Abdominal migraine can be diagnosed if a number of criteria outlined by the International Classification of Headache Disorders are met.


Abdominal migraine usually occurs in pediatric patients.


Criteria for diagnosis:

(1) >= 5 episodes that fulfill the clinical features (see below)

(2) exclusion of other diagnoses


Clinical features - all of the following:

(1) attacks of abdominal pain lasting from 1 to 72 hours

(2) presence of 2 or more of the following: nausea, vomiting, anorexia, pallor

(3) intensity moderate to severe

(4) location 1 of the following: midline, periumbilical, difficult to localize

(5) dull pain of "just sore" quality



• Headache is not a criteria but may be present.

• Some patients develop migraine as adults.

• Some patients with cyclic vomiting may have abdominal migraine.

• Relief of symptoms with migraine therapy may support the diagnosis.

• Some patients may develop flushing during episodes.

• Some children develop dark shadows under their eyes


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