Migraines and What To Look For – Premier MD Care

Migraines and What To Look For – Premier MD Care

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hi I’m Dr. Jelin Isreal-Civk with
Premier MD Care here in Fort Myers Florida. We are an internal medicine concierge practice and today I want to talk to you
about a very common disease state that we see in the primary care setting and
that’s migraine headaches and this is kind of a personal one for me as well
because I used to suffer from frequent chronic migraine headaches for about 18
years so first I’m going to talk to you guys about how or what the frequency is
of seeing migraine headaches in the US population so about 18% of the people
who get migraines are women so it’s very it’s a lot higher number in women than
in men only 6% of people with migraines are men and in these people who do get
migraines it reduces their ability to function and do their day-to-day tasks
by about 51% so it drops the productivity so really impacts society
as a whole so first of all what is a migraine because sometimes we get a
headache and you hear people say oh I have a migraine but really there’s
certain things that you have to look for to clarify that someone actually has a
migraine headache so we use the acronym pound so P is for pulsatile pain so it’s
more of a throbbing nagging pulsatile pain one is for it can last for one day
it can be actually anywhere for four hours up to 72 hours unfortunately U is
unilateral meaning the pain is typically on one side of your face or head and
then n is for nausea or vomiting is usually associated with it indeed and
the last part of pound is for the fact that the pain is disabling it actually
interferes with your day to day activities so if you have 4 out of 5
these symptoms it’s about a 92% probability that you are suffering from
a migraine headache if you have 3 out of 5 of these symptoms it’s about a 64%
chance that you have a migraine headache so you have to be careful as far as
headaches go not to just think that you know I’m just oh I have a migraine and
ignore it the reason being that there are other things that can cause a
headache that are not migraines and that could
to medical emergencies one of the things could be a condition called acute
glaucoma which is a condition in the eye and that can cause terrible pain in just
one eye or behind the eye the other one is an actual subdural hematoma or
bleeding in the brain usually that happens after someone’s fallen or hit
their head and typically these people complain of the pain being as the worst
headache in their life pain around the neck and difficulty moving your neck
from side to side is another alarming factor to look at uncontrolled blood
pressure or a hypertensive crisis where the blood pressure is so high that you
really need to go to the emergency room to have it treated and also cluster
headaches can be sometimes confused with migraines these are less common they
usually occur more commonly in men than in women and it’s typically almost like
an icepick type of sharp stabbing pain in one eye and it’s associated with
excessive tearing

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