Abdominal Migraine in Children

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Abdominal migraine in children facts

 

  • Abdominal migraine is thought to be a variant of migraine that is common in children, but is rare in adults. 
  •  Migraines are characterized by pain in the middle of the abdomen that can be severe. 
  • Symptoms may persist for an hour or even several days. 
  •   Nausea and vomiting may be associated with pain. 
  •   Sleep usually brings relief from migraine headaches. Medications used to treat classic migraines can also be effective, although no treatment is known to be effective in all patients. 
  •   Most children with migraines have a family history of migraines and most develop migraines when they are adults. 
  •   The exact cause of migraine in the abdomen is not well understood. Both neuronal and endocrine factors (hormone) may be related. 
  •   Diagnosing migraine in the abdomen can be difficult and depends on the exclusion of other possible causes of pain and abdominal symptoms. There is not a single diagnostic test that confirms the diagnosis.

What is abdominal migraine?

Like adult children, children can develop migraines. This may be the same type of condition seen in adults, which usually occurs with headaches, sometimes preceded by aura. It can cause nausea, vomiting and phobia of light (low tolerance to light). Children also develop some unusual and atypical variations of migraines, which are not associated with particular headaches, which are not usually seen in adults. Migraine in the abdomen is one of these variables.

Migraine is a condition that is thought to be related to migraines, which is characterized by abdominal pain. Often precipitated by the usual triggers of classic migraines. The pain may be intense, nausea and vomiting may occur.

Migraines are rare in adults, but it is estimated that up to 2% of all children can develop migraines in the abdomen. Children who have a condition usually continue to develop migraines when they are adults. Girls are more affected than boys. Migraines usually occur for the first time between the ages of 2 and 10.


What causes migraine in the abdomen?


The cause of migraine headaches is not well understood. Some researchers believe that migraines may be related to nervous or endocrine changes, and may be caused by changes in the levels of serotonin and histamine in the body. Genetic factors may also be involved because the condition is more common in children who have a family history of migraines. About 60% of children with a condition have a positive family history of migraines.

Triggers have been described for abdominal migraines, similar to the triggers of classic migraines. These include foods that contain chocolate or nitrites, stress and anxiety.


What are the symptoms of migraine in the abdomen?


As mentioned, migraine in the abdomen causes abdominal pain that can be severe and humiliating. They are usually found in the middle part of the abdomen, often around the navel. Tingling, nausea and vomiting can accompany the pain. Baldness is often seen from the skin. It is possible that there are no associated headaches. The symptoms are usually relieved by sleep and can last between one hour and several days.


How is migraine diagnosed in the abdomen?


Due to the frequent absence of headaches, it can be difficult to diagnose the condition, especially during the first episode. There is no specific test that can determine the diagnosis of migraine in the abdomen, so the diagnosis is based on the exclusion of other conditions. Laboratory tests and imaging studies are usually aimed at excluding other conditions that may be responsible for the symptoms. EEG is sometimes done to exclude the seizure disorder as the cause of the symptoms.

 


What is the treatment of migraine in the abdomen?


The treatment of migraine in the abdomen has two components: reducing the symptoms of acute attack and preventing or reducing the severity of the episodes in the future. So far, the research has not provided sufficient data to confirm the role of any given medication in the treatment of symptoms or the prevention of future episodes of migraine in the abdomen. However, many patients respond to antidepressants and other medications.

 

What is the prognosis for abdominal migraine?

The prognosis for abdominal migraine is good; most children eventually stop having the attacks of abdominal pain. However, most children (about 70% in one study of 54 children) who have abdominal migraine go on to develop migraines in adulthood.

 

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