
What can I do about headaches when lying down?
I have the habit of smoking and drinking alcohol. After periodic overtime work, I experience headaches when lying down at night. What should I do?

Headaches when lying down can be caused by various factors, and the following methods may help alleviate them:
1. Vascular neuralgia:
This may be caused by prolonged light sleep. It is recommended to adjust sleep duration and avoid extended periods of light sleep.
During the acute phase, oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or acetaminophen, can be considered for pain relief.
2. Abnormal blood supply:
If cerebral hypoperfusion is suspected, medications that improve cerebral circulation, such as betahistine hydrochloride or flunarizine hydrochloride, can be taken under a doctor's guidance.
3. Increased intracranial pressure:
Headaches that occur when lying down and improve upon standing or sitting up may indicate elevated intracranial pressure. Dehydration therapy using medications such as mannitol or glycerol fructose may be necessary to reduce intracranial pressure.
4. Other measures:
Implementing sleep management strategies, such as choosing a comfortable sleeping position, maintaining regular sleep schedules, and optimizing the sleep environment, can improve sleep quality and relieve headaches while reducing pressure on the cervical spine and head.
For such symptoms, it is recommended that patients seek timely medical consultation. Additionally, maintaining healthy lifestyle habits, avoiding prolonged fixed postures, and engaging in appropriate physical activity can help alleviate certain types of headaches.