Recognizing and Diagnosing Abdominal Migraines

Popovich, Debbie; Schentrup, Denise; McAlhany, Allison

doi:10.1016/j.pedhc.2009.11.003

Cited by 20 publications

(12 citation statements)

References 21 publications

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“…There are no proven objective markers to correctly make the diagnosis. 59 , 60 Abnormal EEG changes with visual stimulation have been noted in patients with AM. 39 However, these changes are nonspecific and need further validation.…”

Section: Discussionmentioning

confidence: 99%

Pediatric abdominal migraine: current perspectives on a lesser known entity

Mani

Madani

2018

PHMT

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BackgroundAbdominal migraine (AM) is a common cause of chronic and recurrent abdominal pain in children. It is characterized by paroxysms of moderate to severe abdominal pain that is midline, periumbilical, or diffuse in location and accompanied by other symptoms including headache, anorexia, nausea, vomiting, or pallor. Despite the presence of comprehensive diagnostic criteria under Rome IV classification of functional gastrointestinal disorders (FGIDs) and International Classification of Headache Disorders, it continues to be an underdiagnosed entity.OverviewThe average age of diagnosis is 3–10 years with peak incidence at 7 years. Most of the patients have a personal or family history of migraine. Pathophysiology of the condition is believed to be similar to that of other FGIDs and cephalic migraine. It is also well recognized as a type of pediatric migraine variant. A careful history, thorough physical examination, and use of well-defined, symptom-based guidelines are needed to make a diagnosis. Selective or no testing is required to support a positive diagnosis. It resolves completely in most of the patients. However, these patients have a strong propensity to develop migraine later in life. Explanation and reassurance should be the first step once the diagnosis is made. Nonpharmacologic treatment options including avoidance of triggers, behavior therapy, and dietary modifications should be the initial line of management. Drug therapy should be considered only if symptoms are refractory to these primary interventions.ConclusionMore research focused on pathophysiology and management of AM needs to be carried out to improve outcomes in affected children.

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Section: Discussionmentioning

confidence: 99%

Pediatric abdominal migraine: current perspectives on a lesser known entity

Mani

Madani

2018

PHMT

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“…Abdominal migraine is known to affect female disproportionately [ 29 ]. Our study also demonstrated a female predominance.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Pain-Predominant Functional Gastrointestinal Disorders in Jordanian School Children

Altamimi

Al-Safadi²

2014

Gastroenterol Res

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BackgroundRecurrent abdominal pain (RAP) is a common complaint in children. Significant portion of them are of functional origin. This study aimed to assess the prevalence of abdominal pain-predominant functional gastrointestinal disorder (FGID) and its types in Jordanian school children.MethodsThis is a school-based survey at south Jordan. Information using the self-reporting form of the Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III Version (QPGS-RIII) - the official Arabic translation - was collected. Classes from academic years (grades) 6 - 8 were selected. SPSS Statistical Package Version 17 (IBM, Armonk, NY, USA) was used. Categorical data were analyzed using Fisher’s exact test, and continuous data were analyzed using t-test. P < 0.05 was considered significant.ResultsFive hundred questionnaires were distributed, and 454 returned answered (91%). Two hundred twenty-nine (50.8%) were males. The average age of participants was 12.7 years (11 - 15 years). One hundred sixteen (25.7%) had abdominal pain-predominant FGID. Seventy-nine (68%) of them were females. Forty-seven (10.6%) had irritable bowel syndrome (IBS). Thirty-six (8%), 17 (3.8%), 11 (2.4%) and five (1.1%) had abdominal migraine, functional abdominal pain, functional abdominal pain syndrome and functional dyspepsia, respectively.ConclusionAbdominal pain-predominant FGID has become a major health issue in Jordanian children. One of four children between the ages of 11 and 15 years exhibits at least one abdominal pain-predominant FGID. The most common form of abdominal pain-predominant FGID in our children was IBS. Females are affected more often than males. Intestinal and extra-intestinal symptoms are seen regularly with abdominal pain-predominant FGIDs.

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“…First described nearly a century ago, AM occurs in 1% to 4% of children and has received considerable attention as one of many potential etiologies of recurrent abdominal pain in children 2,3 . In 2004, the International Headache Society (ICHD‐2) included AM among its “periodic syndrome of childhood that are precursors for migraine” (Table 1).…”

Section: International Classification Of Headache Disorders 2004 Critmentioning

confidence: 99%