Abdominal Migraine

@article{Russell2002AbdominalM,
  title={Abdominal Migraine},
  author={George H. Russell and Ishaq Abu-Arafeh and DavidN. K. Symon},
  journal={Pediatric Drugs},
  year={2002},
  volume={4},
  pages={1-8}
}
There is evidence to suggest that, in children, episodic abdominal pain occurring in the absence of headache may be a migrainous phenomenon. There are four separate strands of evidence for this: (i) the common co-existence of abdominal pain and migraine headaches; (ii) the similarity between children with episodic abdominal pain and children with migraine headaches, with respect to social and demographic factors, precipitating and relieving factors, and accompanying gastrointestinal… 

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TLDR
Observations in school children by Bille suggest that abdominal pain without headache may be common as a migraine equivalent but the frequency of this phenomenon in adult migraineurs has not been ascertained.

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TLDR
Patients with abdominal migraine may benefit from prophylactic treatment with propranolol or cyproheptadine, according to the results of this study.

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TLDR
It is possible that some patients with functional abdominal pain have migraine presenting with few or even no migraine accompaniments and, in these, a diagnosis of abdominal migraine should be considered.

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TLDR
These children had a well-defined syndrome comprising episodes of midline abdominal pain of sufficient severity to interfere with normal activities and lasting for prolonged periods, frequently accompanied by pallor, headache, anorexia, nausea, and vomiting, and it is proposed that they have “abdominal migraine”.

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TLDR
Children with abdominal migraine had demographic and social characteristics similar to those of children with migraine and had similar patterns of associated recurrent painful conditions, trigger and relieving factors, and associated symptoms during attacks.

Current Controversies Abdominal Migraine

We are grateful to you for re-opening a long-running controversy in paediatric circles between those who recognize abdominal migraine as a common problem in patients attending their clinics and

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TLDR
It is proposed that the abdominal manifestations of this group of patients can be described as the irritable bowel syndrome in childhood.

Is Abdominal Pain a Feature of Adult Migraine?

TLDR
It is concluded that abdominal pain is not a feature in adult migraineurs, leading to the notions that: (1) recurrent abdominal pain of childhood has a number of causes; (2) abdominal migraine may be an incorrect attribution and is liable to be over diagnosed; (3) abdominal headaches requires more precise definition; (4) the transition from childhood abdominal migraine to adult migraine needs precise prospective study.

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TLDR
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TLDR
For the prophylaxis of migraine and tension-type headache, non-pharmacological measures such as regulation of lifestyle, relaxation training and psychological or psychotherapeutic interventions are much more important than pharmacotherapy, which is required in a small number of patients only.
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