Abstract
Abdominal migraine is a functional gastrointestinal disorder often observed in children and adolescents. Stress, particularly academic pressure, is a major precipitating factor. This case study highlights the successful management of a 15-year-old female patient suffering from abdominal migraine with individualized homeopathic treatment.
Case Presentation
A 15-year-old girl presented with severe abdominal pain and migraine for the last six months. Despite extensive investigations and medical consultations, no pathological cause was found.
History revealed:
- Studious, conscientious personality
- Strong fear of failure and humiliation if she lost her rank
- Neglect of food, recreation, and social life due to over-study
- Desire for love and appreciation from parents and teachers
Diagnosis
- Abdominal Migraine: Functional gastrointestinal disorder with recurrent abdominal pain, nausea, and migraine tendency.
Pathophysiology
- Stress activates HPA axis → cortisol & inflammatory mediators → visceral hypersensitivity.
- Sympathetic overactivity → gut ischemia, cramps, nausea → triggers migraine pathways.
- Stress-induced gut microbiota changes → cytokine release → worsens abdominal pain and migraine.
Repertorization & Remedy Selection
Rubrics considered:
- Mind – Ailments from mortification
- Mind – Ailments from loss of position
- Mind – Conscientious about trifles
- Mind – Ailments from failure (literary/scientific)
Prescription
- Ignatia 200/1M – once daily for 10 days
- Supportive counseling: Encouragement to balance study with rest and leisure
Outcome
- Significant reduction in abdominal pain within 3 weeks
- Migraine episodes reduced in frequency and intensity
- Emotional state improved, with healthier balance between studies and relaxation
Conclusion
This case demonstrates the strong mind-body connection in abdominal migraine and the effectiveness of individualized homeopathy in stress-induced functional disorders. Treating both emotional and physical dimensions was key to her recovery.