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Child Having Severe Pain And Vomiting. Advised To Take Fluids And Medication. Could Abdominal Migraines Be Treated?

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Posted on Mon, 11 Nov 2013
Question: How can abdominal migraines be treated? My son does not have this condition diagnosed, BUT I am certain that he has it. He is beyond exhausted with unexpected episodes of sudden severe pain and vomiting .
He gets these episodes two or three times a year. He goes to the ER each time where he gets fluids and pain meds. Then he is sent home and is tired but fine.
doctor
Answered by Dr. Venkata Subrahmanaym Mukkavilli (1 hour later)
Brief Answer:
Treatment of acute attack and prevention in future

Detailed Answer:
Hi,
Thank you for asking question on XXXXXXX

Abdominal migraine is difficult to diagnose. The diagnosis is mainly based on the family history of migraine and severe abdominal pain associated with nausea and vomiting.

First of all please consult a physician and get the diagnosis confirmed and take treatment under his supervision continuously.

For your information I am giving the outline of the treatment.

Treatment of abdominal migraine has two aspects, treatment of acute attack and prevention in future acute attacks are treated with NSAIDS like Ibuprofen or Acetamenophen.

Sumitriptan is used normally in adults.

Tricyclic anti depressants are used to reduce the frequency of attacks.

Valproic acid is also used to treat abdominal migraine.

Low dose Aspirin or low dose Beta blockers are used for a prolonged period to reduce future attacks.
Cyproheptadine is shown to be useful in some migraine variants
Other drugs include intravenous fluids and antiemetics to reduce vomiting if severe.

Treatment also includes advice to recognize and avoid triggers.

Finally stress management and relaxation therapy found to be useful.

Hope this answer will serve your purpose
Please feel free to ask me any more queries
Take care
Dr.M.V.Subrahmanyam MD;DCH
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Venkata Subrahmanaym Mukkavilli (4 hours later)
Thank you. What can of meds could be used to stop the vomiting? He will vomit up to 50 times during an episode. Nothing seems to work for him.
doctor
Answered by Dr. Venkata Subrahmanaym Mukkavilli (10 hours later)
Brief Answer:
domperidone or ondemcetron can be used to stop

Detailed Answer:
Hi,
Thank you for asking follow up question on health care magic
Domperidone ( DOMSTAL) can be used 2-3 times a day to control vomiting.
Ondancetron (ONDEM) can be used if vomiting is severe. It is available for both oral as well as intramuscular use as liquid tablet and injection.
Usually it is controlled with the above drugs.
You may also use Stemetil if needed with the advice of your physician
Hope this answer will serve your purpose.
Please feel free to ask any more queries if required.
Take care.
Dr.M.V.Subrahmanyam MD;DCH
Associate professor of pediatrics
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Venkata Subrahmanaym Mukkavilli (7 hours later)
Can these meds be prescribed to him so he can take them as/if needed?
doctor
Answered by Dr. Venkata Subrahmanaym Mukkavilli (24 minutes later)
Brief Answer:
yes, these medicines can be prescribed.

Detailed Answer:
Hi,
Thank you for asking question on health care magic
Yes, these medicines can be prescribed whenever necessary.
But you should take them under the supervision of a physician.
He will advise you about the dose, route and how frequently they can be repeated depending upon the severity.
Hope this answer will serve your purpose
Please feel free to ask any more queries if required
Take care
Dr.M.V.Subrahmanyam MD;DCH
Associate professor of pediatrics
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Venkata Subrahmanaym Mukkavilli (53 minutes later)
Thank you....I feel like I may be getting somewhere now. I will seek advice from his physician and hope that I can get my son some relief and peace of mind. You have been helpful to me.
doctor
Answered by Dr. Venkata Subrahmanaym Mukkavilli (22 minutes later)
Brief Answer:
Hope every thing will go well.

Detailed Answer:
hi,
I am really happy that my advice is useful to you to dispel your doubts.
Hope everything will go well.
And your son will be free from suffering.
Please keep in touch with me.
I am always ready to clear your doubts within the sphere of my knowledge
Please take care follow doctor's prescription meticulously
Dr.M.V.Subrahmanyam
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Venkata Subrahmanaym Mukkavilli

Pediatrician

Practicing since :1967

Answered : 2341 Questions

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Child Having Severe Pain And Vomiting. Advised To Take Fluids And Medication. Could Abdominal Migraines Be Treated?

Brief Answer:
Treatment of acute attack and prevention in future

Detailed Answer:
Hi,
Thank you for asking question on XXXXXXX

Abdominal migraine is difficult to diagnose. The diagnosis is mainly based on the family history of migraine and severe abdominal pain associated with nausea and vomiting.

First of all please consult a physician and get the diagnosis confirmed and take treatment under his supervision continuously.

For your information I am giving the outline of the treatment.

Treatment of abdominal migraine has two aspects, treatment of acute attack and prevention in future acute attacks are treated with NSAIDS like Ibuprofen or Acetamenophen.

Sumitriptan is used normally in adults.

Tricyclic anti depressants are used to reduce the frequency of attacks.

Valproic acid is also used to treat abdominal migraine.

Low dose Aspirin or low dose Beta blockers are used for a prolonged period to reduce future attacks.
Cyproheptadine is shown to be useful in some migraine variants
Other drugs include intravenous fluids and antiemetics to reduce vomiting if severe.

Treatment also includes advice to recognize and avoid triggers.

Finally stress management and relaxation therapy found to be useful.

Hope this answer will serve your purpose
Please feel free to ask me any more queries
Take care
Dr.M.V.Subrahmanyam MD;DCH