Clinical Manifestation of Primary Headache with Epigastric Pain or Tenderness in Children.
- Author:
Hui Sung HWANG
1
;
Hye Sun CHOI
;
Joong Hyun BIN
;
Young Hoon KIM
;
In Goo LEE
;
Seung Yun CHUNG
Author Information
1. Department of Pediatrics, Catholic University Medical College, Seoul, Korea. sycped@olmh.cuk.ac.kr
- Publication Type:Original Article
- Keywords:
Primary headache;
Abdominal Pain;
Nausea;
Vomiting;
Gastrointestinal disease;
Children
- MeSH:
Abdominal Pain;
Child;
Colitis;
Diet;
Dyspepsia;
Female;
Gastrointestinal Diseases;
Headache;
Humans;
Irritable Bowel Syndrome;
Medical Records;
Migraine Disorders;
Nausea;
Peptic Ulcer;
Prevalence;
Retrospective Studies;
Tension-Type Headache;
Vomiting
- From:
Journal of the Korean Child Neurology Society
2008;16(2):169-174
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Population-based studies have shown positive associations between migraine and irritable bowel syndrome, colitis and peptic ulcer and migraine prevalence was higher among patients with dysmotility-like dyspepsia or nausea/vomiting. The aim of this study was to investigate clinical manifestation between primary headache with epigastric pain or tenderness(EPT) and primary headache without EPT. METHODS: We retrospectively reviewed the medical records of 58 patients who were diagnosed primary headache[by ICHD-II(2004)] at Incheon St. Mary Hospital from January, 2006 to December, 2007. Their clinical characteristics such as age, sex, frequency & severity of headache and associated symptoms & signs were analysed. RESULTS: The rate of headache associated with EPT were 36% of migraine cases, 50% of tension-type headache cases, and 100% of unclassified headache cases. Headache with EPT were at a high rate in female. Headache with EPT were more severe than one without EPT. Regulation of behavior, diet and sleep pattern had improved severity of headache in 71% of migraine without EPT and 94% of tension-type headache without EPT, but in 12% of migraine with EPT and 18% of tension-type headache with EPT. Headache disappeared in 64% of migraine with EPT and 53% of tension-type headache by additional regular antiacid medication. CONCLUSION: Our study supports any specific correlation between headache and EPT, but further studies are needed.
