By Donald Lewis

Migraine is a debilitating affliction, it truly is crucial that it really is clinically determined properly and quickly in sufferers. This ebook covers, in-depth, the main diagnostic standards and coverings that pediatricians and different basic care companies needs to be conscious of so that it will deal with pediatric migraine effectively.

• Written by means of knowledgeable with regards to pediatric migraine/headache
• A refresher for GPs and medical institution medical professionals with functional diagnostic and remedy advice
• experiences medical advancements and directions, and locations them into daily medical practice
• Stresses the significance of early intervention, treatments and sufferer schooling
• Concise yet comprehensive

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Additional resources for Clinician's Manual - Treatment of Pediatric Migraine

Sample text

IV DHE is discussed in the following section on status migraine. DHE should not be used within 24 hours of a triptan. Combination agents Butalbital preparations, once a mainstay of headache treatment, have been supplanted by the current generation of migraine-specific agents. The combination of aspirin and acetaminophen warrants caution because of the aspirin which used very cautiously in children, particularly if the child has had or is having a febrile illness. Use of butalbital preparations should be discouraged.

If a link is discovered, common sense dictates avoidance of the offending food substance. Caffeine warrants special mention. A link between caffeine and migraine has been established [52,53]. Not only does caffeine itself seem to have a negative influence on headache; caffeine may disrupt sleep or aggravate mood, both of which may exacerbate migraine. Furthermore, caffeine withdrawal headache, which begins 1–2 days following cessation of regular caffeine use, can last up to one week [54]. Every effort must be made to moderate caffeine use.

Abdominal migraine is an idiopathic, recurrent disorder seen mainly in children and characterized by episodes of vague anterior midline or periumbilical abdominal pain lasting 1–72 hours with complete resolution of symptoms between attacks. The pain is of moderate to severe intensity and associated with vasomotor symptoms, nausea and vomiting (Figure 12). Abdominal migraine includes a subset of patients with chronic, recurrent abdominal pain that have features which overlap with those of migraine without aura.

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