Association between Gastrointestinal Functional Disorders and Migraine Headache: A Therapeutic Link

Dear Editor: As a neurologist with interest in pain control,1-2 I read the recent contribution by Lankarani and colleagues,3 on the relationship between gastrointestinal functional disorders and migraine, with great interest. I have the following comments concerning the therapeutic relationship bet...

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Main Author: Iraj Derakhshan
Format: Article
Language:English
Published: Iranian Association of Gastroenterology and Hepatology, Shiraz University of Medical Sciences 2018-04-01
Series:Middle East Journal of Digestive Diseases
Online Access:http://www.mejdd.org/index.php/mejdd/article/view/1900
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author Iraj Derakhshan
author_facet Iraj Derakhshan
author_sort Iraj Derakhshan
collection DOAJ
description Dear Editor: As a neurologist with interest in pain control,1-2 I read the recent contribution by Lankarani and colleagues,3 on the relationship between gastrointestinal functional disorders and migraine, with great interest. I have the following comments concerning the therapeutic relationship between the said entities as follows. Although the respected authors did mention certain aspects of the therapeutic relationship between the two conditions, they did not sufficiently emphasize that connection. As pointed out in my recent article,2 patients suffering from migralepsy (migraine related epilepsy) were simultaneously relieved from both conditions if the headache were fully controlled (using daily scheduled opioids). Similarly, many of such patients with chronic daily headaches voluntarily stated that their gastrointestinal symptoms, of which they had suffered for years, had completely receded with the use of the abovementioned regimen. However, if the headache returned for any reason (most often because of running out of daily scheduled medication) the other condition (i.e. seizures or the gastrointestinal symptoms) returned as well. These comorbidities, therefore, speak of an identical or shared pathophysiology in these common conditions.
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spelling doaj.art-25d729af8c3141b495ce43286ab475652022-12-21T18:22:01ZengIranian Association of Gastroenterology and Hepatology, Shiraz University of Medical SciencesMiddle East Journal of Digestive Diseases2008-52302008-52492018-04-0110212112210.15171/mejdd.2018.102Association between Gastrointestinal Functional Disorders and Migraine Headache: A Therapeutic LinkIraj Derakhshan0Case Western Reserve, U.S.ADear Editor: As a neurologist with interest in pain control,1-2 I read the recent contribution by Lankarani and colleagues,3 on the relationship between gastrointestinal functional disorders and migraine, with great interest. I have the following comments concerning the therapeutic relationship between the said entities as follows. Although the respected authors did mention certain aspects of the therapeutic relationship between the two conditions, they did not sufficiently emphasize that connection. As pointed out in my recent article,2 patients suffering from migralepsy (migraine related epilepsy) were simultaneously relieved from both conditions if the headache were fully controlled (using daily scheduled opioids). Similarly, many of such patients with chronic daily headaches voluntarily stated that their gastrointestinal symptoms, of which they had suffered for years, had completely receded with the use of the abovementioned regimen. However, if the headache returned for any reason (most often because of running out of daily scheduled medication) the other condition (i.e. seizures or the gastrointestinal symptoms) returned as well. These comorbidities, therefore, speak of an identical or shared pathophysiology in these common conditions.http://www.mejdd.org/index.php/mejdd/article/view/1900
spellingShingle Iraj Derakhshan
Association between Gastrointestinal Functional Disorders and Migraine Headache: A Therapeutic Link
Middle East Journal of Digestive Diseases
title Association between Gastrointestinal Functional Disorders and Migraine Headache: A Therapeutic Link
title_full Association between Gastrointestinal Functional Disorders and Migraine Headache: A Therapeutic Link
title_fullStr Association between Gastrointestinal Functional Disorders and Migraine Headache: A Therapeutic Link
title_full_unstemmed Association between Gastrointestinal Functional Disorders and Migraine Headache: A Therapeutic Link
title_short Association between Gastrointestinal Functional Disorders and Migraine Headache: A Therapeutic Link
title_sort association between gastrointestinal functional disorders and migraine headache a therapeutic link
url http://www.mejdd.org/index.php/mejdd/article/view/1900
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