Real Case: Does this 10-year-old have abdominal migraine?

Today I saw my young adult patient with a distant history of Crohn’s disease and new, chronic abdominal pain.

Amitriptyline, 10 mg twice a day, has worked like a charm with no pain remaining, confirming my diagnosis of visceral hyperalgesia.

A few hours later I saw a 10-year old girl who has been to the emergency room several times with belly pain.

Her family moved to this area a few months ago and we still don’t have the pediatric gastroenterology records her parents had signed a release