Abdominal migraine

Abdominal migraine
SpecialtyNeurology
Symptomsepisodes of abdominal pain
Usual onsetvariable
Causesmigraine triggers
Risk factorscyclic vomiting syndrome, PTSD, functional gastrointestinal disorder
Diagnostic methodsymptoms
Differential diagnosisirritable bowel syndrome, peptic ulcer disease, gastroesophageal reflux disease, mast cell activation syndrome, celiac artery compression syndrome
Preventionavoiding triggers (different for each patient)
Treatmenta range of experimental medications, including TCAs and anticonvulsants
Prognosisgood in pediatrics, variable in adults
Frequencybetween 1% and 9% of children
Deathspoorly 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]

  1. ^ Angus-Leppan, Heather; Saatci, Defne; Sutcliffe, Alastair; Guiloff, Roberto J (February 19, 2018). "Abdominal migraine". BMJ. 360: k179. doi:10.1136/bmj.k179. ISSN 0959-8138. PMID 29459383.
  2. ^ a b Carson, Laura; Lewis, Donald; Tsou, Marc; McGuire, Erin; Surran, Brooke; Miller, Crystal; Vu, Thuy-Anh (2011). "Abdominal Migraine: An Under-Diagnosed Cause of Recurrent Abdominal Pain in Children". Headache: The Journal of Head and Face Pain. 51 (5): 707–712. doi:10.1111/j.1526-4610.2011.01855.x. ISSN 0017-8748. PMID 21395574. S2CID 6813605.
  3. ^ Russell, George; Abu-Arafeh, Ishaq; Symon, David N.K. (2002). "Abdominal Migraine". Pediatric Drugs. 4 (1). Springer Science and Business Media LLC: 1–8. doi:10.2165/00128072-200204010-00001. ISSN 1174-5878. PMID 11817981. S2CID 12289726.
  4. ^ Uc, Aliye; Hyman, Paul E.; Walker, Lynn S. (2006). "Functional Gastrointestinal Disorders in African American Children in Primary Care". Journal of Pediatric Gastroenterology & Nutrition. 42 (3). Wiley: 270–274. doi:10.1097/01.mpg.0000189371.29911.68. ISSN 0277-2116. PMC 3232040. PMID 16540795.
  5. ^ Winner, Paul (2016). "Abdominal Migraine". Seminars in Pediatric Neurology. 23 (1). Elsevier BV: 11–13. doi:10.1016/j.spen.2015.09.001. ISSN 1071-9091. PMID 27017015.

© MMXXIII Rich X Search. We shall prevail. All rights reserved. Rich X Search