Pediatric abdominal migraine: current perspectives on a lesser known entity

Jyoti Mani,1 Shailender Madani2 1Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI, USA; 2Pediatric Gastroenterologist, Children’s Hospital of Michigan, Detroit, MI, USA Background: Abdominal migraine (AM) is a common cause of chronic...

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Main Authors: Mani J, Madani S
Format: Article
Language:English
Published: Dove Medical Press 2018-04-01
Series:Pediatric Health, Medicine and Therapeutics
Subjects:
Online Access:https://www.dovepress.com/pediatric-abdominal-migraine-current-perspectives-on-a-lesser-known-en-peer-reviewed-article-PHMT
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author Mani J
Madani S
author_facet Mani J
Madani S
author_sort Mani J
collection DOAJ
description Jyoti Mani,1 Shailender Madani2 1Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI, USA; 2Pediatric Gastroenterologist, Children’s Hospital of Michigan, Detroit, MI, USA Background: Abdominal migraine (AM) is a common cause of chronic and recurrent abdominal pain in children. It is characterized by paroxysms of moderate to severe abdominal pain that is midline, periumbilical, or diffuse in location and accompanied by other symptoms including headache, anorexia, nausea, vomiting, or pallor. Despite the presence of comprehensive diagnostic criteria under Rome IV classification of functional gastrointestinal disorders (FGIDs) and International Classification of Headache Disorders, it continues to be an underdiagnosed entity. Overview: The average age of diagnosis is 3–10 years with peak incidence at 7 years. Most of the patients have a personal or family history of migraine. Pathophysiology of the condition is believed to be similar to that of other FGIDs and cephalic migraine. It is also well recognized as a type of pediatric migraine variant. A careful history, thorough physical examination, and use of well-defined, symptom-based guidelines are needed to make a diagnosis. Selective or no testing is required to support a positive diagnosis. It resolves completely in most of the patients. However, these patients have a strong propensity to develop migraine later in life. Explanation and reassurance should be the first step once the diagnosis is made. Nonpharmacologic treatment options including avoidance of triggers, behavior therapy, and dietary modifications should be the initial line of management. Drug therapy should be considered only if symptoms are refractory to these primary interventions. Conclusion: More research focused on pathophysiology and management of AM needs to be carried out to improve outcomes in affected children. Keywords: children, abdominal pain, gastroenterology, headache
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spelling doaj.art-f752e6a085064c3292a727504dc45a412022-12-22T03:37:13ZengDove Medical PressPediatric Health, Medicine and Therapeutics1179-99272018-04-01Volume 9475837936Pediatric abdominal migraine: current perspectives on a lesser known entityMani JMadani SJyoti Mani,1 Shailender Madani2 1Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI, USA; 2Pediatric Gastroenterologist, Children’s Hospital of Michigan, Detroit, MI, USA Background: Abdominal migraine (AM) is a common cause of chronic and recurrent abdominal pain in children. It is characterized by paroxysms of moderate to severe abdominal pain that is midline, periumbilical, or diffuse in location and accompanied by other symptoms including headache, anorexia, nausea, vomiting, or pallor. Despite the presence of comprehensive diagnostic criteria under Rome IV classification of functional gastrointestinal disorders (FGIDs) and International Classification of Headache Disorders, it continues to be an underdiagnosed entity. Overview: The average age of diagnosis is 3–10 years with peak incidence at 7 years. Most of the patients have a personal or family history of migraine. Pathophysiology of the condition is believed to be similar to that of other FGIDs and cephalic migraine. It is also well recognized as a type of pediatric migraine variant. A careful history, thorough physical examination, and use of well-defined, symptom-based guidelines are needed to make a diagnosis. Selective or no testing is required to support a positive diagnosis. It resolves completely in most of the patients. However, these patients have a strong propensity to develop migraine later in life. Explanation and reassurance should be the first step once the diagnosis is made. Nonpharmacologic treatment options including avoidance of triggers, behavior therapy, and dietary modifications should be the initial line of management. Drug therapy should be considered only if symptoms are refractory to these primary interventions. Conclusion: More research focused on pathophysiology and management of AM needs to be carried out to improve outcomes in affected children. Keywords: children, abdominal pain, gastroenterology, headachehttps://www.dovepress.com/pediatric-abdominal-migraine-current-perspectives-on-a-lesser-known-en-peer-reviewed-article-PHMTMigraineChildrenAbdominal painGastroenterology
spellingShingle Mani J
Madani S
Pediatric abdominal migraine: current perspectives on a lesser known entity
Pediatric Health, Medicine and Therapeutics
Migraine
Children
Abdominal pain
Gastroenterology
title Pediatric abdominal migraine: current perspectives on a lesser known entity
title_full Pediatric abdominal migraine: current perspectives on a lesser known entity
title_fullStr Pediatric abdominal migraine: current perspectives on a lesser known entity
title_full_unstemmed Pediatric abdominal migraine: current perspectives on a lesser known entity
title_short Pediatric abdominal migraine: current perspectives on a lesser known entity
title_sort pediatric abdominal migraine current perspectives on a lesser known entity
topic Migraine
Children
Abdominal pain
Gastroenterology
url https://www.dovepress.com/pediatric-abdominal-migraine-current-perspectives-on-a-lesser-known-en-peer-reviewed-article-PHMT
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