Abdominal Migraine Symptoms & Treatment

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Abdominal migraine is a type of migraine that is mostly seen in children aged 5 to 9, but it also occurs for adults as well. Children who are affected with this disorder are those who usually have a family history of migraine. It is common before the age of puberty, and girls are more likely to be affected than boys. The diagnosis of abdominal migraine is based on the family history of the child and the symptoms that he has been showing. A thorough evaluation will be made by the physician to rule out other conditions such as urogenital disorders, peptic ulcer, cholecystitis, Chron’s disease, gastroesophageal reflux disease and irritable bowel syndrome. These disorders tend to show the same symptoms that of abdominal migraine so proper tests should be done first.

Abdominal migraine symptoms are different from that of the typical migraine that most adults suffer from. The pain is felt at the mid line of the abdomen, especially around the area of the umbilicus. The pain may be present for one to two hours, and it can persist throughout the day, for about three days. Some other symptoms are dizziness, photosensitivity, diarrhea, loss of appetite, headaches, irritability, and skin that is either flushed or pale. There are conditions that are set by the International Headache Society, so that a migraine may be classified as abdominal in nature. Here are the conditions:

A.The child should have a minimum of five attacks that fulfill the criteria for B and D.

B.An abdominal pain that lasts from one to 72 hours, whether it was treated or not.

C.Abdominal pain that is characterized by the following: midline location, around the umbilicus or anywhere
around the abdomen, dull or sore in quality, with an intensity of either moderate or severe.

D.The abdominal pain should be present together with at least two of these symptoms: nausea, vomiting, loss of appetite and being pale.

E.These symptoms should not be caused by a medical disorder.

Treatment for abdominal migraine is basically the same with that of the other types of migraine. The child suffering from this disorder will be given medications such as non-steroidal anti-inflammatory drugs, triptans, acetaminophens, aspirin, ibuprofen, and medications that will control the other symptoms such as nausea and vomiting. For these symptoms, the child will be given anti-emetics, drugs that will control such condition. The type and dosage of the medication will depend on the child’s age and on the severity of the symptoms that he is showing.

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