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1. MIGRAINE 1.1. Migraine without aura1.2. Migraine with aura1.3. Childhood periodic syndromes that are commonly precursors of migraine1.3.1. Cyclical vomiting 1.3.2. Abdominal migraine 1.3.3. Benign paroxysmal vertigo of childhood 1.4. Retinal migraine 1.5. Complications of migraine 1.6. Probable migraine Aggravating factorsTrigger factors (precipitating factors) Bibliography2. TENSION-TYPE HEADACHE (TTH) 3. CLUSTER HEADACHE AND OTHER TRIGEMINAL AUTONOMIC CEPHALALGIAS 4. OTHER PRIMARY HEADACHES 

IHS	Diagnosis	ICD-10
1.3.2	Abdominal migraine	G43.820

Description:

An idiopathic recurrent disorder seen mainly in children and characterised by episodic midline abdominal pain manifesting in attacks lasting 1-72 hours with normality between episodes. The pain is of moderate to severe intensity and associated with vasomotor symptoms, nausea and vomiting.

Diagnostic criteria:

At least 5 attacks fulfilling criteria B-D
Attacks of abdominal pain lasting 1-72 hours (untreated or unsuccessfully treated)
Abdominal pain has all of the following characteristics:
1. midline location, periumbilical or poorly localised
2. dull or "just sore" quality
3. moderate or severe intensity
During abdominal pain at least 2 of the following:
1. anorexia
2. nausea
3. vomiting
4. pallor
Not attributed to another disorder¹

Note:

In particular, history and physical examination do not show signs of gastrointestinal or renal disease or such disease has been ruled out by appropriate investigations.

Comments:

Pain is severe enough to interfere with normal daily activities.

Children may find it difficult to distinguish anorexia from nausea. The pallor is often accompanied by dark shadows under the eyes. In a few patients flushing is the predominant vasomotor phenomenon.

Most children with abdominal migraine will develop migraine headache later in life.

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IHS vs. ICD-10

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