Headache

Headache

What is a migraine?


Migraine is a headache disease that causes recurring headaches. Migraine headaches are usually severe, but mild pain can also be experienced. During pain, even if it is not necessary, in many patients, moving the head, exposure to light or loud noise increases the pain. During the pain there may be nausea, sometimes even vomiting. The pain is often throbbing, and in most patients it is one-sided. When Decongestants are not taken, they persist for a period of 4 hours to 3 days.


What causes migraines?


Although migraine is a disease that occurs on a genetic basis, it does not mean that the child of a person with migraine will necessarily have a migraine. In addition, there is a 60% chance that a person with a migraine will also have a migraine in their mother or father. Even if a girl or boy moves in a similar way to a child, the probability of its occurrence in a girl in the future is 3 times higher than in a boy.


What causes migraine pain?


A migraine attack actually starts before crying. A cause that triggers a migraine that we have noticed or not noticed starts a chain of abnormal events in the brain that result in some kind of inflammation without germs in the lining of the brain and the vessels of the brain membrane. These inflamed structures, in turn, cause throbbing, pain that increases with the movement of the head.


Why is migraine more common in women?


Although migraine disease does not regard men or women as a genetic predisposition, female hormones are very important in the occurrence of migraine pain. This hormonal surge is the main reason for its significantly more frequent occurrence in women than in men. For this reason, while the difference between men and women decreases in childhood and old age, the incidence of migraine attacks in women at the age when women are hormonally active reaches such a frequency that one out of every three women in women aged 18 and over.


Does migraine begin with childbirth?


In most women with migraine, postpartum migraine attacks eventually occur, but attacks can also begin on the day after birth, they can also begin after 6 months, a year or more, which is one of the factors that delay the occurrence of these attacks is breastfeeding.


Are there different types of migraine?


There are different types of migraine. The most common type of migraine is a migraine called “Migraine without aura”, in which there is only a headache. Which is much more sparse compared to migraine without aura “migraine with Aura” in pain right before or disease with pain lasting 5 to 60 Minutes A side, a region or a two-sided see it as the area around or hazy vision, fluctuating vision, visual symptoms such as spots or lines of light are detected. These symptoms, called aura, may not be present in every migraine attack, and the frequency of attacks with this aura in most migraine patients with aura is every few months.
However, in the same patient, much more often than aura attacks, there may be attacks without aura, usually with a milder headache, or there may be no headache at all, except for an aura attack. The aura may not only be in the form of a visual symptom. It can also be accompanied by a speech disorder or confusion, or numbness in the face or arm on the one hand. In rare cases, the aura can be in the form of a stroke, and this state of paralysis can last up to a day, or there may also be auras such as double vision, severe imbalance.

Is it understandable that a migraine attack is coming?

In up to 40% of migraine patients, a number of leading symptoms may appear minutes or hours before the pain, for example, a tension in the neck, restlessness, yawning repeatedly, a desire to eat sweets...

What is the peculiarity of migraine pain?

Migraine pain can vary from person to person and even in the same person. Typically, a migraine attack in migraineurs, even if not in each or all of the characteristics of pain experienced is usually moderate or severe, one-sided (for example, a shot to the side of the head or an eye) pain, throbbing pain to be pain during Forward bending or increase the pain of moving the head, pain during the light, the sound, the smell, even sometimes don't even bother, nausea during the pain is that it can be taken pain killers and pain 4 to 72 hours (3 days) is that it can take.


How can I tell if my headache is a migraine or not?

Migraine pain varies from person to person, even the same person may have different migraine pain. For this purpose, the most characteristic features of migraine were used as a test and it was able to distinguish migraine with an accuracy of 90%. However, not getting a migraine on this test also doesn't mean that you don't have a migraine. To apply the test, there is a condition “HAVING HAD A HEADACHE AT LEAST TWICE IN THE LAST THREE MONTHS” and “THE PAINS ARE DISTURBING PAINS”. If the pain is like this, if you say “YES” to any two or all three of the following 3 problems, you are most likely a migraine. the questions of the test called the 3 question test are

1) Have you occasionally experienced nausea or stomach discomfort during your headache
2) Have you ever been bothered by light during a headache
3) Have you experienced a headache due to a limitation of 1 day (at work, at school, at activities)

What are the migraine triggers?

