About Abdominal Migraines
What Is An Abdominal Migraine?
Abdominal migraine is a unique form of migraine that primarily affects children but can also occur in adults. It is characterised by recurring episodes of abdominal pain or discomfort, often accompanied by gastrointestinal symptoms, without the presence of a headache.
Abdominal migraine is a subtype of migraine that primarily manifests as recurrent episodes of moderate to severe abdominal pain or discomfort. The pain is usually located around the navel and can be accompanied by gastrointestinal symptoms such as nausea, vomiting and loss of appetite. Unlike other forms of migraine, they do not typically involve a headache or head pain.
Abdominal Migraine Diagnosis
How Do We Diagnose An Abdominal Migraine?
Diagnosing abdominal migraine can be challenging due to its unique presentation and the absence of a headache. It can be challenging due to its atypical presentation and the absence of a clear diagnostic test. However, through a thorough evaluation of symptoms and exclusion of other possible causes, healthcare professionals can reach a diagnosis. They are often seen in individuals with a family history of migraines or other migraine variants.
Abdominal Migraine Symptoms
Abdominal Pain
centred around the navel
Nausea / Vomiting
Diarrhea or constipation
Absence of headache
Abdominal Migraine – Frequently Asked Questions
What is abdominal migraine?
Abdominal migraine is a type of migraine that primarily affects the stomach, causing recurrent episodes of abdominal pain, nausea, and vomiting. It is most common in children but can also occur in adults.
What are the symptoms of abdominal migraine?
Symptoms include moderate to severe abdominal pain, nausea, vomiting, loss of appetite, and sometimes pale skin or dark circles under the eyes. These episodes are often accompanied by a headache or sensitivity to light and sound.
What causes abdominal migraine?
The exact cause is unknown, but it is believed to involve genetic factors, hormonal changes, and triggers like stress, certain foods, or lack of sleep. It may also be linked to the same neurological pathways as other types of migraine.
Who is at risk of developing abdominal migraine?
Children aged 5-10 are most commonly affected, especially those with a family history of migraine. Adults with a history of childhood abdominal migraine may also experience it.
How is abdominal migraine diagnosed?
Diagnosis is based on clinical history, symptoms, and ruling out other conditions. A doctor may use the International Classification of Headache Disorders (ICHD) criteria to confirm the diagnosis.
What are the common triggers for abdominal migraine?
Triggers include stress, certain foods (e.g., chocolate, processed foods), hormonal changes, dehydration, and irregular sleep patterns. Identifying and avoiding triggers can help manage the condition.
How is abdominal migraine treated?
Treatment may include lifestyle changes, manual therapy to desensitise the brain stem, avoiding triggers, and medications such as pain relievers, anti-nausea drugs, or preventive medications like beta-blockers or antiepileptics. Consult a healthcare professional for a tailored treatment plan.
Can abdominal migraine be prevented?
Prevention involves identifying and avoiding triggers, maintaining a regular sleep schedule, managing stress, and following a balanced diet. Preventive medications may also be prescribed in severe cases.
Is abdominal migraine related to other types of migraine?
Yes, abdominal migraine is considered part of the migraine spectrum. Many children with abdominal migraine go on to develop other types of migraine, such as migraine with aura, later in life.
When should I see a doctor for abdominal migraine?
Consult a doctor or headache practitioner if abdominal pain is severe, recurrent, or affecting daily life. Immediate medical attention is necessary if symptoms are accompanied by fever, weight loss, or other concerning signs.
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