Abdominal migraine

Abdominal migraine is a disorder primarily of children which presents with episodes of abdominal pain without an accompanying headache.[1][2] It is difficult to confirm the diagnosis as there are not a set of features that is specific and thus it can take time before the diagnosis is made.[3] The condition is rare in adults;[1] however, children diagnosed with abdominal migraines may have migraine headaches as adults.[4]

Signs and Symptoms


Diagnosis

The diagnosis of abdominal migraines is controversial.[5] Diagnostic criteria from the International Classification of Headache Disorders as of 2004 are:

A. At least 5 attacks fulfilling criteria B-D.
B. Attacks of abdominal pain lasting 1–72 hours (untreated or unsuccessfully treated)
C. Abdominal pain has all of the following characteristics:
1. midline location, periumbilical or poorly localized
2. dull or "just sore" quality
3. moderate or severe intensity
D. During abdominal pain at least 2 of the following:
1. loss of appetite
2. nausea
3. vomiting
4. pallor
E. Not attributed to another disorder[6]

Pathophysiology

Abdominal migraines are a type of functional pain.[7]

History

This condition was first described in 1921 by Buchanan.[8]

gollark: Pascal's Wager basically goes "if no god, belief doesn't have costs anyway (wrong, since it takes time and may make your thinking more irrational); if god, non-belief means infinite badness (hell), belief means infinite goodness (heaven), so rationally you should believe".
gollark: There *may* be a god of some kind who rewards you for believing in them and their afterlife and such, but there is an infinity of possible gods including ones like "allocates you to heaven or hell entirely at random", "entirely indistinguishable from no god", "sends you to hell if you believe in the *other* god", "incomprehensible eldritch abomination" or "literal bees".
gollark: PASACL'S WAGER BAD
gollark: ÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆÆA
gollark: Whether there *is*... some supernatural thing after death, such as an afterlife... is pretty much independent of whether you believe it or not, and while the exact form of that *may* depend on your beliefs about it, that makes a LOT of presumptions about god or who/what created the system which are not supported.

References
  1. Russell, G; Abu-Arafeh, I; Symon, DN (2002). "Abdominal migraine: evidence for existence and treatment options". Paediatric Drugs. 4 (1): 1–8. doi:10.2165/00128072-200204010-00001. PMID 11817981.
  2. Cuvellier, JC; Lépine, A (Jan 2010). "Childhood periodic syndromes". Pediatric Neurology. 42 (1): 1–11. doi:10.1016/j.pediatrneurol.2009.07.001. PMID 20004856.
  3. Catto-Smith, AG; Ranuh, R (Nov 2003). "Abdominal migraine and cyclical vomiting". Seminars in Pediatric Surgery. 12 (4): 254–8. doi:10.1053/j.sempedsurg.2003.08.006. PMID 14655164.
  4. "Headache: Hope through research". NINDS. April 2016.
  5. Davidoff, Robert A. (2002). Migraine : manifestations, pathogenesis, and management (2nd ed.). Oxford [u.a.]: Oxford Univ. Press. p. 81. ISBN 9780195137057.
  6. Headache Classification Subcommittee of the International Headache Society (2004). "The International Classification of Headache Disorders, 2nd Edition" (PDF). Cephalalgia. Oxford, England: Blackwell Publishing. 24 (Supplement 1). ISSN 0333-1024. Archived from the original (PDF) on October 30, 2007. Retrieved 4 September 2009.
  7. Noe, JD; Li, BU (May 2009). "Navigating recurrent abdominal pain through clinical clues, red flags, and initial testing". Pediatric Annals. 38 (5): 259–66. PMID 19476298.
  8. Tepper, edited by Stewart J. Tepper, Deborah E. (2011-08-22). The Cleveland Clinic manual of headache therapy. New York: Springer. p. 96. ISBN 9781461401780.CS1 maint: extra text: authors list (link)
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