Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 115
The Migraines from hangover disappeared after few hours up to 3 days. It is not rhythmical: it is dependent
from the drinks.
Most men tolerate well more than 1000 milliliter of beer or 200 milliliter of wine drinks each day
through many years, without Migraine, but the beer and wine intolerance can appears one day and stays
for lifelong. The beer and wine intolerance increases with the increasing age.
The beer and wine intolerance on women is more common and usually begins sooner, at teen ages.
Since the year of 1985, it is known that there is a greater frequency of alcoholic drinkers, between
both the Normal (Peak) tension and the high-tension glaucoma patients, than in the non-glaucomatous
(Klaver J H J and others).
The concomitant ingestion of alcohol and caffeine increases the caffeine toxic effect because the alcohol
difficults the caffeine elimination from the body: “Alcohol intake of 50 g/day significantly prolonged
caffeine half-life by 72% and diminished caffeine clearance by 36%”(George J, and others).
The 267 beer drinkers were 163 men (61%) and 104 women (39%). Their average age was 42.2
years.
At the examination of these 267 patients with migraines and other signs and symptoms related
with beer drinks, we found:
- 59 patients (22.1%) presented some glaucoma, so distributed:
- 24 patients (9%) suspects of Glaucoma;
- 15 patients (5.6%) with incipient glaucoma;
- 20 patients (7.5%) with advanced glaucoma;
- 193 patients (72.3%) with some Optic Nerve’s borders edema, so distributed:
- 121 patients (45.3%) with minimal (0.25 diopters) Optic Nerve’s borders edema;
- 72 patients (27%) with evident (0.5 diopters) Optic Nerve’s borders edema;
- 27 patients (10.1%) with migraines but without any Optic Nerve's borders edema or glaucoma.
We conclude that beer drinks, in 89,9% of patients with migraines, hangover or variants, are
excellent etiologies to Benign Intracranial Hypertension and to glaucoma.
Excessive Beer, Water and Nausea on awakening – We had an entirely black patient, strong shippainter,
31-year-old, 1.96 meters (6 feet and 5 inches) tall and 82 kilograms (181 pounds) of weight.
He was complaining about chronic mild aches at his left eye, since one month ago when he suffered
with a bilateral conjunctivitis. On 3 occasions at the last month, 3 medical ophthalmologists had examined
and medicated him with eye drops, without success. Talking with him, we discovered that for
more than one year he suffered with chronic nausea and retching at awakening, and sometimes the entire
morning, which disturbed his breakfasts and lunches. He also complained about small occipital
headaches. Asking about his drinks, we discovered that during the last 10 years, he drank at work, 5
days a week, without any thirst, eight bottles of 1 liter each, totalizing 8 liters (more than 2 gallons) of
water daily. At Saturdays and Sundays, he drank 10 liters of beer each day. He was medicated for gastritis
few months ago and became better. On his ophthalmological exam, he was almost entirely “normal”.
His intraocular pressures presented 14 and 16 mmHg (physiologic). On direct ophthalmoscopy,
he presented both Optic Nerve’s disks with 0.2/1/0/0.75 (Cup diameter/ cup depth/ lamina cribosa’s
pores visibility/ borders edema), and extreme Central Retinal Artery and Vein branches tortuously.
Here we see a typical Cerebrospinal Fluid Hypertension Syndrome, caused only by excessive water
and beer drinks, before any definitive damage. It is admirable the endurance of his Optic nerves to
such pressure overload, without any damage until now. It is also remarkable the paucity of symptoms
from it. The Central Retinal Vein branches engorgement and tortuously occurs because inside the Optic
Nerve the Cerebrospinal Fluid Hypertension stretches it, as explained on the chapter “Pathophysiology”.
The Central Retinal arterial branches tortuously probably was secondary to the blood
stasis in the veins.
He came again after 6 months, because he suffered eyes burning from the welding radiation. He had
shorten his drinks to around 3,000 milliliters each day. He became free from the headaches and nausea,
and his eyes show reduction of their arterial and veins engorgement. The Optic Disks also show the
remnants of the previous borders edema.
At the following exam, after 1 year, he was without any complaint and presented both Optic Nerve's