often are headaches seen in the community?
Headache is one of the most common complaints in the community. The rate of people with headache complaints reaches 90 percent in society. 90% of all headaches are migraine and tension headaches.
How many types of headaches?
The International Headache Society classified headaches as 14 main groups and hundreds of subgroups. Headaches which are directly related to headache and have no relationship with another disease are primary headaches. These are migraine, tension type and cluster headaches. Secondary headaches are seen in 10% of the cases, due to a certain disease, brain vascular diseases, nervous system diseases, brain tumors, eye diseases, sinusitis, meningitis, such as the emergence of diseases during the headaches.
What are the features of migraine?
- Usually the pain is on one side of the head
- Pain is throbbing, moderate or severe
- Nausea, vomiting
- Comes in crisis
- Pain lasts 4 to 72 hours
- There are visual disturbances at the onset of pain (aura type)
- Pain increases with head movements and physical activity
- Disturbance of light and sound
many types of migraine?
It is generally divided into two groups. ‘Aura with a pre-symptom migraine and migraine without aura. Only 10 percent of migraines are aura.
What is the aura of migraine?
Aura is a complaint of symptoms of migraine with anterior symptom. Most of these symptoms are related to vision. The patient says that he saw bright lights, zig-zag lines, or blurred vision, loss of vision in an area or region. Also in the arm, numbness in the leg, dizziness, speech disorders are also seen. It lasts 20 .30 minutes and then the pain begins.
Is the cause of migraine known?
Environmental factors create an activation in the brain in genetically susceptible individuals. This activation expands in the vessels of the brain and the chemical substances are released. They stimulate the nerves and cause pain.
Is there any effect of inheritance in migraine?
Migraine patients are more likely to have migraine in their close relatives. Genetic disorder has been shown only in some specific types of migraine.
Is migraine seen in childhood?
From 10 to 15 percent of all migraine patients, the disease begins in childhood. The rate of occurrence of migraine in childhood is 3 – 5 percent. This figure rises above 10 percent after puberty. Children with sleep disorders, difficulty in sleeping, no reason to vomit, allergy, car sickness are more likely to develop migraine in the future.
What are the factors that trigger migraine?
- Height changes
- Air pollution, cigarette smoke
- Bright light or flickering light
- High and continuous noise
- Perfume odor, strong odors and chemicals
- Changes in weather conditions (pressure, temperature and humidity change, lodos)
- Seasonal changes (autumn and spring worst times)
- Hunger, skipping meal
- Too many or less sleep, disturbances in sleep patterns
- Air travel
- Birth Control Pills
- Hormonal changes in women (menstrual period)
- Some food and drinks (chocolate, crusty nuts, red wine, etc.)
Many nutrients are
responsible for triggering migraine. However, each patient may have
different migraine headaches. The important thing is to find and discover
the substance that triggers the pain of the person.
Why is migraine more in women?
This is a condition of women’s hormonal order. Migraine crisis in women with menopause becomes rare. In pregnancy, migraine attacks decrease between 3 and 9 months.
How can we distinguish tension-type headache from migraine?
- Tension-type headache is caused by multitude stress
- It is effective on the hill, keeps it all. Spread out from behind the head
- Very rare can be unilateral
- Nausea, but not vomiting
- One week – 15 days with pain (mild)
- Pain is not a crisis
- No visual impairment before the pain begins
- Moving to increase pain
should be the treatment in migraine?
The goal of the treatment is to reduce the triggering factors, to reduce the sensitivity in the nervous system and to suppress the events around the vein and vessel. Basic treatment is divided into two types as preventive and attack treatment. If the patient’s pain is seen twice a month, treatment is recommended only during the attack.
How is the treatment of ataxia?
Pain relief, non-steroidal anti-inflammatory drugs, ergotamine drugs and triptans are used in the treatment of pain. Painkiller and Ergotamine drugs are often used to cause pain and sometimes lead to more serious side effects.
Anti-emetic group drugs are given for nausea and vomiting during attack. Painkillers should be taken at the beginning of the attack. In order to accelerate the absorption, anti-nausea medication should be taken before the painkiller.
How is preventive preventive treatment done?
If the number of attacks exceeds four in a month, then it is necessary to use drugs to prevent migraine attacks, not only during attack. It does not apply if the person has a migraine attack once a month or every 6 months. In preventive treatment, drugs are taken every day. Heart drugs, depression medications, epilepsy drugs are used for this purpose. Painkillers should not be taken every day.
Are there any treatment alternatives other than medication?
In tension headache, biofeedback (regression – relaxation training), acupuncture in migraine, tissue massage in chronic pain, Riboflavin, magnesium, ‘fever few’ plants are used as alternative therapies and are useful in some patients.
Is Botox treatment helpful in migraine?
This drug, which has been used in the treatment of headache in recent years, is a treatment alternative for frequent and chronic pains but it is not a priority treatment because it is very expensive.
It should be investigated whether there is a secondary cause of persistent pain. It should be considered that if the pain persists in patients with periodic onset pain, the patient may have used a large number of pain medications or that the underlying psychological causes may be present.
Are painkillers addictive when used continuously?
Non-morphine pain relievers are not primarily addictive when used continuously, but patients may feel this way because a new type of pain, called a headache due to drug abuse, is added. In this case, the patient must consult with a physician and seek help for a treatment other than painkillers.
What are the causes of headaches in advanced ages?
It should be investigated whether there is an underlying cause of headaches that started in advanced ages. Migraine is a disease that decreases with age. It can start at an older age of 2%. Two diseases, especially at an advanced age and a cause of headache, are temporal arthritis (a special inflammation of the head due to inflammation) and hypnic (nightly) headaches. Therefore, if a patient over 50 years of age has new headaches, they should be consulted.
When should a patient who has a headache be consulted?
If the pain is continuous and increasing intensity
- If the age of the first person is less than 10 and above 50,
- If the severity of previously existing pain has changed, it does not respond to treatment,
- If the headache is the most severe pain he has ever encountered in his life and the pain has arisen during a physical activity (lifting a heavy load, having sexual intercourse) and increased his severity, he must go to the doctor.