Migraineurs Initially Visiting the Gastroenterology Department

Kim, Byung-Su; Chung, Chin‐Sang; Lee, Chungbin; Rhee, Poong–Lyul

doi:10.1111/head.12775

Cited by 4 publications

(12 citation statements)

References 19 publications

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“…The 22 included articles [ 26 , 27 , 36 , 44 – 61 , 64 ] came from 10 individual countries, while four papers were international [ 26 , 27 , 44 , 47 ]. The majority of these were from Europe: three from Denmark [ 51 , 60 , 61 ], two from Norway [ 36 , 46 ], four studies conducted in Germany [ 45 , 52 , 55 , 58 ] and single papers the Netherlands [ 59 ] and Italy [ 62 ]. From around the world, one Korean [ 53 ], two Turkish [ 49 , 54 ], one Bangladeshi [ 50 ], two United States of America (USA) [ 48 , 57 ], and one Brazilian [ 56 ] were identified.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies were performed with migraine cohorts – these made up 19 out of the 22 papers [ 26 , 27 , 36 , 45 – 59 , 65 ]. 11 studies were focused on migraine without any other primary headache [ 44 – 50 , 53 , 56 , 58 , 59 ]. All migraine studies [ 26 , 27 , 36 , 45 – 59 , 65 ] had a healthy control group without any primary headache.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies [ 26 , 27 , 36 , 52 , 54 , 55 , 57 , 58 , 60 ] analyzed people with tension-type headache (in eight out of the 9 migraine was also evaluated [ 26 , 27 , 36 , 52 , 54 , 55 , 57 , 58 ]). Only one study was focused only on tension-type headaches [ 60 ].…”

Section: Resultsmentioning

confidence: 99%

“… Lebedeva ER et al [ 27 ] International ICHD-3 Migraine 129 367 496 Non-headache 282 732 1014 Interview Alcohol intake was divided into consumption of light alcoholic beverages (at least 0.5 L per week) and strong alcoholic beverages (150 g per week) Tension type headache 639 1196 1835 Non-headache 282 732 1014 18. Schramm SH et al [ 58 ] German ICHD-2 Migraine 114 1564 1678 Non-headache 555 3086 3641 Questionnaire Alcohol was assessed by drinking daily and not daily alcohol consumption Tension type headache 11 1587 1598 555 3086 3641 19. Scher AI et al [ 59 ] Netherland IHS Migraine 304 316 620 Non-headache 3235 1900 5135 Questionnaire Alcohol consumption was categorized as 0, < 1, 1 to 3 and + 4 drinks per day ...…”

Section: Methodsmentioning

confidence: 99%

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Relationship between alcohol and primary headaches: a systematic review and meta-analysis

Błaszczyk,

Straburzyński,

Więckiewicz

et al. 2023

J Headache Pain

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Background Headache is one of the most common neurological symptoms. Many previous studies have indicated a relationship between primary headaches and alcohol. Drinking has been associated with increased risk of tension-type headache (TTH) and migraine. However, recently published studies have not confirmed this relationship. The existing literature is inconclusive; however, migraine patients avoid alcohol. Therefore, the primary objective was to provide a reliable assessment of alcohol intake in people with primary headaches; the secondary objective was to identify any potential relationship between alcohol consumption and headache risk. Methods This study was based on PubMed, Embase and Web of Science database searches performed on 11 July 2023. This systematic review was registered in PROSPERO (CRD42023412926). Risk of bias for the included studies was assessed using the Joanna Briggs Institute critical appraisal tools. Meta-analyses were performed using Statistica software. The Risk Ratio (RR) was adopted as the measure of the final effect. Analyses were based on a dichotomous division of the respondents into "non-drinkers" and "drinkers" for headache patients and matched non-headache groups. Results From a total of 1892 articles, 22 were included in the meta-analysis. The majority demonstrated a moderate or high risk of bias. The first part of the meta-analysis was performed on data obtained from 19 migraine studies with 126 173 participants. The risk of migraine in alcohol drinkers is approximately 1.5 times lower than in the group of non-drinkers (RR = 0.71; 95% CI: 0.57–0.89). The second part involved 9 TTH studies with 28 715 participants. No relationship was found between TTH diagnosis and alcohol consumption (RR = 1.09; 95% CI: 0.93–1.27). Two of the included cluster-headache articles had inconclusive results. Conclusions Alcohol consumption and migraine are inversely correlated. The exact mechanism behind this observation may indicate that migraine leads to alcohol-avoidance, rather than alcohol having any protective role against migraine. There was no relationship between TTH and drinking. However, further studies related to primary headaches and alcohol consumption with low risk of bias are required. Additionally, patients and physicians should consider the latest medical data, in order to avoid the myths about alcohol consumption and primary headaches.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Relationship between alcohol and primary headaches: a systematic review and meta-analysis

