Question of the Week

Question :
Posted On : 01 Nov 2026
What should be the management plan for children with recurrent abdominal pain around the umbilicus for more than a year? Not responding to empirical deworming drugs, Metronidazole and famtac. All investigations, such as CBC, LFT, Stool and urine. USG is normal. How to suspect and diagnose abdominal migraine in children?
5
Expert Answer :
Rule out functional abdominal pain. It is typically seen in 5 – 14 years old and is unrelated to meals or activity with clustering of pain episodes: several times per day to once a week, recurring at days to weeks intervals. There are physical or psychological stressful stimuli. Personality type: obsessive, compulsive, achiever
Family history of functional disorders: reinforcement of pain behaviour
Answer Discussion :
R
Raju Raju
Profile
age of the child? and any previous similar history?how frequently the pain appear?
5 Days ago
V
vaisakhsambasivan
Profile
apply ICHD-3 abdominal migraine criteria
5 Days ago
A
ali badawi
Profile
FH of migraine and all investigations normal
5 Days ago
M
mahmoud sherif
Profile
abdominal sonar
5 Days ago
T
Tayseer Mohammed
Profile
by response to medications like propranolol
5 Days ago




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