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My mother (has dementia) complains about headaches alot mostly at night. Dr say's they're tension headaches, any one had same problems?

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Give her a benadryl at bedtime if it is OK with the MD. Most over the counter sleep aids use diphenhydramine (Benadryl) as a relaxant.
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Or the headaches could be eye strain headaches. Has your Mother had an eye exam within the past year? Maybe she need glasses or if already wearing glasses she needs the lenses changed.
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Try some relaxation therapy periodically in the evening and just before bed. Play music that she likes, soft dreamy music that's relaxing.

Try an experiment and bake something with cinnamon in it in the evening, and let her take a sniff of it before she goes to bed. Cinnamon is relaxing.

Or watch old movies, funny ones, ones with animals, but nothing sad or intense. And no politics or news.

If she's comfortable discussing her anxieties and concerns, talk about what's bothering her and make suggestions to help her address the issues. Let her know you'll help her with these various issues (assuming it's possible to help), so she doesn't feel as if she has to deal with them alone.
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My mom has headaches across her forehead and very tense muscles at her jaw and neck and she gets relief from over the counter topical pain creams if you don't want to take any more oral meds.
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OMG!!! Thank you so much for your advice. "Pamstegma", we have Benadryl and will give her a tablet verses Tylenol. "Freqflyer", just last week I scheduled an eye exam. I didn't even think this could be a problem she was due for an exam. I have noticed when she's looking for certain things they're right in front of her and she doesn't see them. I'll be sure to mention this to her eye doctor. Thank you. "GardenArtist", I have some beautiful religious music this is a great idea and I love to add cinnamon to my warm milk maybe I can have her try my milk. Or go look for a cinnamon oil at Sprouts. I will make it a point to sit with her longer at night and talk about her concerns, thank you so much for bringing me back to reality. "Cwillie", I'll check with the HEB pharmacist on the over counter pain creams. Thank you all for helping me find direction. I will start on this tonight.
God bless you.
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Another thought...are the headaches in the evening before she goes to bed, or do they occur after she's gone to bed?

Sometimes really simple things like getting into a cold bed in the wintertime can cause chills, anxiety about getting warm, and then headaches from being so uncomfortable. Elders especially have difficulty with getting into cold beds, even in generally warm states like Texas.

If you don't use a heated mattress or heated blanket, or have a down comforter or something to provide quick warmth, try removing the top sheet and substitute with a really warm fleece blanket. I discovered this years ago when reading about European style sleeping, and substituting a duvet for a top sheet.

I also made duvets for the thick comforters I made for my parents when they went to Texas; they used them here as well.

The extra warmth of a flannel or fleece duvet allows the sleeper to become warm more quickly, and takes away the discomfort of cold sheets in winter.

Most recently I've been using the thinner fleece throws used as incentives by charities to get money and sent with their solicitations. We've gotten more than a few, so I use one as a top cover and am warm in about 5 minutes.

I found that before this switch, even though I had thick flannel comforters which I made, it still took a while to get warm, and sometimes I was so uncomfortable I started to become anxious.
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