Abdominal Migraine, Pediatric

Desalegn Yacob Reviewed 06/2017
 


Basics

Description

Paroxysmal disorder of an acute onset, severe, noncolicky, periumbilical abdominal pain accompanied variably with nausea, vomiting, anorexia, headache, and pallor 

Epidemiology

Incidence

Diagnosis

Rome III criteria—2 episodes within 12 months meeting all of the following criteria: 
  • Paroxysmal intense periumbilical pain that lasts >1 hour

  • Intervening episodes of health between episode...

Treatment

Medication

  • Medications can be used to abort acute attacks or be taken as daily prophylaxis.

  • For most patients, risks of side effects and complications from the use of these medications may out...

Ongoing Care

Follow-up Recommendations

  • Most children outgrow abdominal migraine symptoms (∼60%) by early adolescence.

  • A substantial percentage of patients (∼70%) may develop more typical migraine headac...

Additional Reading

  • Catto-Smith  AG, Ranuh  R. Abdominal migraine and cyclical vomiting. Semin Pediatr Surg.  2003;12(4):254–258. [View Abstract]

  • Cuvellier  JC, Lépine  A. Childhood periodic syndro...

Codes

ICD09

  • 346.20 Variants of migraine, not elsewhere classified, without mention of intractable migraine without mention of status migrainosus

  • 346.21 Variants of migraine, not elsewhere classified, wi...

FAQ

  • Q: Does this diagnosis mean my child will develop migraine headaches?

  • A: There is no accurate way to predict whether your child will develop migraine headaches.

  • Q: I have 2 younger children. What ch...

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