Abdominal or stomach Migraine or periodic syndrome is a type of pain is frequently observed in children and mostly girls between the age group of 5 to 9 yrs and in a few instances are found in grown-ups also. This type of Migraine is accepted as hereditary and mostly inherited from their mother.
The pain is recurrent pain in the middle area of the abdomen near the umbilicus. The pain my be moderate or severe and lasts from one to seventy two hours. Child may be normal when the pain subsides for few minutes to reoccur again. Usually children experience this attack during the early mornings when they wakeup. The pain is associated with symptoms such as sensitivity of light, sound and giddiness in children suffering from this attack.
It can be diagnosed by checking both the family and the patient’s past, assessing symptoms, and by performing other tests to rule out the possibilities of other factors such as blockages in gall bladder, duodenal, stomach ulcers, reflux of gastro-oesophagus.
Treatment
The cause of abdominal migraine is not known and there is no definite diagnostic test to detect this and the treatment is the same as that of the other migraines.Drugs used for the treatment of Migraine attacks are Analgesic, NSAID, Anti Nauseating medicines, Triptan and Midrin. The preventive treatment suggested for other Migraines can be used for stomach Migraine if it occurs frequently. The anti migraine drugs pizotifen, propanolol and cyproheptadine are useful prophylactics. Nasal sumatriptan can be used to relieve stomach pain.Severe attacks of Stomach migraine can be treated by rest as it settles with sleep. Patients should be advised to sleep in a dark, quite room that has no disturbances. They can take pain relievers to get relief from the pain.
Conclusion
Abdominal or Stomach Migraine is uncommon in adults, but there are few cases of adults who suffer from this type of migraine. Mostly children in their puberty phase are effected with this type of migraine and it gradually cease to exist as the child grows up. Several people are satisfied by the diagnosis. Few patients get relief from this pain by simple diet precautions. Since there is no cure for migraine, it is often under-diagnosed and under-treated. Nevertheless, migraine sufferers can restore an improved life with the help of numerous interventions. These measures should take into consideration the various aspects of the particular patient's condition. Migraines, its symptoms, and its causes differ from individual to individual, hence keeping this into consideration triggering factors, nerve inflammation, blood vessel changes and pain are each addressed aggressively for optimal outcome.