Abdominal migraine

Abdominal migraine is a pattern of recurring tummy pain linked to migraine, usually seen in children. An episode may involve nausea, vomiting and looking pale, with periods of feeling well between attacks. A headache is not always present. Recurrent pain needs assessment before this label is used.

What makes it different from a stomach bug?

A stomach infection often has a clear beginning and may affect other people around you. Abdominal migraine is considered when episodes keep returning in a recognisable pattern. That pattern helps a doctor, but it does not prove the diagnosis. Constipation, infections and other abdominal conditions can produce overlapping symptoms.

Tell the doctor where the pain occurs, how long attacks last, and whether your child returns to their usual activities between episodes. Mention headaches or migraine in the family. A diary can record missed meals, sleep changes, school absences, vomiting and bowel changes without assuming that one food or stressful event is responsible.

For the Australian guidance behind this explanation, see Healthdirect Australia: Migraine - symptoms, causes and treatment - Healthdirect Australia.

How is it assessed?

The doctor reviews the history and usually examines the abdomen. Tests depend on what they find; there is no single home test for abdominal migraine. Ask what else needs to be excluded and what changes should prompt another examination. Do not start a restrictive diet simply because symptoms happen after meals.

A management plan may address regular routines, potential triggers and treatment during attacks. The doctor decides what is appropriate for the child's age and health. Ask for a plan that school staff or other carers can follow.

When is urgent help needed?

Severe or worsening pain, persistent vomiting, blood in vomit or stool, dehydration, or a child who seems very unwell needs prompt assessment. Do not assume a new episode is migraine because previous pain received that diagnosis. A video consultation cannot reliably exclude every urgent abdominal problem.

Where to go next

Read Doccio information about migraine to understand the relevant service. A doctor decides whether a consultation, examination, referral or another pathway is appropriate for your situation.