Teeth grinding can also cause morning headaches. Mouth guards can also prevent those, she says.
Drug abuse can also cause headaches. That includes 15 or more days per month of taking an over-the-counter pain reliever such as aspirin, acetaminophen, or a nonsteroidal anti-inflammatory drug such as ibuprofen, or 10 or more days per month of a prescription pain reliever as opioids or triptans. “Patients don’t realize that simple drugs like Advil, Tylenol, and Excedrin are actually the big culprits,” says Dr. Mullin. The best way to prevent these headaches is to cut back on medication if possible, taking it less than three times a week.
In rare cases, morning headaches are the result of brain damage, like a tumor, that causes pressure inside the skull, Dr. Mullin says. (On average, brain and spinal cord tumors are only diagnosed in about 24 out of 100,000 people in the United States each year.) Lying down increases this pressure, so these headaches often happen in the middle of the night or in the morning. And the pain is often so intense that it makes the patient drowsy. “A headache that wakes you up from sleep in the morning is what, for most neuroscientists, sets the flag,” she says. Often, an MRI scan is the next step to see inside the brain.
Dr. Merle Diamond, president and medical director of Diamond Headache Clinics in the Midwest, says migraines are also a common morning culprit. In fact, for unknown reasons, she said, 40% of migraines start early in the morning. Many factors can affect them, including alcohol, dehydration, lack of sleep, too much or too little caffeine, and eating too much or not enough the night before. Other triggers are processed meats, chocolate, aged cheeses and artificial sweeteners, as well as stress, hormonal fluctuations, weather changes and bright lights. Even a change in routine can trigger a migraine, says Dr. Diamond, because “the migraine brain likes things really regularly.”
Dr. Diamond says migraines are different from other headaches. They are often throbbing or pounding and may be accompanied by nausea or sensitivity to light or sound. They usually only occur on one side of the head and can last from four hours to several days if left untreated, making it difficult for people to get on with their lives.
To prevent migraines, Dr. Diamond recommends keeping a headache diary – recording triggers and patterns associated with their onset – and then avoiding those that trigger headaches. there. Depending on the frequency and severity of your migraines, your doctor may also recommend prescription medications that can prevent or treat migraines. As of 2018, the Food and Drug Administration approved some new migraine medicinesmany of which have fewer side effects than older drugs.
https://www.nytimes.com/2022/02/23/well/live/morning-headaches.html Why do I wake up with a headache?