There could be many reasons for a headache. Gout or water in the ear, however, canât cause such a headache. Headaches experienced only when standing up could be due to a so called "orthostatic hypotension". Orthostatic hypotension is a decrease in blood pressure experiencing when standing up (or raising the head higher than the torso). You can visit your primary health doctor for an examination to investigate further possible causes for the headaches and other symptoms.