Struggling with Headaches and Insomnia: Your Symptoms - Family Medicine

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Lying down with a headache makes it difficult to sleep?


I often experience tension-type headaches on both sides of my temples and at the back of my head after lying down.
The pain feels like pressure.
Additionally, when I go to bed and close my eyes, I feel very awake and cannot fall asleep, even though I keep yawning.
Recently, I can only manage to fall asleep around 4 or 5 a.m.
I usually enjoy lying in bed and looking at my phone, even before sleep.
I have anxiety disorder, but I'm not sure if this is the cause.
Thank you for your help.

Chen Xi, 10~19 year old female. Ask Date: 2023/06/02

Dr. Ye Qianyu reply Family Medicine


Hello! I recommend that you first visit a family medicine or general internal medicine clinic to rule out any physiological issues.
Additionally, please pay attention to sleep hygiene and adjust your daily routine to improve your sleep quality.

Reply Date: 2023/06/02

More Info


Struggling with headaches and insomnia can be a frustrating experience, especially when these symptoms seem to intertwine with anxiety and lifestyle habits. Based on your description, it appears that you are dealing with tension-type headaches, which are often characterized by a feeling of tightness or pressure around the forehead, temples, or back of the head and neck. These headaches can be exacerbated by stress, anxiety, and poor sleep hygiene, which seems to be a significant factor in your case.


Understanding Your Symptoms
1. Headaches: The tension-type headaches you are experiencing may be linked to muscle tension in the neck and scalp, often caused by stress or prolonged periods of poor posture, such as lying in bed while using your phone. This can lead to muscle strain and discomfort, which manifests as headaches. The fact that you feel a tightening sensation around your temples and the back of your head further supports this diagnosis.

2. Insomnia: Your difficulty falling asleep, especially when you find yourself wide awake despite feeling tired, can be attributed to several factors. Anxiety is a common culprit that can keep your mind racing, making it hard to relax and drift off to sleep. Additionally, the blue light emitted from screens (like your phone) can interfere with your body’s natural sleep-wake cycle, making it harder to fall asleep when you finally decide to turn off the device.

3. Anxiety: Given that you have a history of anxiety, it is plausible that your mental state is contributing to both your headaches and insomnia. Anxiety can lead to physical symptoms, including muscle tension, which can trigger headaches. Furthermore, the worry and stress associated with anxiety can disrupt your sleep patterns, leading to insomnia.


Recommendations for Management
1. Sleep Hygiene: Establishing a regular sleep routine can significantly improve your sleep quality. Aim to go to bed and wake up at the same time every day. Create a relaxing bedtime ritual that does not involve screens, such as reading a book or practicing relaxation techniques like deep breathing or meditation.

2. Limit Screen Time: Try to avoid using your phone or other electronic devices at least an hour before bed. The blue light emitted from screens can inhibit melatonin production, making it harder for you to fall asleep.

3. Stress Management: Incorporate stress-reducing activities into your daily routine. This could include regular physical exercise, yoga, or mindfulness meditation. These practices can help alleviate anxiety and reduce the frequency and intensity of your headaches.

4. Hydration and Nutrition: Ensure you are drinking enough water throughout the day and eating a balanced diet. Dehydration and poor nutrition can also contribute to headaches.

5. Consult a Professional: Since you have a history of anxiety and are experiencing persistent headaches and insomnia, it may be beneficial to consult with a healthcare professional. A doctor can help rule out any underlying conditions and may recommend therapy or medication to help manage your anxiety and its physical manifestations.

6. Physical Therapy: If muscle tension is a significant contributor to your headaches, consider seeking physical therapy. A physical therapist can provide exercises and techniques to relieve tension in your neck and shoulders.


Conclusion
In summary, your symptoms of tension-type headaches and insomnia are likely interconnected and influenced by anxiety and lifestyle factors. By implementing better sleep hygiene practices, managing stress, and seeking professional guidance, you can work towards alleviating your symptoms and improving your overall well-being. Remember, it’s essential to listen to your body and seek help when needed, as persistent symptoms warrant a thorough evaluation by a healthcare provider.

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