93 percent of men and 99 percent of women experience a headache at least once. Near East University Hospital Head of Neurology Department Prof. Dr. Mehmet Özmenoğlu drew attention to excessive and unconscious drug use due to headache. prof. Dr. Mehmet Özmenoğlu said, “Headache due to excessive drug use is one of the most common clinical manifestations today.”
“In patients with headache and mostly long-term resistant migraine; Intense and unconscious use of painkillers can cause pain in itself,” said Prof. Dr. Mehmet Özmenoğlu said, “Due to the frequency of pain in patients with chronic migraine, headache occurs due to unconscious drug use. For these pains, migraine drugs more than 8 days a month; It causes painkillers to be taken more than 15 days a month”.
THE MOST COMMON CAUSE OF HEADACHE: MIGRAINE
Referring to the situations that cause headaches, Prof. Dr. Mehmet Özmenoğlu, “We can simply divide the headaches into two groups as primary (primary) and secondary (secondary). 90% of patients with headache are in the primary headache group. Between 1 and 5 percent of the 10 percent group of patients with secondary headaches, their pain is due to a serious cause,” he says.
Emphasizing that this classification provides great convenience in terms of diagnosis, examination and treatment, Prof. Dr. Mehmet Özmenoğlu, “Primary headaches are recurrent, similar in character, well-recognized pains by the patient. They are not life-threatening and can usually be controlled with treatment and recommendations. Secondary headaches can sometimes be life-threatening, depending on another underlying cause or disease. For this reason, it is a clinical picture that requires urgent further investigation and treatment, and the patient should be kept under observation until the diagnosis is made.
Migraine is the most popular and the most common type of headache among primary headaches. Migraine, which affects about 15% of the world’s population, is clinically divided into three subgroups: Simple migraine, migraine with precursor (aura) and chronic (more than 3 months) migraine.
AFTER THE MIGRAINE ATTACK STARTS, PAIN RELIEF IS NO BENEFIT
prof. Dr. Özmenoğlu reminds that migraine is not just a type of headache, but has features that affect the entire systemic structure. prof. Dr. Özmenoğlu said, “The onset of pain in migraine attacks generally starts as mild and intensifies. However, it can also start very severe. If the headache is too severe, vomiting may be added to the effects. The headache is throbbing, pulsating, lasting 4-72 hours, sometimes moderate, sometimes very severe. Pain is felt unilaterally in 60 percent of patients. The pain may change sides during an attack or in different attacks, may involve any part of the head, and may spread to the face. Neck pain accompanies migraine attacks in 75 percent of patients. Painkillers are useful before the headache starts, painkillers taken after the pain starts do not have much benefit,” he says.