In general, if the headache is transient or episodic when the patient is aroused, most of the headaches are probably due to the sympathetic nerves being in a hyperactive state during arousal, which stimulates the secretion of adrenaline and leads to spasms of blood vessels in the brain, resulting in headache symptoms. In this case, the headache is mild and does not affect the patient’s daily life and can be relieved within a few minutes. However, if the headache lasts for a long time when the patient is excited, up to several days or repeatedly, it should be considered that the headache may be caused by related diseases: 1. Hypertension: Because hypertensive patients in an excited state can induce a further increase in blood pressure based on their own high pressure, which causes an increase in blood flow to the brain and reflexively causes vasoconstriction in the brain and causes headache symptoms. Meanwhile, if hypertensive patients continue to have headache after excitement, they should seek medical attention to consider whether there is aneurysm rupture causing arachnoid hemorrhage or cerebral hemorrhage. 2. Migraine: These patients mostly have moderate to severe, throbbing headache, and the headache is mostly on the lateral side, which can continue to appear after excitement, accompanied by nausea, vomiting and other phenomena. In severe cases, patients can consider oral ibuprofen and indomethacin for pain relief treatment. 3. Other: In addition to the above common cases, some patients with cerebrovascular disease, neurological headache, hyperthyroidism and vegetative nerve disorder may also have headache symptoms when they are excited, but they are relatively rare. Therefore, if the symptoms are prolonged and frequent and the patient is not sure what kind of disease they belong to, it is recommended to go to the hospital for relevant examination.