DEAR DR. GOTT: I am a 63-year-old woman just diagnosed with abdominal migraines that started when I was 8 or 9. I get a pain in my stomach that goes to my head, lasting from two hours to several days. It usually helps if I eat something, but not always. I end up in bed and literally don’t move for hours. Noise and lights don’t bother me. I am taking compazine twice a day for the associated nausea, which helps, and I take Frova when I do get the migraines. Is there anything you can tell me about abdominal migraines?
DEAR READER: The cause of abdominal migraines is unknown, but they are believed to be related to changes in histamine and serotonin, with stress and anxiety causing fluctuations in both body chemicals. Chocolate, processed meats containing nitrates and foods containing MSG have also been linked to attacks. Treatment is aimed at identifying all triggers and taking steps to avoid them.
Reduce any stress in your life, and keep a journal of events preceding each attack. This may take time, but if you can correlate similar occurrences, you just might have your answer.