Comorbid conditions are conditions that occur at the same time as but independently of each other. With Migraine disease, perhaps the most common comorbid condition is major depressive disorder (clinical depression). Approximately 47% of Migraineurs also experience major depressive disorder, but neither causes the other. Comorbid conditions can have significant impact on effective treatment of the individual disorders. Thyroid diseases, including hypothyroidism, are among the conditions now know to often be comorbid with headaches and Migraines. A strong connection has been found between hypothyroidism and new daily persistent headache (NDPH) and chronic Migraine. Researchers have concluded that comorbid conditions can affect each other in multiple ways including how they progress and the amount of time it takes to diagnose them and find effective treatments. In addition, it's been shown that comorbid conditions may play a role in headaches becoming and remaining da...
The purpose of treatment is to replace the deficient thyroid hormone. Levothyroxine is the most commonly used medication. The lowest effective dose that leads to normal thyroid function is used. Life-long therapy may be necessary. Medication must be continued even when symptoms disappear.
After replacement therapy has begun, report any symptoms of increased thyroid activity (hyperthyroidism), such as restlessness , rapid weight loss, and sweating.
A high-fiber , low-calorie diet and moderate activity will help relieve constipation and promote weight loss, if weight was gained during the time when thyroid activity was low.
In individuals with accompanying hypoadrenalism (underactive adrenal gland), steroid replacement must be started before thyroid replacement is begun.
In patients who have hypothyroidism caused by a pituitary tumor, surgery may be required. However, surgery may not cure the hypothyroidis...
Full Question :
I have excruciating headaches from morning to night. I also have
hypothyroidism. While I am been treated with T3 at this stage, my TSH is still
not regulated. Last results showed TSH >73 mIU/L. Could this be partly
responsible for the headaches? Fiona.
Simply put -- it's possible. We often find that thyroid levels play a
significant role in headache and Migraine disease. Still, you should mention
this to your doctor and take care not to use either prescription or over-the
counter pain relievers more than two or three days a week to avoid medication
overuse headache .
Good luck, John Claude Krusz and Teri Robert
About Ask the Clinician :
Dr. Krusz is a recognized expert in the fields of headache and
Migraine treatment and pain treatment. Each week, he and Lead Expert Teri
Robert, team up to answer your questions about headaches and Migraines. You can
read more about Dr. Krusz or
more about Teri
Robert . If you have a question...
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