Nesrin KARAHAN, Özge ÇOBAN, Oğuzhan METE, Şeyda TOPRAK ÇELENAY

Migrenli Bireylerdeki Gastrointestinal Semptomların Ağrı Karakteristiği ve Özür Durumu İle İlişkisi

Amaç: Bu çalışmanın amacı, migrenli bireylerde gastrointestinal sistem (GİS) semptomları ile ağrı karakteristiği ve özür durumu arasındaki ilişkisinin incelenmesidir. Gereç ve Yöntemler: Çalışmamız kırk beş migren hastası ile gerçekleştirildi. Migrenli bireylerin GİS semptomları Gastrointestinal Semptom Derecelendirme Ölçeği (GSDÖ) ile, ağrı karakteristiği Görsel Analog Skalası ile belirlenen son üç aydaki ortalama ağrı şiddeti ve ağrılı atak sıklığı ile, migrene bağlı özür durumu Migren Özür Değerlendirme Skalası (MÖDS) ile değerlendirildi. Bulgular: Çalışmanın sonucunda, migrenli bireylerin atak sıklığı ile GSDÖ-total skor ile pozitif yönde orta derecede ilişki (p<0,001; rho:0,449), GSDÖ-reflü skoru ile pozitif yönde orta derecede ilişki (p:0,004; rho:0,424), GSDÖ-hazımsızlık skoru ile pozitif yönde düşük-orta derecede ilişki (p:0,007; 0,394) ve GSDÖ-kontipasyon skoru ile pozitif yönde düşük-orta derecede ilişki (p:0,007; 0,399) gösterdi. Migrenli bireylerin MÖDS skoru, GSDÖ-total skor ile pozitif yönde orta derecede ilişki (p:0,005; rho:0,410), GSDÖ-kontipasyon skoru ile pozitif yönde orta derecede ilişki (p<0,001; rho:0,541) gösterdi. MÖDS skoru, GSDÖ-karın ağrısı, GSDÖ-reflü, GSDÖ-diyare ve GSDÖ-hazımsızlık skorları ile ilişki göstermedi (p>0,05). Migrenli bireylerin ağrı şiddeti ile GSDÖ skorunun herhangi bir parametresinde ilişki bulunamadı. (p>0,05). Sonuç: Çalışmamızda migrenli bireylerde GİS semptomları ile atak sıklığı ve özür durumu arasındaki pozitif ilişki ortaya konmuştur. GİS semptomları ile migrenin arasındaki ilişkinin göz önünde bulundurulması migren tanı sürecini kolaylaştırıp kısaltabilir ve aynı zamanda migren tedavisine katkıda bulunabilir.

Anahtar Kelimeler:

başağrısı, gastrointestinal semptomlar, migren

The Relationship between Gastrointestinal Symptoms and Pain Characteristic and Disability in Individuals with Migraine

Objective: The aim of this study was to investigate the relationship between gastrointestinal system (GIS) symptoms and pain characteristics, disability in patients with migraine. Material and Methods: Forty-five migraine patients were included in the study. GIS symptoms with Gastrointestinal Symptom Rating Scale (GSRS), pain characteristic with pain intensity in the last 3 months determined by Visual Analogue Scale and frequency of attacks with pain, migraine-related disability status with Migraine Disability Assessment Scale (MIDAS) were evaluated in patients with migraine. Results: As a result of this study, a moderate positive correlation with the frequency of attacks of migraine subjects and GSRS-total score (p <0.001; rho: 0.449), a positive moderate correlation with GSDS-reflux score (p: 0.004; rho: 0.424), a positive and low to moderate correlation between the indigestion score (p: 0.007; 0.394), a positive low to moderate correlation with the GSRS-constipation score (p: 0.007; 0.399) The MIDAS score of the individuals with migraine showed a positive correlation with GSRS-total score (p: 0.005; rho: 0.410), and a positive relationship with GSRS-constipation score (p<0.001; rho: 0.541). MIDAS score did not correlate with GSRS-abdominal pain, GSRS-reflux, GSRS-diarrhea, and SRS-indigestion scores (p>0.05). There was no correlation between pain severity of migraine subjects and any parameter of GSRS score. (p>0.05). Conclusion: In our study, a positive correlation was found between GIS symptoms and frequency of attacks and disability in patients with migraine. Considering the relationship between gastrointestinal symptoms and migraine may facilitate and shorten the diagnosis of migraine and may also contribute to migraine treatment.

Keywords:

gastrointestinal symptoms, headache, migraine,

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