Right-Sided Headaches: Causes and Management Tips

Right-sided migraine?

Hello, doctor.
I am a first-year junior high school student.
I have had a problem for a while where I feel that when my heart beats too fast (especially when I am more excited), it seems like the pressure in my head increases (this is purely my speculation), leading to brief headaches.
I need to slowly adjust my breathing for the situation to improve.
This does not happen often, just occasionally.
However, in the past few days, the headaches have become more frequent, occurring about three times a day.
Currently, they are recurring and are located around the right side of my temple, with a pulsating sensation.
Recently, I have been preparing for an English proficiency test, and my schedule has been very tight.
I have been going to bed later and later, with classes ending at 9:30 PM...
On one occasion, I went to bed as late as 11:30 PM, whereas I usually go to bed around 10:30 PM.
It takes me about 10-20 minutes to fall asleep (I tend to think a lot...
I really want to improve this aspect and learn how to fall asleep quickly).
Could these changes in my daily routine be one of the factors affecting the issues mentioned above? I would appreciate it if you could explain and provide suggestions for further management.
Thank you very much for your thoughtful response.

shiau, 10~19 year old female. Ask Date: 2022/05/26

Dr. Jiang Junyi reply Neurology

Dear Ms.
Shiau,
You mentioned experiencing "transient headaches, which require me to gradually adjust my breathing for improvement...
and I tend to overthink...
I really want to improve this aspect and how to fall asleep quickly." If the headache symptoms are causing you significant distress, I recommend keeping a headache diary, maintaining a regular routine, and ensuring good sleep hygiene.

To improve your sleep, it is advisable to avoid napping during the day and to refrain from consuming coffee outside of the morning hours.
Additionally, avoid smoking and drinking alcohol, as both can lead to fragmented sleep.
It is also important to eliminate distractions in the bedroom, such as televisions.
Keep the bedroom dark and quiet.

Try to maintain a consistent sleep schedule, going to bed and waking up at the same time every day, including weekends.
Avoid exercising, eating large meals, or engaging in stimulating activities 2-3 hours before bedtime to enhance sleep quality.

To prevent migraines, consider engaging in aerobic exercises (such as jogging or swimming) and relaxation training.
The foods you consume in daily life are the second most discussed triggers for migraines after stress.
Common dietary triggers include processed meats (such as hot dogs, sausages, and bacon containing nitrites), fermented foods (like yogurt), pickled items (such as kimchi), monosodium glutamate (MSG), seafood (which may contain histamine), baked goods, dairy products, foods high in tyramine (like cheese, chocolate, and red wine), and citrus fruits.
Thank you for your inquiry.
If you have further questions, feel free to discuss them.
Wishing you good health, peace, and happiness.
Sincerely,
Dr.
Jiang Junyi
Department of Neurology, Taoyuan Hospital

Reply Date: 2022/05/26

More Info

Understanding right-sided headaches, especially in the context of a young individual like yourself, involves considering various factors that could contribute to the symptoms you're experiencing. Based on your description, it seems that your headaches are associated with stress, changes in sleep patterns, and possibly anxiety related to your studies.

Causes of Right-Sided Headaches
1. Tension-Type Headaches: Given your busy schedule and the stress of preparing for exams, it’s possible that you are experiencing tension-type headaches. These headaches are often characterized by a dull, aching sensation on both sides of the head, but they can also manifest on one side, including the right side. They are typically associated with muscle tightness in the neck and shoulders, which can be exacerbated by stress and poor posture, especially during long study sessions.

2. Migraine: Although you mentioned that the pain is primarily on the right side, migraines can also present with unilateral pain. Migraines are often pulsating in nature and can be accompanied by other symptoms such as sensitivity to light, sound, or nausea. The fact that you experience a throbbing sensation could suggest this type of headache, particularly if you have a family history of migraines.

3. Sleep Deprivation: Your recent changes in sleep patterns, including going to bed later and possibly not getting enough sleep, can significantly impact headache frequency and intensity. Sleep deprivation is a well-known trigger for both tension-type headaches and migraines. The body needs adequate rest to recover and function optimally, and lack of sleep can lead to increased stress and tension, further aggravating headache symptoms.

4. Anxiety and Stress: The pressure of preparing for exams can lead to increased anxiety, which can manifest physically as headaches. When you feel anxious, your body may respond with muscle tension, particularly in the neck and shoulders, which can contribute to headache development.

Management Tips
1. Establish a Regular Sleep Schedule: Aim to go to bed and wake up at the same time every day, even on weekends. This helps regulate your body's internal clock and can improve the quality of your sleep. Try to allow yourself at least 7-9 hours of sleep each night.

2. Practice Relaxation Techniques: Incorporate relaxation exercises into your daily routine. Techniques such as deep breathing, meditation, or yoga can help reduce stress and tension, potentially alleviating headache symptoms. Since you mentioned that adjusting your breathing helps, consider making this a regular practice.

3. Stay Hydrated and Maintain a Balanced Diet: Dehydration and poor nutrition can trigger headaches. Ensure you are drinking enough water throughout the day and eating balanced meals that include fruits, vegetables, whole grains, and proteins.

4. Limit Caffeine and Screen Time: While caffeine can sometimes help alleviate headaches, excessive consumption can lead to rebound headaches. Additionally, prolonged screen time can strain your eyes and contribute to tension headaches. Take regular breaks during study sessions and practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds.

5. Physical Activity: Regular physical activity can help reduce stress and improve sleep quality. Even short walks or stretching exercises can be beneficial.

6. Consult a Healthcare Professional: If your headaches persist or worsen, it’s essential to consult a healthcare provider. They can help determine the underlying cause and recommend appropriate treatments or lifestyle changes.

In summary, your right-sided headaches may be influenced by a combination of stress, sleep deprivation, and possibly tension-type headaches or migraines. By implementing some of the management strategies mentioned above, you may find relief from your symptoms. Remember to listen to your body and prioritize self-care, especially during stressful times like exam preparation.

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