scholarly journals Adult Abdominal Migraine Improved by OnabotulinumtoxinA Injections

2021 ◽  
pp. 656-659
Author(s):  
Neal Hermanowicz
Keyword(s):  
Abdominal Pain ◽  
Chronic Migraine ◽  
Gastrointestinal Symptoms ◽  
Recurrent Abdominal Pain ◽  
Sustained Improvement ◽  
Abdominal Migraine ◽  
Migraine Headaches ◽  
Abdominal Symptoms ◽  
Childhood Disorder

Abdominal migraine is often regarded as a childhood disorder and less commonly described in adults. However, gastrointestinal symptoms are known to occur to adult migraine patients, and recognition of adult abdominal migraine may facilitate treatment of the recurrent abdominal symptoms and avoidance of unproductive and sometimes invasive therapies. Here, I describe a patient with chronic migraine headaches and recurrent abdominal pain both of which showed sustained improvement after treatment with onabotulinumtoxinA injections.

Abdominal Migraine: An Under-Diagnosed Cause of Recurrent Abdominal Pain in Children

2011 ◽  
Vol 51 (5) ◽  
pp. 707-712 ◽  
Author(s):  
Laura Carson ◽  
Donald Lewis ◽  
Marc Tsou ◽  
Erin McGuire ◽  
Brooke Surran ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Recurrent Abdominal Pain ◽  
Abdominal Migraine

Recurrent Abdominal Pain in School Age Children

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Mohammed Hamdy Saber ◽  
Ahmed Tohamy Ahmed Ibrahim ◽  
Ola Adel Abdellah Mahdy
Keyword(s):  
Abdominal Pain ◽  
Urine Analysis ◽  
Clinical Manifestations ◽  
Gastrointestinal Symptoms ◽  
Recurrent Abdominal Pain ◽  
School Age Children ◽  
Stool Examination ◽  
School Age ◽  
Functional Abdominal Pain ◽  
Cross Sectional

Abstract Background Abdominal pain defined as any type of pain or discomfort that occurs in any area from the lower chest to the groin. Abdominal pain is symptom of a wide variety of mild to serious diseases, disorders, conditions. Abdominal pain can result from infection, malignancy, inflammation, obstruction and other abnormal processes. Aim of the Work To define the causes of recurrent abdominal pain among a sample of school age children. Subjects and Methods This cross sectional study was carried out to evaluate those children who presented to the Pediatric Outpatient Clinic, Children Hospital, Ain Shams University because of recurrent abdominal pain they were diagnosed in the pediatric Gastroenterology unit between June 2016 and July 2017. History taking included full analysis of abdominal pain, associated gastrointestinal symptoms and associated systemic manifestations. Examination included anthropometric measurements, general and local abdominal examination. Routine investigations included complete blood counts, urine analysis and culture, microscopic stool examination and pelviabdominal US. Other specific investigations were selected according to clinical manifestations to reach an organic cause. After reaching the definitive diagnosis, patients were classified into 2 groups organic causes and functional abdominal pain. Results During the study period, 100 children presented with recurrent abdominal pain. Results revealed that only 28% of the recurrent abdominal pain causes were attributed to organic factors; the most commonly encountered organic causes of recurrent abdominal pain were urinary tract infection (12%) while 72% of children presented with functional recurrent abdominal pain. The most common causes of function recurrent abdominal pain in our study was irritable bowel syndrome. Conclusion Most of the cases of RAP among school age children are due to functional abdominal pain (72%).

Cognitive Behavior Therapy for the Treatment of Recurrent Abdominal Pain

2005 ◽  
Vol 19 (2) ◽  
pp. 137-149 ◽  
Author(s):  
Rona L. Levy ◽  
Lynn S. Walker
Keyword(s):  
Abdominal Pain ◽  
Social Learning ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Treatment Effectiveness ◽  
Gastrointestinal Symptoms ◽  
Recurrent Abdominal Pain ◽  
Illness Behavior ◽  
Cognitive Behavior ◽  
The Social

This article outlines the rationale and use of cognitive behavior therapy in the treatment of the gastrointestinal symptoms and illness behavior associated with Recurrent Abdominal Pain (RAP), often described as the childhood variant of IBS. It begins with a conceptualization of the social learning perspective of RAP, and then covers the relationship between childhood social learning and adult and childhood illness behavior. Studies that have utilized a cognitive behavior therapy approach for treating adult pain are summarized. Finally, specific cognitive behavior therapy trials for treating RAP, as well as moderators of treatment effectiveness, are discussed.

