What Could Be The Cause Of Severe Headaches – Chronic Migraines and Comorbidities: What You Need to Know From mood to sleep to digestive disorders, many conditions can also occur with chronic migraines. Learn about bonding—and how you can better manage all of your conditions.

An occasional migraine attack is bad enough, but people with chronic migraines can live with these debilitating symptoms for half their lives. Adding insult to injury, this neurological disorder appears to co-exist with a wide variety of other health conditions. In medical terms, when two or more chronic conditions occur together at a rate greater than chance, they are considered comorbid. So, in addition to your primary health concern, having a co-morbidity means that you have another separate illness as well. These two situations do not cause each other. They simply happen at the same time.

What Could Be The Cause Of Severe Headaches

What Could Be The Cause Of Severe Headaches

The statistics regarding chronic migraine and comorbidities are staggering: approximately 88% of people with chronic migraine have at least one comorbidity, while 39% have four or more comorbidities.

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Comorbidities can also occur with episodic migraine, defined as 14 or fewer headache days per month, and their presence has been found to increase the risk of conversion from episodic migraine to chronic migraine—something around two to three percent. Things happen. People every year

Many diseases are associated with migraine. According to the Association of Migraine Disorders (AMD), more than 75 cases. “We’ve identified co-morbidities with migraines in almost every system of the body, including cardiovascular, respiratory, gastrointestinal, musculoskeletal, nervous and epithelial,” says Kylie Petrarca, director of AMD’s program who lives with chronic migraine. People of all ages and stages of life are affected, including children, adults, the elderly, and people during pregnancy.

Not surprisingly, Dawn Bass, Ph.D., a licensed psychologist and clinical professor of neurology at the Albert Einstein College of Medicine, has found in her research that people with chronic migraine are nearly three times more likely than people with episodic migraine to report poor health or They are fair. , which can be related to having a condition.

Migraine is something that exists as a two-way relationship with a set of conditions. This means that people with this neurological disorder are more prone to other diseases and vice versa.

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This could indicate that the two conditions share a defect in the systems that regulate certain chemical messengers in the brain. It can also be the result of genetics and environmental factors. Emotional stress or psychological distress, such as anxiety or depression, can also increase a person’s susceptibility to migraines and co-occurring conditions.

The good news is that sometimes, effective management of the condition can help reduce the incidence of migraines and associated conditions.

The most common diseases associated with chronic migraine are a wide range of psychiatric disorders, including anxiety, depression, and bipolar disorder. “People with chronic migraines are twice as likely to develop depression and anxiety as those who experience periodic migraines,” says Dr. Buse.

What Could Be The Cause Of Severe Headaches

Dr. Buse explains that for many people, depression or anxiety begins months or years after a migraine — in part because migraines can be so debilitating. Others get migraines after living with depression or anxiety for a while. This association may be due to low levels of neurotransmitters (brain chemicals such as serotonin and dopamine) or genetic and environmental factors that may increase the risk of mood disorders and migraines.

Migraine Comorbidities Library

The connection between these conditions may not be obvious, but it’s very strong: Between 30 and 50 percent of people with chronic migraine also have anxiety—two to five times more common than in the general population, and much more common in people with migraine. According to AMD, episodic migraine. Among anxiety disorders, generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD) and panic disorder are most associated with migraines.

People with migraines are more than 2.5 times more likely to suffer from depression than people without migraines, and this association holds true for people with chronic migraines and people with migraine with aura, temporary sensory disturbances that can occur before a migraine attack. , is even stronger. Depression and migraines are so closely related that the relationship is called bidirectional, meaning that one increases the risk of the other.

There also appears to be a bidirectional relationship between migraines and bipolar disorder, which is characterized by extreme mood swings. People who suffer from migraine with aura are three times more likely to develop bipolar disorder than normal people, and conversely, about a third of people with bipolar disorder also have migraines.

Cardiovascular disease (CVD) is more often associated with chronic migraine than with less frequent migraine. Severe headaches, a symptom more common in chronic migraines, are associated with an increased risk of peripheral artery disease, high cholesterol, and high blood pressure (hypertension), according to researchers. According to Dr. Buse’s research, one-third of chronic migraine patients are diagnosed with high blood pressure and high cholesterol, and 10% are diagnosed with coronary heart disease.

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Both migraine and migraine with aura are associated with CVD and CVD risk factors. In a large Danish study of 51,032 migraine patients and 510,320 matched controls followed for 19 years, migraine was associated with an increased risk of several heart-related events, including myocardial infarction (also known as heart attack), stroke, venous thromboembolism Was. Atrial fibrillation and atrial flutter. The association was stronger among women who experienced more migraine attacks and among women with aura.

If you have epilepsy, you are more than twice as likely to get migraines as people without epilepsy. And since there is a two-way relationship between the two, the reverse is also true. Migraine sufferers are more than twice as likely to develop epilepsy (a hyperexcitability state that increases the risk of both disorders may explain the comorbidity), although due to a Another risk is that they are likely to develop epilepsy. Head injury or stroke

Restless legs syndrome (RLS), a sensory nerve disorder in which you feel discomfort in your legs and have an uncontrollable urge to move them, is more common among people with migraines. Reported prevalence rates range from 8.7% to 39%. A genetic variant is suspected of increasing the risk of RLS in people with migraine.

What Could Be The Cause Of Severe Headaches

Whether or not migraines and insomnia have a bidirectional relationship (possible due to some overlapping irregular physiological processes and shared anatomy with the brain), getting enough shut-eye can be a real challenge for migraine sufferers.

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According to the Migraine Foundation of America, people are eight times more likely to develop sleep disorders, such as sleep apnea and insomnia, compared to the general population. It’s even harder for those living with chronic migraines—probably because insomnia is a risk factor for chronic migraines—almost twice as likely to have insomnia as those with fewer headaches.

Research also shows that people with chronic migraines are at higher risk for sleep apnea, a sleep disorder in which breathing stops and starts repeatedly. Sleep apnea is more common among people who are overweight or obese, and there is a link between migraines and obesity, and weight gain increases the likelihood of chronic migraines.

According to Dr. Buse’s research, people with asthma and allergies/hay fever were twice as likely to develop migraines. One study found that people with asthma who also experience occasional migraines may be twice as likely to develop chronic migraines as people without asthma. Those with severe asthma are three times more likely to develop it. The bidirectional relationship between the two conditions can be explained by many factors, including environmental factors, such as air pollutants, which can exacerbate asthma and increase emergency room visits for migraines.

According to Dr. Buse, people with chronic migraines are twice as likely to have chronic pain. About one-third of chronic migraine patients have arthritis, and with the increase in frequency of migraine, the risk of arthritis increases. Gretchen Tietjen, MD, professor emeritus of neurology at the University of Toledo, explains in this Migraine Again article that one explanation for this link is inflammation, which can lead to the release of brain chemicals that trigger a series of inflammatory responses in brain tissues.

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Chronic migraines are also associated with fibromyalgia, a chronic condition that causes widespread pain throughout the body. In a study that looked at patients with headache, the frequency of fibromyalgia was significantly higher in people with chronic migraine than in people with chronic tension-type headache, and the symptoms were more severe. In addition to coexisting and sharing a bidirectional relationship, chronic migraine and fibromyalgia are significantly associated with anxiety, depression, and insomnia when experienced when compared to individuals with chronic migraine alone.

Research shows that people with migraines have a high prevalence of irritable bowel syndrome (IBS), ranging from 4 to 40 percent. Both diseases affect the gut-brain axis, and its disruption—for example, due to serotonin levels, which are low in the gut in IBS patients and fluctuating in migraine sufferers. This can be

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