours in a row. Taking painkillers does not always help. At the beginning of the attack, it pulsates in the temples, the sensation spreads to the eyes. Pain in the head is accompanied by a fear of bright light, nausea, a weak state. Sounds frighten a person, pulls him to sleep. Possible irritability, nervousness.
What triggers migraine, doctors do not yet know. It is known that risk factors include excessive fatigue (intellectual, physical overstrain), stress factors, intense excitement, emotional instability. There is a higher likelihood of migraine, if the light flickers, a person hears very sharp or monotonous loud noises, is in a smoky, stuffy, cramped room. It is known that migraine often worries those whose hormonal balance is lost. A prolonged stay in transport can provoke an attack.
Cervical osteochondrosis
If the head begins to hurt in the evening, it will be reasonable to check the health of the spinal column - there is a chance of osteochondrosis. The main pain is localized in the occipital region, with subsequent spread to the head in general. At the same time, a person feels a noise in his ears. Osteochondrosis is characterized by frequent dizziness, pain in the neck and numbness of the limbs. Metabolism, improper and irrational nutrition can provoke pathology. The likelihood of pathology is higher if a person leads a sedentary lifestyle, for a long time maintains a forced posture.
Treatment should be comprehensive. The doctor will select the appropriate course of medications if the condition is running. If osteochondrosis is still in its initial form, the needy is sent for massage. It is recommended to regularly do gymnastics, while working, give yourself breaks for physical activity.
Meningitis
If the head hurts in the evening, the temperature rises, we can assume an infectious or viral disease. These include, in particular, meningitis. The disease is very dangerous, without adequate treatment can cause death. It manifests itself with severe pain attacks. Pain is explained by inflammatory processes in the meninges. Temperature measurement shows a fever of the order of 40 degrees. The patient is vomiting, sick. The cervical muscles with meningitis are rigid, the person is hypersensitive to sounds, light.
The cause of meningitis is the invasion of a pathological agent. Viruses, bacteria can provoke a disease. Relatively often, an inflammatory process is observed due to the penetration of streptococcus, staphylococcus. The cause may be Pseudomonas aeruginosa, Escherichia coli. Meningitis can appear as a complication of tuberculosis, syphilis. A secondary focus of inflammation may occur against the background of invasion of brucella, toxoplasma.
Diabetes
Finding out why in the evenings the head hurts, you should consult an endocrinologist. Headaches are known to be one of the possible symptoms of a diabetic disease. Pathology leads to metabolic disorders in the tissues of the body. The performance of the pancreas, responsible for the generation of the hormone insulin, goes astray. The insufficiency of its content is accompanied by a violation of biochemistry: sugars do not break down, as expected.
Diabetics not only have a headache. With such a disease, extra pounds appear, a person constantly wants to drink, the volume of urine separated per day increases. Perhaps a sudden inexplicable weight loss. Boils often appear. Possible neurological disorders, excessive hydration of the body.
Cluster Cephalgia
Turning to the doctor for an explanation of why headaches hurt in the evenings, you can get directions for additional examinations if the doctor suggests cluster cephalgia. The pathological condition is among the relatively rare, difficult to treat. The most severe pain syndrome is observed in the evening or at night. The duration of the attack is a few seconds. Usually, with short pauses, several attacks follow each other, during which the person is sick, his eyesight and hearing are weakened, there is a fever. With an attack, the work of sweat glands is activated, numbness of the hands and feet is disturbing.
Diagnosis
It is impossible to diagnose a condition only by describing the symptoms. The doctor first examines the patient, fixes his complaints on the map, then gives directions to CT, MRI, and electroencephalography. Dopplerography recommended. Based on the results of research activities, it is determined who should lead the case: a neurologist, surgeon, infectious disease specialist or other highly specialized doctor.
What to do?
If the head hurts in the evenings, treatment is selected when the diagnosis is specified. If you know that it’s a migraine, you need to seek help from a neurologist. The disease cannot be completely cured, but funds will be selected to alleviate the condition during the attack. The goal of medication is to relieve pain. With cluster cephalgia, accompanied by worsening nasal obstruction, red eyes, trembling, drooping eyes, active secretion of tears and drooping eyelids, the patient cannot be completely cured. The doctor will determine a comprehensive medication course to facilitate manifestations. The goal of therapy is to relieve pain and improve a person’s quality of life. It is recommended to take painkillers, triptans, ergotamines.
If your head hurts in the evenings due to diabetes, you can’t count on a complete cure either. There are many tools to take control of a fortune. It must be remembered that special risks are associated with diabetic complications. To minimize the manifestations of diabetes and reduce the risk of complications, they switch to a special nutrition program, consuming carbohydrate-rich foods to a minimum. The doctor will select a course of gymnastics, physical education, which allows you to maintain the body in good shape, without harming health. Prescribe funds to control the concentration of sugars in the blood. If necessary, prescribe artificial insulin for injection. Curing diabetes on your own will not work.
Diagnoses and treatment
If your head hurts in the evenings due to meningitis, a course of antibiotics is needed. The patient is hospitalized. Perhaps the use of antiseptic, anti-inflammatory drugs.
If osteochondrosis is the cause, you need to take funds to inactivate inflammatory processes. Antispasmodics, analgesics are indicated. Special gymnastics is needed. Physiotherapy is practiced: electrophoresis, phonophoresis, reflexology. If the condition is serious, surgery is needed.
If the head hurts in the evenings due to high blood pressure, the patient requires funds from the ACE inhibitor class. Diuretics, beta blockers may be prescribed. Much is determined by the severity of the disease, the characteristics of the symptoms. As the pressure stabilizes, the headache will no longer return if a person takes the medications prescribed to him. With hypotension, medications are also indicated. In addition, it is necessary to revise the lifestyle, abandon bad habits, limit physical activity. A good effect is given by contrasting water procedures, physiotherapy exercises. Adrenostimulants may be prescribed if the condition is severe enough.
Is it possible to warn?
The problem of evening headaches is familiar to many of our contemporaries. If the root cause of the disease, the only way to prevent an attack is a therapeutic program selected by the doctor. If there are no pathological reasons, you can prevent pain by simple measures - to review everyday life, to slightly change your habits. The task of a person is to have a high-quality, full-fledged, long rest. It is necessary to spend a lot of time in motion in the fresh air. Since pain occurs against the background of overwork, the exclusion of such a condition is a good method of preventing an unpleasant symptom.
Perhaps the condition is when you feel sick, vomit, have a headache on the background of a drug course. With such manifestations, you need to ask a doctor for help.
Options and measures
In order to exclude headaches and prevent their occurrence, it is recommended to review the diet, exclude dangerous and harmful foods, eat healthy food. It is necessary to control the temperature regime. Since pains are possible against the background of overheating, hypothermia, you need to dress according to the weather, do not spend too much time in uncomfortable climatic conditions or have sufficient protection against them.
Many say that in the evening the head hurts, because the hair is too tightly pulled. If you change the hairstyle, the pain can completely disappear. This cause of pain is the safest and easily correctable.