Low FODMAP Diet Is Not Effective in Children with Functional Abdominal Pain: A Randomized Controlled Trial

2020 ◽  
Vol 76 (5) ◽  
pp. 334-344
Author(s):  
Katarzyna Mirosława Boradyn ◽  
Katarzyna Eufemia Przybyłowicz ◽  
Elżbieta Jarocka-Cyrta
Keyword(s):  
Abdominal Pain ◽  
Dietary Intervention ◽  
Rating Scale ◽  
Controlled Trial ◽  
Statistical Significance ◽  
Gastrointestinal Symptoms ◽  
Stool Consistency ◽  
Functional Abdominal Pain ◽  
Abdominal Symptoms ◽  
Fodmap Diet

<b><i>Introduction:</i></b> A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) has been shown to reduce symptoms among adult patients and children with irritable bowel syndrome. There are no studies investigating the effectiveness of the low FODMAP diet in pediatric patients with functional abdominal pain (FAP). <b><i>Objective:</i></b> The study aimed to evaluate the effectiveness of the low FODMAP diet in reducing gastrointestinal symptoms in children with FAP in comparison to the control diet based on the National Institute for Health and Care Excellence (NICE) guidelines<b>.</b> <b><i>Methods:</i></b> Twenty-seven children with diagnosed FAP were randomized to 2 groups. Each group received an intervention: the low FODMAP diet or the diet based on NICE. All food was prepared and delivered by a catering company. Data regarding gastrointestinal symptoms were recorded by participants during the 2-week baseline assessment and 4-week dietary intervention. The frequencies of abdominal pain and stools were reported as a number of events per day. The severity of abdominal pain was assessed using the Wong-Baker FACES Pain Rating Scale. The assessment of stool consistency was based on the Bristol Stool Form Scale. <b><i>Results:</i></b> The tendency toward the improvement in abdominal symptoms was noted in the low FODMAP group but without statistical significance. No significant differences in stool consistency were observed in this group. The NICE group experienced significant reduction in abdominal pain intensity and frequency (<i>p</i> &#x3c; 0.01) and improvement in stool consistency (93% reporting normal stool, <i>p</i> &#x3c; 0.05). <b><i>Conclusions:</i></b> The results of this pilot study suggest that the low FODMAP diet is not effective in the reduction of symptoms in children with FAP.

scholarly journals Gastrointestinal symptoms as the first manifestation of antiphospholipid syndrome

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaojuan Zou ◽  
Zhongqi Fan ◽  
Ling Zhao ◽  
Weiling Xu ◽  
Jin Zhang ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Antiphospholipid Syndrome ◽  
Clinical Manifestation ◽  
High Titer ◽  
Clinical Manifestations ◽  
Gastrointestinal Symptoms ◽  
Recurrent Abdominal Pain ◽  
Anticardiolipin Antibodies ◽  
Glycoprotein I ◽  
Gastrointestinal Lesions

Abstract Background Antiphospholipid syndrome (APS) is an acquired pre-thrombotic autoimmune condition, which produces autoantibodies called antiphospholipid antibodies (APL) against phospholipid-binding plasma proteins. The diagnosis of APS requires at least one of Sapporo standard clinical manifestations and one laboratory criteria (persistently medium/high titer anticardiolipin antibodies, and/or medium/high titer anti-β2-glycoprotein I antibodies, and/or a positive lupus anticoagulant test). Gastrointestinal lesions are rarely reported in APS patients. APS cases with recurrent abdominal pain as the first clinical manifestation are even rarer. Case presentation This report describes an APS case with recurrent abdominal pain as the first clinical manifestation of antiphospholipid syndrome. The patient has a history of two miscarriages. Computed tomography of the abdomen confirmed mesenteric thrombosis and intestinal obstruction while laboratory tests for serum antiphospholipid and anti-β2-glycoprotein I antibodies were positive. This led to the diagnosis of APS. Conclusions This paper provides useful information on gastrointestinal manifestations and APS, also including a brief literature review about possible gastrointestinal symptoms of APS.

