I am 38 years old. I have been suffering from very bad headaches for the past three years. Attacks are rare, but nausea comes on quickly. My blood pressure doesn't go up. I have gynecological problems - adenomatosis. My hair started to fall out, I don't sleep well, I suffer from depression, I gained a lot of weight. A brain MRI showed nothing. What should I do to solve the problem?
Irina Andonova, Sofia
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Everything you share fits into the migraine diagnosis. And this is a disease of the whole brain and you have to take it seriously. Attacks of severe headache are one of the symptoms, the body's cry for help.
If you do an encephalogram or a specialized MRI scan between migraine attacks, the areas of the brain that are always highly excited will be revealed. They send "wrong" signals, disrupting the work of many organs.
As a result, gynecological diseases, thyroid problems, heart malfunctions, irritable bowel syndrome appear. A person goes to various specialists, but they do not find any problems.
There may be no visible changes at the moment as only the function is broken. Organic irregularities appear later.
If the attacks are not frequent, but less frequent, modern drugs (triptans) are used, which are specially designed to relieve pain. But we do not advise you to apply self-medication for a long time.
Taking many different drugs containing codeine, caffeine, ergotamine, a person opens Pandora's box: the body will demand more and more of them. If he doesn't get them, he'll respond with another migraine attack or insomnia.
After all, codeine is an opiate drug, caffeine is a stimulant that gives the brain a deceptive sense of energy, ergotamine is also addictive.
It is believed that headache medicines can be safely taken three times a month, one tablet each. And no more. If attacks occur more often, you should seriously treat yourself.
Migraine disease can be difficult to recognize because not everyone experiences headaches. But due to a violation in the production of hormones (in many cases, such an ancient part of the brain as the hypothalamus is responsible for this), a person's behavior can change.
For example, we have a ravenous appetite or, conversely, we don't feel like eating anything at all. Then some gain weight, others lose weight. And the reason is only one - migraine disease. Sexual behavior can also change: some become very active in bed, while others lose their libido.
There are many options, but the bottom line is to see a neurologist who treats headaches, especially migraines. If the disease can be controlled, gynecological problems will disappear, weight will normalize, depression will go away.