Fasting Can Cause Headaches
- Victoria Wermers, RN,MSN,FNP, PMHNP
- Oct 1, 2024
- 1 min read
Updated: Jul 18
What causes headaches when a person has not eaten?
It is not unusual to develop a headache during a fast. Common physiologic changes that occur during fasting include a drop in blood sugar, dehydration, and caffeine withdrawal (if you usually drink caffeine). All of these things can lead to headaches.

Fasting Can Cause Headaches
Potential Causes and Treatments
Causes:
Dehydration: Not drinking enough water during a fast.
Hypoglycemia: Low blood sugar from insufficient pre-fast nutrition.
Caffeine withdrawal: Abrupt stop of regular caffeine intake.
Electrolyte imbalance: Not getting enough sodium, potassium, etc.
Stress or poor sleep: These can amplify headache sensitivity during a fast.
Management & Prevention Strategies
Stay well hydrated: Drink water consistently before and during your fast.
Choose low glycemic index foods before fasting: These stabilize blood sugar by digesting slowly and help avoid hypoglycemic headaches.
Examples: Most vegetables, apples, low-fat yogurt, plain yogurt, peanuts.
Consider black coffee: This has a minimal impact on the fasting state and may reduce caffeine-withdrawal headaches.
Monitor caffeine tapering: Gradually reduce caffeine instead of stopping abruptly.
Include electrolytes: A pinch of salt in water or a sugar-free electrolyte supplement
While exploring fasting as a cause of headaches, keep in mind that many other causes as well. You can explore these here. If you have any questions or concerns, or are developing severe symptoms see a healthcare provider.


