Constipation is associated with tension type headache in women

ABSTRACT Tension-type headaches (TTH) and irritable bowel syndrome (IBS) are comorbid diseases affecting, especially, women. One of the underlying mechanisms for both is autonomic dysfunction in the brain-gut axis. We aimed to evaluate the factors accompanying TTH and their relation to functional ga...

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Main Authors: Zeynep Tugba Ozan, Nermin Tanik, Levent Ertugrul Inan
Format: Article
Language:English
Published: Thieme Revinter Publicações
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000300161&lng=en&tlng=en
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author Zeynep Tugba Ozan
Nermin Tanik
Levent Ertugrul Inan
author_facet Zeynep Tugba Ozan
Nermin Tanik
Levent Ertugrul Inan
author_sort Zeynep Tugba Ozan
collection DOAJ
description ABSTRACT Tension-type headaches (TTH) and irritable bowel syndrome (IBS) are comorbid diseases affecting, especially, women. One of the underlying mechanisms for both is autonomic dysfunction in the brain-gut axis. We aimed to evaluate the factors accompanying TTH and their relation to functional gastrointestinal disorders. Methods: Women diagnosed with TTH were questioned about headache pattern and severity, and accompanying factors, as well as being screened for IBS according to the Rome III criteria. The participants were divided into two groups: constipation-dominant IBS (IBS-C) group and “others”, with a total of 115 individuals included in the study. Results: Of the 115 patients; 48 (41.8%) of the women had IBS-C criteria while 67 (58.2%) described mixed-type IBS or diarrhea-dominant IBS. There were no significant differences in terms of mean age (p = 0.290), body mass index (p = 0.212), visual analog scale (p = 0.965), duration of attacks (p = 0.692), and episodic/chronic type (p = 0.553). Osmophobia was seen in 43.5%; phonophobia in 68.7%, and photophobia in 47.0% of the patients, and only osmophobia was significantly associated in women in the IBS-C group (p = 0.001). Conclusion: In female patients with TTH, a higher level of constipation was detected. The relationship of these two diseases suggests that they may share common mechanisms. This is the first study showing the relationship of osmophobia with constipation.
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spelling doaj-art-f75bb464a72c4b99b6b98b96c8d4e2672025-08-20T02:04:37ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-422777316116510.1590/0004-282x20190015S0004-282X2019000300161Constipation is associated with tension type headache in womenZeynep Tugba OzanNermin TanikLevent Ertugrul InanABSTRACT Tension-type headaches (TTH) and irritable bowel syndrome (IBS) are comorbid diseases affecting, especially, women. One of the underlying mechanisms for both is autonomic dysfunction in the brain-gut axis. We aimed to evaluate the factors accompanying TTH and their relation to functional gastrointestinal disorders. Methods: Women diagnosed with TTH were questioned about headache pattern and severity, and accompanying factors, as well as being screened for IBS according to the Rome III criteria. The participants were divided into two groups: constipation-dominant IBS (IBS-C) group and “others”, with a total of 115 individuals included in the study. Results: Of the 115 patients; 48 (41.8%) of the women had IBS-C criteria while 67 (58.2%) described mixed-type IBS or diarrhea-dominant IBS. There were no significant differences in terms of mean age (p = 0.290), body mass index (p = 0.212), visual analog scale (p = 0.965), duration of attacks (p = 0.692), and episodic/chronic type (p = 0.553). Osmophobia was seen in 43.5%; phonophobia in 68.7%, and photophobia in 47.0% of the patients, and only osmophobia was significantly associated in women in the IBS-C group (p = 0.001). Conclusion: In female patients with TTH, a higher level of constipation was detected. The relationship of these two diseases suggests that they may share common mechanisms. This is the first study showing the relationship of osmophobia with constipation.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000300161&lng=en&tlng=enWomentension-type headacheconstipation
spellingShingle Zeynep Tugba Ozan
Nermin Tanik
Levent Ertugrul Inan
Constipation is associated with tension type headache in women
Arquivos de Neuro-Psiquiatria
Women
tension-type headache
constipation
title Constipation is associated with tension type headache in women
title_full Constipation is associated with tension type headache in women
title_fullStr Constipation is associated with tension type headache in women
title_full_unstemmed Constipation is associated with tension type headache in women
title_short Constipation is associated with tension type headache in women
title_sort constipation is associated with tension type headache in women
topic Women
tension-type headache
constipation
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000300161&lng=en&tlng=en
work_keys_str_mv AT zeyneptugbaozan constipationisassociatedwithtensiontypeheadacheinwomen
AT nermintanik constipationisassociatedwithtensiontypeheadacheinwomen
AT leventertugrulinan constipationisassociatedwithtensiontypeheadacheinwomen