Aha! Yes, thank you Ann! (I actually feel a little silly for not searching for that instead :p)
As I was trying to say earlier, if a headache specialist tells you that you have a certain type of migraine, it would show up on the ICHD list of headache diagnoses unless the doctor was calling it by an incorrect name. It is NOT due to a lack of research, as there is indeed plenty of research available on "abdominal migraines" (don't give up Bodaboa!).
Now that Ann pointed out its proper name, there is indeed a wealth of information available on the internet both through my university access to scholarly journals and even through a simple Google search (http://www.google.com/search?hl=en&q=abdominal+migraine&btnG=Google+Search).
The ICHD list (available online @ http://18.104.22.168/Upload/CT_Clas/ICHD-IIR1final.doc) describes the type of migraine as "An idiopathic recurrent disorder seen mainly in children and characterised [sic] 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." The ICHD code is "1.3.2".
The diagnostic criteria are:
A. At least 5 attacks fulfilling criteria B-D
B. Attacks of abdominal pain lasting 1-72 hours (untreated or unsuccessfully treated)
C. Abdominal pain has all of the following characteristics:
location, periumbilical or poorly localised [sic]
2. dull or “just sore” quality
3. moderate or severe intensity
D. During abdominal pain at least 2 of the following:
E. Not attributed to another disorder1
Unfortunately, they also note that "Most children with abdominal migraine will develop migraine headache later in life", though I do not know if that applies to you, Bodaboa or KayDee.
One journal article suggests that "Potential triggers to be avoided include caffeine-, nitrite-, and amine-containing foods as well as emotional arousal, travel, prolonged fasting, altered sleep patterns, and exposure to flickering or glaring lights. When episodes are frequent, prophylactic therapy may include pizotifen, propanolol, cyproheptadine, or sumatriptan."
For more information on these drugs:
Cyproheptadine (or Periactin): http://en.wikipedia.org/wiki/Cyproheptadine
Sumatriptan (or Imitrex): http://en.wikipedia.org/wiki/Sumatriptan
Another jounral suggests that valproic acid (aka Depakote or divalproex) is particular helpful, especially when administered via IV.
The European Journal of Neurology specifically delves into adult abdominal migraines. It says that "More recently, a case–control retrospective clinical study in an abdominal migraine [younger] population, showed that in a 7–10 years observational period after diagnosis, 'abdominal migraine' completely disappeared in 61% of the patients as they were growing up." (If either of you two are young this might come as good news).
Elsewhere, flunarizine is recommended as a potential treatment.
Anyway, I'll stop just throwing information out there. But, as I said earlier, there is a ton of information available so, if you can't find anything, I'd be happy to help. Bodaboa, I imagine the reason you were never able to find any information online "since the internet first appeared" is because of the incorrect naming of the disorder.
One more important fact: While further research into this type of headache disorder will better inform you, an article at http://www.helpforheadaches.com/articles/what-ab-mx.htm notes a fairly telling fact: that in most cases abdominal migraine is/should be treated with the SAME medications as other types of migraine.
If you need help getting access to full text journal articles (usually you'll need a costly subscript
ion to a journal archiving site unless you attend or work at a university), please let me know.
P.S. Thanks again Ann!
DX: NDPH, Recovered CRPS
RX: Lamictal, Abilify, Verapamil, Provigil, Clonazepam, Ambien CR, Rozerem, Emsam, Namenda
PRN: Haloperidol, Zyprexa, Lodine, Zofran, Oxycodone
Post Edited (korbnep) : 11/28/2007 11:37:23 AM (GMT-7)