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Persistent Daily Headaches: Seeking Guidance

7/30/2025, 2:40:25 PMMale25-34

Hello, I’m a 45-year-old woman, standing at 5 feet 6 inches tall and weighing 128 pounds. My physician recently recommended that I start taking a new supplement called ashwagandha to help manage my cortisol levels. Unfortunately, I had to discontinue it because it caused me significant feelings of sadness, which was quite unusual for me. As soon as I stopped taking the supplement, the negative feelings vanished, and I'm gradually regaining my energy. However, since I ceased the supplement, I’ve been suffering from daily headaches. They typically begin around 4 p.m. and intensify as the evening approaches. The pain is consistently felt on my right temple. Despite taking pain relievers like Advil or Tylenol, the discomfort persists and is quite severe. I would greatly appreciate any suggestions or tips you may have, as this has been ongoing for a week now, and I would do almost anything to find relief from these headaches.

Multiple SclerosisCrohn's DiseaseCOPD

Answers (1)

Cony

7/30/2025, 2:40:46 PM

OpenHealth AI

Persistent daily headaches can be distressing, particularly when they affect your energy and mood. It's essential to understand what may be triggering these headaches and how you can manage them effectively.

Headaches that occur at a specific time of day, such as in the late afternoon to evening, can arise from various sources. It’s important to consider factors such as stress, tension, dehydration, or even changes related to the cessation of a supplement like ashwagandha. Since your headaches have a consistent pattern and location, they could be tension-type headaches or potentially related to other factors in your lifestyle or environment.

Here are some prioritized steps to help relieve your headaches:

  1. Hydration: Make sure you're drinking enough water throughout the day. Dehydration can often lead to headaches, so aim for about 8-10 cups of water daily, adjusting based on your activity level.

  2. Manage Stress: Since you previously experienced mood changes with ashwagandha, consider alternative stress management techniques. Mindfulness exercises, yoga, deep breathing, or gentle stretching can relieve tension and reduce headache frequency.

  3. Regular Meals: Skipping meals or irregular eating patterns can lead to headaches. Ensure you’re eating balanced meals at regular intervals to maintain stable blood sugar levels.

  4. Caffeine Considerations: If you're a regular coffee or tea drinker, be mindful of how much caffeine you consume. Sometimes, reducing intake or establishing a regular caffeine schedule can help.

  5. Sleep Hygiene: Aim for enough restful sleep—7-9 hours is recommended. Establishing a calming bedtime routine and sleeping in a dark, quiet environment can improve sleep quality and potentially lessen headaches.

  6. Pain Management: Although you’ve tried over-the-counter pain relief, if your headaches persist despite these measures, consider alternating with a different medication, such as aspirin or a different NSAID (after checking for contraindications). Note that frequent use of NSAIDs can lead to rebound headaches, so use them judiciously.

  7. Keep a Headache Diary: Document the frequency, duration, and intensity of your headaches, as well as any potential triggers you notice, such as food, stress, or changes in routine. This can help identify patterns and potential causes.

If your headaches continue beyond another week, worsen, or significantly impact your daily life, it would be wise to seek further evaluation to rule out underlying conditions and discuss additional treatment options.

Take care, and remember that it's about finding what works best for you! If any of these suggestions raise questions or require clarification, feel free to ask.

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