1.6.1.2 Abdominal migraine

A 7-year-old girl has had six similar bouts of tummy pain that her mother has carefully logged over the past year. Each attack centres around her navel rather than moving about, and the pain is rated as moderate by her mother - enough to make her stop playing but not so severe that she screams. She refuses food entirely during an attack and has thrown up during most episodes, sometimes more than once in a day. The most recent bout lasted about 16 hours before settling by itself. Between attacks she is a happy, healthy child with a good appetite and no complaints. Nothing else has been found that might explain her symptoms.