Headache is the most common complaint all over the world when treating a person. Headaches are an important group of discomfort that arise from a variety of causes. Headache can be a disease of its own (migraine) or it can be a leading symptom of other diseases. For this reason, accurate and effective differential diagnosis and appropriate treatment are very important in headache.
Headache information lasts until 3,000 years ago in Milano. 5% of women and 3% of men spend 180 days or more each year with headache. These data also show that headache complaints are a serious health problem that causes serious job loss and financial problems.
Headache classification
Headaches are categorized worldwide by the International Headache Society (IHS) criteria. According to this classification;
Primary headache: There is no systemic and / or brain disease to explain the headache. Migraine, tension type headache, cluster type headache are included in this class.
Secondary headache: There is a disease in the brain and / or systemically and the pain develops due to this disease.
Good storytelling, neurological examination, and brain imaging are necessary to distinguish which group of headache is in the first place. If the physician deems necessary, further examination (EEG, lomber puncture) can be performed.
Migraine
The most common primary headache is the cause. It is seen in 18-20% of females and 4-6% of males. Migraine patients have migraine headaches in 70% of their families.
Migraine is a chronic (persistent) disease caused by vasculer, acute attacks. Several subtypes have been identified. It usually has half, severe headache, vomiting, light and sound sensitivity. Attacks can last 24 to 72 hours. In some patients, visual findings (colored lights, zigzags) can also be added to the table.
Migraine attacks are triggered by stress, sadness, extreme physical activity, insomnia, excessive sleep, menstruation, alcohol, smoking, hormone treatments, some foods.
Diagnosis of migraine should be made with clinical findings and tests recommended by the physician should be performed to exclude another underlying cause.
Stress type headache
The most common primary headache is stress, depression, fatigue and muscle tension due to causes such as the end result. Pressure, tension in the form of mild-moderate, non-vomiting pain. It can take from 30 minutes to 7 days. Sometimes the same person has both tension-type headache and migraine.
"I use frequently painkillers. Inappropriate Is?"
Pain medicines will relieve headache, but will not remove the cause of pain. Headaches are the most common complaints of drug use without medication consultation. Generally, headache sufferers use medicines recommended by people in their immediate surroundings. However, it has important deficiencies. After a while, there is a feeling of incontinence in the body with painkillers and headache due to painkillers develop. It makes the treatment of headache even more difficult.
When is headache dangerous?
A sudden onset of pain, an increasingly severe period of weeks, painful consciousness blurring, generalized impairment or high fever accompanied by a physician should be applied immediately.
Neurology, otorhinolaryngology and ophthalmology branches can be used for diagnosis and treatment of headache. Psychiatry, dentistry, brain surgery investigate the underlying causes that can cause headache. Physiotherapy specialists can apply physiotherapy to patients who may benefit.
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