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Abdominal Migraine in Adults: A Narrative Review
Madunil A Niriella1, Hiruni Jayasena2, Nilanga Nishad3
1Department of Medicine, Faculty of Medicine, University of Kelaniya, Ragama, LKA.
Abdominal migraine (AM) is a rare condition in adults, presenting with severe abdominal pain and vasomotor symptoms. This review focuses on the limited understanding and treatment strategies for adult abdominal migraine.
Area of Science:
- Gastroenterology
- Neurology
- Pediatrics
Background:
- Abdominal migraine (AM) is a functional gastrointestinal disorder.
- It is characterized by recurrent episodes of abdominal pain with associated vasomotor symptoms.
- AM is more prevalent in children but is increasingly recognized in adults, though less understood.
Purpose of the Study:
- To review the current literature on abdominal migraine in adults.
- To summarize the clinical presentation, diagnostic challenges, and therapeutic approaches for adult AM.
- To highlight the need for further research in this understudied population.
Main Methods:
- Systematic literature search of publications from 1995 to 2024.
- Inclusion of studies focusing on adult patients diagnosed with abdominal migraine.
- Review of diagnostic criteria, clinical features, and treatment outcomes.
Main Results:
- Adult AM diagnosis is challenging due to poorly defined criteria.
- Limited data exists on the efficacy of both prophylactic and abortive treatments in adults.
- Individualized treatment focusing on symptom management and attack frequency reduction is recommended.
Conclusions:
- Abdominal migraine in adults requires further investigation and standardized diagnostic criteria.
- Evidence-based treatment guidelines for adult AM are lacking.
- Future research should focus on validating diagnostic tools and evaluating therapeutic interventions for adult AM.
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