Abdominal Migraine

  title={Abdominal Migraine},
  author={George H. Russell and Ishaq Abu-Arafeh and DavidN. K. Symon},
  journal={Pediatric Drugs},
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… 

Pediatric abdominal migraine: current perspectives on a lesser known entity

A careful history, thorough physical examination, and use of well-defined, symptom-based guidelines are needed to make a diagnosis of abdominal migraine, which is an underdiagnosed entity.

Authors' Reply: Abdominal Migraine

A review of the diagnosis and treatment of abdominal migraine and diagnostic criteria for the familial cyclic vomiting syndrome were no more and no less vague than those for migraine headache in the IHS classification.

Abdominal migraine

The recognition of AM by the IHS and the Rome Foundation should help facilitate future research into the pathophysiology of this debilitating condition and as a result better treatments for AM should emerge.

Recognizing and diagnosing abdominal migraines.

Migraine Equivalents in Childhood

It is concluded that the correct diagnosis of migraine equivalents enables an effective treatment with an excellent outcome and is recommended for all children with headache.

Headaches in children and adolescents.

  • D. Lewis
  • Medicine, Psychology
    Current problems in pediatric and adolescent health care
  • 2007

Recurrent Gastrointestinal Disturbance: Abdominal Migraine and Cyclic Vomiting Syndrome

The purpose of this review is to evaluate the two most common episodic syndromes, abdominal migraine and cyclic vomiting syndrome, including their pathophysiology, common presentations, and diagnostic criteria, and an evidence-based review of management options and long-term prognosis.


Migraine may bring a suffering phase in an individual's schedule yet it can be handled with the familiarity of some self-care remedies and by making simple modifications in the routine lifestyle, which may facilitate to pave the clear way to recovery and make things easier for migraine management.

Management of Childhood Headache in the Emergency Department. Review of the Literature

In evaluating a child or adolescent who is being treated for headache, physicians should consider using appropriate diagnostic tests, including routine laboratory analysis, cerebral spinal fluid examination, electroencephalography, and computerized tomography or magnetic resonance neuroimaging.




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.

Abdominal migraine: prophylactic treatment and follow-up.

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

Abdominal migraine: does it exist?

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.

Abdominal Migraine: A Childhood Syndrome Defined

  • D. SymonG. Russell
  • Medicine, Psychology
    Cephalalgia : an international journal of headache
  • 1986
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”.

Prevalence and clinical features of abdominal migraine compared with those of migraine headache.

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

Recurrent abdominal pain in childhood.

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?

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.

Fever: a novelty among the symptoms accompanying migraine attacks in children.

The casistic of 1787 children with headache, is made up of 943 males and 844 females aged 3-14 years, and especially focused on fever which presented together with migraine in 156 of the 1724 subjects examined.

Clinical management of young patients presenting with headache.

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.