Co-occurrence of Medication Overuse Headache and Irritable Bowel Syndrome and Food Triggers

Ceren Akgör M. H., Gökçe S., Vurallı D., Taşdelen B., Gültekin F., Belen H. B.

Global Migraine & Pain Summit, 6th MENA Meeting & 4rd Turkish African Meeting Of Headache And Pain Management 2022, Antalya, Türkiye, 2 - 05 Kasım 2022, ss.28

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.28
  • Gazi Üniversitesi Adresli: Evet

Özet

AIM: Different gastrointestinal system disorders can be seen in headache patients. This study aimed to investigate the relationship between irritable bowel syndrome (IBS) and medication overuse headache (MOH) and cognitive complaints during headaches. METHOD: Three hundred and five volunteers participated in this survey. The participants were evaluated in terms of age, gender, headache character- duration-frequency, frequency of pain medication use, cognitive complaints, and gastrointestinal symptoms associated with irritable bowel syndrome (IBS). In addition, consumption behavior 90 different foods and food triggers were evaluated. RESULTS: MOH was detected in 38.5% (n=116) of the participants. Gastrointestinal symptoms consistent with IBS was found in 35.8% (n=106) of the participants. In patients with MOH, the rate of having IBS (49.5%) was significantly higher than the rate of not having IBS (32.5%) (p=0.004). The Mig-Scog score was found to be significantly higher in patients who experienced IBS-type abdominal pain compared to those who did not (p<0.001). Individuals with IBS showed less avoidance behavior of consuming certain food triggers such as red colored candy (p=0.001), sweetener-containing products (p=0.008), gelatincontaining foods, cream-containing products, frozen ready packaged foods and chicken products, curry sauce, fried potatoes (0.004) and nuts. They experienced headache on the day they consumed these foods (p<0.05). CONCLUSION: Irritable bowel syndrome and cognitive complaints are seen at a higher rate in patients with medication overuse headache. Patients with IBS consume more frequently foods that they define as headache triggers in daily life compared to individuals without IBS. Recognition of irritable bowel syndrome is important in chronic headache and accompanying disability. Existing comorbid IBS symptoms in MO headache should be carefully questioned and an appropriate treatment plan should be included in the headache management. Also, further studies are needed to define which food ingredient is responsible for inducing headache.