just got diagnosed with abdominal migraines
She is a second grader who has been high maintenance since Kindergarten. Her mother totally babies her and I think enables a lot of the behavior. She was diagnosed with ADD in 1st, but Mom against medicating. She will frequently come see me and complain of random thing- stomach aches, headaches, "breathing problems", "just not feeling well". In every instance she is fine upon exam, happy and distracted and playing in my office.
About a month ago, she was jumping on the couch and fell and bumped her head on the coffee table. Suffered a mild concussion. She came to see me several times per day the next few days c/o stomach aches. Every single time she came, once I was paying attention to her she was smiling, playing, etc. Stomach aches were non-descript, a 5-10, no nausea, no vomiting. Would happily walk back to class after 10 minutes of rest. I called mom to discuss because it was frequent and she is low academically and was missing a lot of instruction time. Mom would rush to school to pick her up
So I just arrived at work and there is an email from our Second Grade Team Leader that I was looped into from the mom saying she was "just diagnosed wit abdominal migraines so she is not faking. Please let's make her time at school as pleasant as possible" . Insert giant eye roll here. I am waiting for a doctor's not to confirm.
Mom is one of those super strong personalities, pushy, etc. You know the type. Overanxious about everything to do with her kid. And the kid, unfortunately is not winning in the likeability department herself.
Anyway, I just had to vent as I am sure you can all understand where this situation is going. It is going to be a long 6 months until the end of June!!
Quote from ruby_jane
I'll believe it when I see the doctor's note and treatment guidance.
Oh wait...did I say that out loud? I'm sorry.
Abdominal migraines come with vomiting. It's a real dx (had a kid here last year) and no fun at all. The good news is that there will be a medical management plan in place AND she can stay at school (unless of course, she cannot).
Hang in there!
i was about to add the vomiting piece - which is interesting given student's report of no nausea. Yes, I suppose each kid is different, but it is still odd. I've seen a kid with it and they were just flat out miserable. No fun indeed.
But limits are good things! With any migraine kid I do set a limit of rest and a plan of follow-up if no improvement in that time frame (i.e. call home, send home, etc.).
Last edit by JenTheSchoolRN on Jan 12
Last November, this student would come to my office all the time for constant vomiting and no fever. I wasn't sure what it was, and I would call his mom all the time to come get him, because I thought it was a illness based vomiting.
Mom called me yesterday and told me he was diagnosed with CVS and will bring paperwork for his condition to see what we can do to accommodate the student (Too many absences).
I do believe in this though because I think I had this a child. I used to get really bad migraines after eating lunch in my middle school as a kid and I didn't know what the cause, so I thought I was sick with a illness or something. I remember I would get the worse headaches ever, would be light sensitive, noise sensitive and completely nauseated. I would sit in class with my head down, then run to the restroom to throw up, every day. Then come back feeling super tired and with chills. My Texas History teacher was so amazing and would take me to the nurse and try to advocate for me, but I guess my nurse was tired or frustrated (I understand why now) and would send me back to class. But I would just not feel so good and when I would get home I would just sleep until the next day.
This kept going on for two weeks! And I went to doctors and no one knew what was going on. Then one day, I thought, what if it's something I eat? Because it only happens after lunch. I usually ate chili cheese fries for lunch with Gatorade and a cookie, (middle school diet) so I changed my lunch to the lunch tray and a milk and wouldn't you know it? I didn't throw up. I then went back to what I would eat, one food at a time and what I came to find out, it was the chili cheese fries. I was allergic to them. I told my mom and didn't eat chili or any chili cheese foods until I was in college, when I got up the nerve to eat it again at a restaurant and I was so prepared to get sick again, but I didn't. I'm not sure if I grew out of it or not, but I can eat all the chili cheese foods now. But that was my trigger. (Of course, it could also be because of my insulin resistance that I didn't know I had until I was 15, and was basically consuming like 63g of sugar in 30 mins. When I eat more sugar than I'm used to, I will have a mild version of this symptoms/)
The student's trigger is apparently stress. He causes himself to be super stressed because he worries too much and has anxiety. The mother told me they prescribed him to anti-anxiety medications, but is worried about the side effects or what they would do to him. I explained to her that with psych medications, they are considered trial medications until you get the right ones that works for you. I told her that she keeps on eye on his behavior and other things like side effects on him for a few days or so, and I can do the same here in school, and if there's something she doesn't like or what not, she can tell the doctor to try something else. But hopefully this medication actually works and keeps him from missing school, feeling better.
Last edit by Amethya on Jan 12