Abdominal migraine | |
---|---|
Specialty | Neurology |
Symptoms | episodes of abdominal pain |
Usual onset | variable |
Causes | migraine triggers |
Risk factors | cyclic vomiting syndrome, PTSD, functional gastrointestinal disorder |
Diagnostic method | symptoms |
Differential diagnosis | irritable bowel syndrome, peptic ulcer disease, gastroesophageal reflux disease, mast cell activation syndrome, celiac artery compression syndrome |
Prevention | avoiding triggers (different for each patient) |
Treatment | a range of experimental medications, including TCAs and anticonvulsants |
Prognosis | good in pediatrics, variable in adults |
Frequency | between 1% and 9% of children |
Deaths | poorly studied |
Abdominal migraine (AM) is a functional disorder that usually manifests in childhood and adolescence, without a clear pathologic mechanism or biochemical irregularity. Children frequently experience sporadic episodes of excruciating central abdominal pain accompanied by migrainous symptoms like nausea, vomiting, severe headaches, and general pallor.[1] Abdominal migraine can be diagnosed based on clinical criteria and the exclusion of other disorders.[2]
The US Food and Drug Administration has not approved any drugs for the treatment of abdominal migraine. The goal of treatment is usually to prevent attacks, and this is often achieved through nonpharmacologic intervention.[3]
Research has indicated that the incidence of abdominal migraine in children falls within the range of 0.4%[4] to 4%.[2] The condition primarily affects children aged 3 to 10 years, with a higher prevalence in females.[5]
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