Journal of Neurogastroenterology and Motility : eISSN 2093-0887 / pISSN 2093-0879

Table. 2.

Abdominal Variants of Migraine and Functional Abdominal Pain Disorders Associated to Migraine

Pathology Clinical definition Source
Abdominal migraine Episodic central abdominal pain, usually lasting > 1 hour Adapted from ICHD-3ba and Rome IV classification
Episodes interfere with normal activity
Episodes occur with one or more of pallor, anorexia, nausea, vomiting, photophobia, and headache, or are associated with other episodic syndromes (particularly cyclic vomiting syndrome and migraine limb pain)
The person is well between episodes and has a normal physical and developmental examination
Cyclic vomiting syndrome Recurrent episodic attacks of intense nausea and vomiting, usually stereotypical in the individual and with predictable timing of episodes ICHD-3ba criteria
Attacks may be associated with pallor and lethargy
There is a complete resolution of symptoms between attacks
The diagnostic criteria include all of the following:
Nausea and vomiting occurring at least 4 times per hour
Attacks lasting from 1 hour up to 10 days
Attacks occurring 1 week apart
Infantile colic A. Recurrent episodes of irritability, fussing, or crying from birth to 4 months of age, fulfilling criterion B: ICHD-3ba criteria
B. Both of the following:
Episodes last for 3 hours per day
Episodes occur on 3 days per week for 3 weeks
Not attributed to another disorder
Irritable bowel syndrome Abdominal pain at least 4 days per month associated with one or more of the following: Rome IV classification
Related to defecation
A change in frequency of stool
A change in form (appearance) of stool
In children with constipation, the pain does not resolve with resolution of the constipation (in this case, the child has functional constipation)
After appropriate evaluation, the symptoms cannot be fully explained by another medical condition
Functional dyspepsia One or more of the following symptoms at least 4 days per month: Rome IV classification
Postprandial fullness
Early satiation
Epigastric pain or burning not associated with defecation
After appropriate evaluation the symptoms cannot be fully explained by another medical condition

aInternational classification of headache disorders (ICHD)-3 (beta version).

J Neurogastroenterol Motil 2021;27:482~494 https://doi.org/10.5056/jnm20290
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