Migraines are very different and can be triggered by various triggers. Not every migraine patient needs to be triggered by all the migraine triggers, even the same trigger can sometimes trigger and sometimes not trigger, sometimes several triggers can trigger a migraine when the Dec come together. The leading trigger in women is menstruation, and usually migraines occur a few days before menstruation, but migraines can also occur during or at the end of menstruation.Male or female, leading all other triggers in migraineurs changing weather (wind, lodos), hunger, sleep more or sleep less, sun, stress, excitement, and sometimes even sudden joy, fatigue (especially exhausting sports), fermented beverages (especially red wine and beer), although can also be a trigger foods. In addition, birth control pills, concentration-enhancing drugs used against attention deficit, drugs used to stay awake can also trigger migraines.

What should a person with a migraine avoid?


Every migraine triggers may not be the same but, generally speaking, you should avoid those people with migraine (especially if realized that the pain had triggered) irregular sleep (sleep late or wake from what you are used to stay), stay open in the wind, go for a walk, walk around in very bright conditions without sunglasses in the morning, take a shower, go out, consuming effort called sports sports can be considered as cardio.


How to relieve migraine pain?

Things to do without medication for migraine pain can be putting an ice-filled bag on the head (or keeping the head under cold water), applying heat to the neck, or neck massage, trying to sleep in a dark quiet environment, and sleeping. Medications that will be used to relieve pain are basically two groups, painkillers (paracetamol group medications, antirheumatic painkillers, or other pain group medications), or Migraine Attack Medications that contain triptan and ergotamine that only stop migraine pain.


Is migraine a treatable disease?

Migraine is a disease that has a cure. The belief that there is no cure for migraine stems from the fact that very few people have been treated for migraine. For example, in a study conducted in 2008 in our country, the proportion of people with migraine who were treated for migraine (except for painkillers, who were treated to eliminate migraine) was found to be less than 5%. Another reason for this erroneous perception is that migraines that are being treated are also mostly treated with insufficient medications and doses. With the right medication(s) and the right dose(s), most migraine patients' attacks disappear or become significantly less frequent, and of course, this treatment does not need to be applied throughout life. Migraine treatment can be for a period of one or several years, but not less than 6 months.


What are the medications used to treat migraines?

The drugs used to treat migraines belong to different groups of drugs. Some of them are indicated only for the treatment of migraines, some are depression medications, some are epilepsy medications, and some are blood pressure medications. The common feature of these drugs is that they are good for migraine.

What are the applications other than medication for migraine treatment?

In the treatment of migraine, other treatments other than drugs or in addition to drugs can also be applied. For example, Botox therapy is used to treat migraines called chronic migraines that suffer from headaches for 15 days a month or more often. Acupuncture, although it may be good for migraine pain, is not a practical treatment method because it does not have a high permanent effectiveness and requires frequent application. A nerve block method called a Large Occipital Nerve Block can also be used as an October method for treating chronic migraine.


How much does a person need to have a headache in order for a headache to be a problem and become chronic?

To call it chronic, you need to have pain for at least three months, 15 days a month or more. But if he has headaches for more than four hours and has two or more headaches a month, it requires treatment. Because if a person takes painkillers for more than five days a month, his pain becomes more frequent. If a migraine sufferer takes painkillers 10 days a month, he will have migraine attacks every day. Addiction develops. One in 3 women of childbearing age in Turkey has migraines. 8.5 percent of migraine sufferers also suffer from headaches every day because they use pain medication too often. An awesome big group!


And what happens to those who have a headache once a month, once every two months? Don't they need treatment?