scholarly journals Abdominal migraine in children-An underdiagnosed entity

2021 ◽  
Vol 8 (11) ◽  
pp. 1899
Author(s):  
Radha Balaji
Keyword(s):  
Abdominal Pain ◽  
Severe Abdominal Pain ◽  
Chronic Appendicitis ◽  
Abdominal Migraine ◽  
Migraine Headaches ◽  
H Pylori ◽  
Ergotamine Tartrate

Abdominal migraine is one of the causes for chronic and recurrent abdominal pains, characterised by recurrent episodes and paroxysms of moderate to severe abdominal pain. Here, we share a case of recurrent severe abdominal pain in a 9-year-old girl who was treated over a period of three months for giardiasis, chronic appendicitis and H. pylori infection, in that order. However, after she was correctly diagnosed with abdominal migraine and accordingly treated with drugs used for the treatment of migraine headaches such as propranolol, flunarizine, cyproheptadine and ergotamine tartrate, she responded well to this regimen.

scholarly journals Corticosteroid therapy in Henoch-Schönlein gastritis

2007 ◽  
Vol 135 (3-4) ◽  
pp. 208-211
Author(s):  
Momcilo Pavlovic ◽  
Nedeljko Radlovic ◽  
Zoran Lekovic ◽  
Karolina Berenji ◽  
Arpad Novak
Keyword(s):  
Abdominal Pain ◽  
Acid Secretion ◽  
Gastric Acid Secretion ◽  
Gastric Acid ◽  
Corticosteroid Therapy ◽  
Gastrointestinal Hemorrhage ◽  
Gastrointestinal Symptoms ◽  
The Body ◽  
Peroral Administration ◽  
Abdominal Symptoms

Introduction. Henoch-Sch?nlein purpura (HSP) is the most common vascular disease of childhood. It is a multisystem disease most commonly affecting the skin, joints, gastrointestinal tract, and kidneys, but other organs may be affected, too. Gastrointestinal involvement occurs in approximately 65-90% of patients, ranging from mild symptoms such as abdominal pain, nausea, and vomiting, to more severe manifestations such as gastrointestinal bleeding and intussusception. In most cases, HSP spontaneously resolves without treatment. The use of corticosteroids is controversial and usually reserved for severe systemic manifestations. Some authors suggest that the abdominal pain and gastrointestinal hemorrhage of HSP may respond to steroids, with some suggesting that there is a benefit in their use and describing a regimen. Case outline. This is a case report of HSP in a fourteen year-old boy with abdominal pain and hematemesis. Upper endoscopy showed an edematous and erythematous change in the body of the stomach and purpuric lesions in the duodenum, while multiple erosions were found in the antral area. Parenteral corticosteroid therapy with gastric acid secretion inhibitor administration led to regression of gastrointestinal symptoms on the seventh day, with relapses on the fourth and sixth day. Peroral administration of corticosteroids and gradual decrease of daily doses started on the eighth day of abdominal symptoms. New purpuric skin rashes appeared during six weeks. Conclusion. Corticosteroid therapy with gastric acid secretion inhibitors showed a positive effect in our patient with a severe form of HSP accompanied by abdominal pain and gastrointestinal hemorrhage. .

Symptomatology of gastrointestinal disease

2010 ◽  
pp. 2205-2209
Author(s):  
Graham Neale
Keyword(s):  
Internal Medicine ◽  
Abdominal Pain ◽  
Gastrointestinal Disease ◽  
Recurrent Abdominal Pain ◽  
Somatization Disorder ◽  
Nonulcer Dyspepsia ◽  
Functional Disorders ◽  
Abdominal Symptoms ◽  
Irritable Bowel ◽  
Careful History

The skilful analysis of symptoms indicating disorders of the digestive system is an integral part of the practice of internal medicine. Many patients with abdominal symptoms do not have easily defined organic conditions. The traditional skills of taking a careful history and examining the patient thoroughly are invaluable in managing patients who have functional disorders such as ‘irritable bowel’, nonulcer dyspepsia, nonspecific diarrhoea, recurrent abdominal pain, and somatization disorder....

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