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Abdominal Migraine

Abdominal Migraine

Definition Abdominal Migraine

Abdominal Migraine is not the next headache as it is commonly known. As the name suggests, abdominal migraines or abdominal migraines is a pain condition in the stomach. Abdominal migraine is the most common cause of chronic and recurrent abdominal pain in children, where girls are more often affected than boys.

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Symptoms of Abdominal Migraine 

Symptoms in abdominal migraine often occur suddenly and severely, without prior signs. Complaints experienced by abdominal migraine can last an hour or so, up to several days. 

This disease will usually experience symptoms in the form of: 
  1. Pain in the middle of the stomach or around the belly button.
  2. Pain can feel moderate to severe.
  3. Usually the pain is diffuse or cannot be appointed with certainty.
  4. Pain can be repeated in a few weeks or months, and there is usually a typical symptom pattern in the sufferer.
  5. Nausea and easy vomiting.
  6. Pale.
  7. Limden and not powered.
  8. Loss of appetite.
  9. There is a black pouch under the eyes.

Abdominal Migraine Causes 

The cause of abdominal migraine until now is not known for sure. The possibility is related to the body's chemical substances, namely histamine and serotonin. In addition, it seems that some types of food, such as chocolate, foods containing monosodium glutamate (MSG), citrus, caffeine, cheese, carbonated beverages, containing dyes and seasoning, as well as meat processed with nitrite can trigger abdominal migraines in some people.

Other triggers that can cause abdominal migraine, such as very bright light, poor quality of sleep, travel, long fasting and stressor in school or family

Abdominal Migraine Risk Factors

Abdominal migraines are usually familial, children who experience this disease usually have family members who have a similar history of complaints.

The average age of children who experience Abdominal migraine is between 3 — 10 years, and reaches its peak at the age of 7 years.

Abdominal Diagnosis of Migraine

The diagnosis of abdominal migraines is often difficult because children are difficult to explain complaints they experience. 

There are several criteria that can be used to enforce the diagnosis of abdominal migraine, among others based on the criteria of ICHD III. Under the ICHD III, the diagnosis of abdominal migraines is enforced based on the presence of unknown causes from moderate to severe abdominal pain and chronic, recurrent, opposition to the mid-abdomen, around the navel, or may not be localized with clarity, blunt pain. Attacks usually last for 2 — 72 hours without therapy and the people with will feel free of symptoms between attacks. Additionally, at least two other related symptoms, such as loss of appetite, nausea, vomiting, and paleness during a pain attack occur, as well as at least 5 episodes of pain to enforce the diagnosis. 

It needs a comprehensive examination by a physician to be able to distinguish abdominal migraines from other possible causes of perceived symptoms, such as those caused by gastrointestinal disorders, central nervous system disorders, metabolic disorders, urogenital causes, hematological/oncology diseases, infections, rheumatism, and so on.

Abdominal Migraine Treatment 

Therapy generally begins with nonpharmacological therapy, such as explanation and education to prevent triggers, behavioral/behavioural therapy, and dietary modifications. Behavioral therapy can be done with psychotherapy, special cognitive behavioral therapy, hypnotherapy, family therapy, and yoga. Some dietary modifications that can be done, such as diet high in fiber, consumption of probiotics, lactose-free diets (in the craving with lactose intolerance).

If the complaint is difficult to overcome, it is likely that the doctor will provide drug therapy, among others, pain reliever and preventive therapy of symptoms, such as the beta-group Bloker, 5-HT antagonist, calcium-canal bloker, or 5-HT agonist with antihistamines. 

Abdominal Migraine Treatment Side effects

Side effects of some of the abdominal migraine medications, such as dizziness, nausea, diarrhea, blurred vision, weakness, and hands and feet become cold. Discuss to the doctor experiencing the complaint. Medication for the treatment of this disease is a medication that should be purchased with a doctor's prescription, so it should not be drunk without doctor supervision.

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Abdominal Complications of migraine 

Abdominal migraines can then develop into a cephalic migraine (head migraine) Although the pain in his stomach is cured in most of the idlers. In addition, abdominal migraines can continue to occur until adulthood.

Abdominal Prevention Migraines 

Prevention of abdominal migraines can be done by avoiding triggers that can risk raising complaints of this disease.

When to go to a doctor?
If the child has chronic and recurrent abdominal pain complaints, as well as other symptoms that lead to abdominal migraine, immediately consult the nearest physician.

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