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Abdominal Migraine, Pediatric

Desale Yacob, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

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

EPIDEMIOLOGY

DIAGNOSIS

Rome IV criteria—two episodes fulfilled for at least 6 months meeting all of the following criteria: 
  • Paroxysmal intense acute periumbilical, midline or diffuse abdominal pain episodes lastin...

TREATMENT

MEDICATION

  • Treatment plan is determined by the severity, frequency, and impact of symptoms on the daily life of the child and family.

  • The most important and initial step in addressing the prob...

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 on OvidInsights]

  • Cuvellier JC, Lépine A. Childhood per...

CODES

ICD9

  • 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, wit...

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 two younger children. What ...

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