Why do I experience headaches on the right side in the evening?

Aug 18, 2024 Source: Cainiu Health
Disease description:

Recently, I've been under a lot of stress. My right side of the head hurts in the evening, but I feel fine during the day. Why does my right side of the head hurt in the evening?

Doctor's answer (1)
Dr. Lv Zhiqin

Common causes of right-sided headaches in the evening include:

1. Excessive fatigue: High work pressure during the day, excessive mental stress, or prolonged physical or mental labor without sufficient rest in the evening may lead to cerebral hypoxia, which can trigger a right-sided headache.

2. Hypertension: Failure to take antihypertensive medications on time may cause blood pressure to fluctuate and rise in the evening, leading to a right-sided headache.

3. Cervical spondylosis: Patients with cervical spondylosis may experience recurrence of symptoms due to prolonged poor posture during the day, such as working at a desk or looking at a mobile phone. This can compress nerve roots and radiate pain to the right side of the head.

4. Cluster headache: This is an acute-onset, severe neurovascular headache characterized by repeated, closely spaced episodes of intense, one-sided head pain, which may occur at night on a regular schedule.

5. Tension-type headache: Neurogenic headaches caused by mental stress, anxiety, or insufficient sleep may also manifest as a right-sided headache in the evening.

6. Migraine: During a migraine attack, pulsating pain may occur on one side of the head, often accompanied by symptoms such as nausea.