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Gastrointestinal Headache; a Narrative Review
Majid T Noghani1, Hossein Rezaeizadeh2, Sayed Mohammad Baqer Fazljoo3
1Department of Iranian Traditional Medicine, Faculty of Medicine, Shahed University, Tehran, Iran.
Emergency (Tehran, Iran)
|November 2, 2016
Summary
Headaches may stem from gastrointestinal issues like GERD or IBS. Treating these gut disorders can often resolve associated headaches, suggesting a direct link.
Area of Science:
- Gastroenterology and Neurology
- Investigates the intricate connection between the digestive system and neurological conditions, specifically headaches.
Background:
- Primary headaches are common, but secondary headaches linked to gastrointestinal (GI) disorders are often overlooked.
- Existing research suggests a correlation between various GI conditions and primary headaches, with symptom improvement upon GI treatment.
Approach:
- Systematic literature review to gather evidence on headaches originating from the gastrointestinal system.
- Exploration of proposed pathophysiological mechanisms linking GI disorders and headaches.
Key Points:
- Associated GI disorders include dyspepsia, GERD, constipation, IBS, IBD, celiac disease, and H. pylori infection.
- Treatment of GI conditions has shown to improve or resolve associated headaches.
- Potential mechanisms include central sensitization, referred pain, serotonin pathways, and autonomic dysfunction.
Conclusions:
- A significant association exists between gastrointestinal disorders and headaches.
- Suggests the need for a distinct diagnostic category for headaches linked to treatable GI abnormalities.
- Highlights the importance of considering GI health in headache management.
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