Błaszczyk,

Straburzyński,

Więckiewicz

et al. 2023

J Headache Pain

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“…Abnormal visceral mechanosensory and vagal function has been found to be involved in dyspeptic patients, and disturbances in visceral nerves have also been implicated in migraines ( 7 , 24 ). In addition, individuals with headaches and GI symptoms had more severe and frequent symptoms compared to those subjects without GI symptoms ( 8 , 25 , 26 ). A possible explanation for this effect may be a heightened common pathophysiological mechanism, which may lead to more severe symptoms in individuals with dual pathology compared to just headaches alone ( 25 ).…”

Section: Discussionmentioning

confidence: 91%

Clinical Implications of Associations between Headache and Gastrointestinal Disorders: A Study Using the Hallym Smart Clinical Data Warehouse

Lee

Kwon

et al. 2017

Front. Neurol.

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BackgroundThe brain and gastrointestinal (GI) tract are strongly connected via neural, endocrine, and immune pathways. Previous studies suggest that headaches, especially migraines, may be associated with various GI disorders. However, upper GI endoscopy in migraineurs has shown a low prevalence of abnormal findings. Also, the majority of studies have not demonstrated an association between Helicobacter pylori (HP) infection and migraine, although a pathogenic role for HP infection in migraines has been suggested. Further knowledge concerning the relation between headaches and GI disorders is important as it may have therapeutic consequences. Thus, we sought to investigate possible associations between GI disorders and common primary headaches, such as migraines and tension-type headaches (TTH), using the Smart Clinical Data Warehouse (CDW) over a period of 10 years.MethodsWe retrospectively investigated clinical data using a clinical data analytic solution called the Smart CDW from 2006 to 2016. In patients with migraines and TTH who visited a gastroenterology center, GI disorder diagnosis, upper GI endoscopy findings, and results of HP infection were collected and compared to clinical data from controls, who had health checkups without headache. The time interval between headache diagnosis and an examination at a gastroenterology center did not exceed 1 year.ResultsPatients were age- and sex-matched and eligible cases were included in the migraine (n = 168), the TTH (n = 168), and the control group (n = 336). Among the GI disorders diagnosed by gastroenterologists, gastroesophageal reflux disorder was more prevalent in the migraine group, whereas gastric ulcers were more common in the migraine and TTH groups compared with controls (p < 0.0001). With regard to endoscopic findings, there were high numbers of erosive gastritis and chronic superficial gastritis cases in the migraine and TTH groups, respectively, and the severity of gastritis was significantly higher in patients with TTH compared with controls (p < 0.001). However, no differences were observed in the prevalence of HP infection between the groups.ConclusionThe observed association in this study may suggest that primary headache sufferers who experience migraines or TTH are more prone to GI disorders, which may have various clinical implications. Further research concerning the etiology of the association between headaches and GI disorders is warranted.

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Migraine Comorbidities

Godley¹

2017

Sinus Headache, Migraine, and the Otolaryngologist

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Migraineurs Initially Visiting the Gastroenterology Department

Cited by 4 publications

References 19 publications

Relationship between alcohol and primary headaches: a systematic review and meta-analysis

Relationship between alcohol and primary headaches: a systematic review and meta-analysis

Clinical Implications of Associations between Headache and Gastrointestinal Disorders: A Study Using the Hallym Smart Clinical Data Warehouse

Migraine Comorbidities

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