How often do headaches occur in society?
Headache is one of the most common complaints in society. The rate of people suffering from headache reaches 90 percent in society. 90% of all headaches are migraine and tension-type headaches.
How many types of headaches?
The International Headache Society classified headaches as 14 main groups and hundreds of subgroups. Headaches which are directly associated with headache and not associated with another disease are primary headaches. These include migraine, tension-type, and cluster headaches. Secondary headaches are the headaches that occur during the course of diseases such as cerebrovascular diseases, nervous system diseases, brain tumors, eye diseases, sinusitis, meningitis due to a certain disease, which is seen at a rate of 10 percent.
What are the features of migraine?
Usually, the pain is on one side of the head
Pain is throbbing, moderate or severe
Nausea and vomiting
Comes in crises (attacks)
Pain lasts from 4 to 72 hours
Visual impairment occurs at the onset of pain (aura type)
Pain increases with head movements and physical activity
Disturbance from light and sound
How many types of migraine are there?
It is generally divided into two groups. Ön Pre-symptom migraine with aura and migraine without aura. Only 10 percent of migraines have an aura.
What is the aura of migraine?
Aura is a common symptom in migraine. Most of these symptoms are related to vision. The patient says that he or she sees bright lights, zig-zag lines, or blurred vision, loss of vision in an area or region. In addition, numbness in the arm, leg, dizziness, speech-related disorders is also seen. It takes 20–30 minutes and then the pain begins.
Is the cause of migraine known?
Environmental factors create activation in the brain in genetically predisposed individuals. This activation enlarges the brain vessels and releases chemicals. These stimulate the nerves and cause pain.
Does inheritance affect migraine?
Close relatives of migraine are likely to have a migraine. The genetic disorder has been shown only in some specific types of migraine.
Is migraine seen in childhood?
About 10 to 15 percent of all migraine sufferers start in childhood. The incidence of migraine in childhood is about 3-5 percent. This figure rises above 10 percent after puberty. Children with sleep disorder, difficulty sleeping, causal vomiting, allergies, and carriage are more likely to develop migraine in the future.
What triggers migraine?
- Height changes
- Air pollution, cigarette smoke
- Bright light or flickering light
- A high and continuous noise
- Perfume smell, other strong odors, and chemicals
- Changes in weather (pressure, temperature and humidity change)
- Seasonal changes (worst times in autumn and spring)
- Hunger, meal jumping
- Sleeping more or less, sleep disorders
- Birth control pills
- Hormonal changes in women (menstrual period)
- Some food and beverages (chocolate, nuts, red wine, etc.)
Many nutrients are responsible for the triggering factors of migraine. However, each patient may have a different food that increases migraine pain. The important thing is that the person finds and discovers the substance that triggers the pain.
Why migraine is more common in women?
This is related to the hormonal order of women. Migraine attacks are rare in menopausal women. During pregnancy, migraine attacks decrease between 3 and 9 months.
How can we distinguish tension-type headache from migraine?
- Tension-type headache multitude is caused by stress
- Holds the entire head, effective on the hill. Spread forward from the back of the head
- Very rare unilateral
- Nausea, but no vomiting
- One week – 15 days with pain (mild)
- Pain does not take the form of a crisis
- No visual disturbances before pain begins
- Increasing the pain of moving
What should be the treatment of migraine?
The aim of the treatment is to reduce the trigger attractive factors, to suppress the sensitivity of the nervous system and the events occurring in the vascular and surrounding vessels during pain. The basic treatment is divided into preventive and attack treatment. If the patient’s pain occurs twice a month, treatment is recommended only during an attack.
How to treat attack-pain?
Simple painkillers, non-steroidal anti-inflammatory drugs, ergotamine drugs, and triptans are used to treat pain. Painkillers and ergotamine drugs, if used frequently, can cause pain and sometimes cause more serious side effects.
Anti-emetic drugs are given for nausea and vomiting during attacks. Painkillers should be taken at the beginning of the attack. In order to accelerate absorption, nausea should be taken before painkillers.
How is preventive-preventive treatment performed?
If the number of attacks exceeds three or four in a month, then it is necessary to use medications to prevent migraine attacks, not only during attacks. It is not applied if the person has migraine attacks once a month, or once every 6 months. Medications are taken daily in preventive treatment. For this purpose, heart medications, depression medications, epilepsy medications are used. It is inconvenient to take painkillers every day.
Are there any treatment alternatives other than medication?
Biofeedback (tension – relaxation training) in tension headache, acupuncture in migraine, tissue massage in chronic pain, riboflavin, magnesium and içeren feverfew ’are used as alternative treatments and are useful in some patients.
Is botox treatment useful in migraine?
This drug, which has been used in the treatment of headache in recent years, is a common and alternative treatment for chronic pain, but it is not a priority treatment because it is very expensive.
Causes constant headaches?
A secondary cause of persistent pain should be investigated. If the pain has been sustained in patients with previous periodic pain, it should be considered that the patient has used a lot of pain medication, or that the underlying psychological reasons may exist.
Are painkillers addictive when used consistently?
Non-morphine-derived painkillers are basically addictive when used consistently, but patients may feel this because a new type of pain, which we call headache due to drug abuse, has been added. In this case, the patient must consult with a physician and get help for treatment other than painkillers.
What are the causes of headache in older ages?
In the case of headaches that begin in the elderly, firstly, it should be investigated whether there is an underlying cause. Migraine is a disease that decreases with age. 2% may begin in advanced age. Two diseases that start especially at an advanced age and cause headache are temporal arteritis (headache due to a special vascular inflammation) and hypnic (at night) headaches. Therefore, if a patient over the age of 50 has new headaches, consult a doctor.
When should a patient with a headache consult a doctor?
If the pain is continuous and increasing severity
- If the person who meets the pain for the first time is under 10 and over 50,
- If the severity and pain of the present pain has changed, if it does not respond to treatment,
- If a headache is the most severe pain he has ever experienced in his life and the pain has developed during a physical activity (lifting a heavy burden, sexual intercourse) and has increased its severity, a doctor should be consulted.